U
N
I
T
1
|
Driver's Name - Last STEWART |
First STEPHEN |
Middle DALE |
Suffix
|
City SULPHER SPRINGS |
State TX - Texas, US |
Zip 75482 |
Driver's Age 36 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State TX - Texas, 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 5 - Uninjured |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 5 - Not deployed |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 2008 |
Make Chevrolet - CHEV |
Model TAHOE |
Style SUV |
Approximate Cost to Repair or Replace 8000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 03 |
Traffic Controls 01 - No controls present |
Vehicle Config. 04 - Sport utility vehicle |
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 26 - Other non-fixed object (explain in narrative) |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 26 - Other non-fixed object (explain in narrative) |
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?
|
U
N
I
T
2
|
Driver's Name - Last NASTRUZ |
First JOSEPH |
Middle ROBERT |
Suffix
|
City URBANDALE |
State IA - Iowa, US |
Zip 50323 |
Driver's Age 20 |
Citation Charge Code 1
|
Citation Charge 1
|
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 5 - Uninjured |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 5 - Not deployed |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 2001 |
Make Mitsubishi - MITS |
Model GALANT |
Style 4 |
Approximate Cost to Repair or Replace 500 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 01 - Passenger car |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 05 - Other tire defect (explain in narrative) |
Driver Condition 1 - Apparently normal |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
|
| SEQUENCE OF EVENTS |
First Event 09 - Equipment failure (tires, brakes, etc.) |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 09 - Equipment failure (tires, brakes, etc.) |
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) 26 - Other non-fixed object (explain in narrative) |
Manner of Crash/Collision 1 - Non-collision |
Roadway 01 - None apparent |
Type
|
Light Conditions 4 - Dark, roadway lighted |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
VEHICLE #1 IS EASTBOUND AT THE 131MM DRIVING IN THE INSIDE OF THREE LANES OF TRAVEL. VEHICLE #2 IS AT THE SAME LOCATION ON THE WESTBOUND SIDE OF TRAVEL WHEN THE LEFT FRONT WHEEL AND TIRE COME OFF OF THE VEHICLE AND THE WHEEL JUMPS THE JERSEY RAIL AND STRIKES VEHICLE #1. THE IMPACT BETWEEN THE WHEEL AND VEHICLE #1 OCCURS TO THE LEFT FRONT CORNER. AFTER IMPACT VEHICLE #1 PULLS TO THE SHOULDER. AFTER IMPACT VEHICLE #2 COMES TO REST ON THE OUTSIDE SHOULDER MINUS THE WHEEL. THE WHEEL COMES TO REST ON THE INSIDE SHOULDER. |
|
Officer
BATTLES |
Badge No. 392 |
Time Officer Notified of Accident 00:10 |
Time Officer Arrived At Scene 00:20 |
Name of Agency P01 |
Date of Report 8/22/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011