Crash Information

L O C A T I O N	Date of Accident 8/28/2010	Time of Accident 03:06 PM	County Clayton - 22	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010050754
	Literal Description 56 / DOMINO RD				Legal Intervention? No	Private Property? No
					X-Coordinate: 628027.4
					Y-Coordinate 4745940.

U N I T 1	Driver's Name - Last GRIFFITH			First PAUL			Middle CHARLES		Suffix
	City WESTGATE			State IA - Iowa, US				Zip 50681
	Driver's Age 84					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	Gender Male	State IA - Iowa, US	Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat	Endorsements None	Restrictions None	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3		Citation Charge 3
						Citation Charge Code 4		Citation Charge 4
	Seating Position 01 - Front: Left Side / Motorcycle Driver	Injury Status 3 - Non-incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: ELKADER HOSPITAL					Transported by: ELKADER AMBULANCE
	Insurance Co. Name
	Year 2001		Make Dodge - DODG		Model CVN		Style VN		Approximate Cost to Repair or Replace 10000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 04 - Stop signs	Vehicle Config. 03 - Van or mini-van	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 33 - Ditch/embankment	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 33 - Ditch/embankment
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name			City		State			Zip
	Number of Axles			Gross Vehicle Weight Rating		Placard #			Hazardous Materials Released?

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 1 - On Roadway	Weather Conditions (up to two) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 33 - Ditch/embankment
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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Name- Last
GRIFFITH

First
GRACE

Middle

Suffix

City

State

Zip Code

Age

Sex
Female

Unit No.
1

Seating Position
04 - Center: Left Side / Motorcycle Passenger

Injury Status
2 - Incapacitating

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
1 - Deployed front of person

Airbag Switch Status
9 - Unknown

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
2 - Freed by non-mechanical means

Transported to:
ELKADER HOSPITAL

Transported by:
ELKADER AMBULANCE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
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M

0

NARRATIVE

UNIT ONE WAS TRAVELING NORTH ON DOMINO ROAD. UNIT ONE FAILED TO STOP AT A POSTED STOP SIGN, CROSSED HIGHWAY 56, AND ENTERED THE NORTH DITCH. UNIT ONE CAME TO REST IN THE NORTH DITCH FACING SOUTH.

Officer TRIMBLE	Badge No. 312	Time Officer Notified of Accident 15:06	Time Officer Arrived At Scene 15:12
Name of Agency P10	Date of Report 8/28/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046