Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
8/25/2010		 Time of Accident
12:57 PM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
Mitchellville - 5137		 Law Enforcement Case Number:
2010050086
Literal Description
SB/WB Interstate 0080 measuring 3271 Feet Southeast from Off Roadway/Roadway Not Found 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
467520.1
Y-Coordinate
4614370.
U
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1 		Driver's Name - Last
HARI		 First
BEVERLY		 Middle
J		 Suffix
City
NORMAL		 State
IL - Illinois, US		 Zip
61761
Driver's Age
70		 Citation Charge Code 1
 Citation Charge 1
Gender
Female		 State
IL - Illinois, US		 Class
D - Chauffeur		 Endorsements
None		 Restrictions

B - Cor Lenses		 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
9 - Unknown		 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
2005		 Make
Ford - FORD		 Model
EXPLORER		 Style
SUV		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
1 - North		 Vehicle Action
88 - Other (explain in narrative)		 Speed Limit
20		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
2		 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?
P
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P
E
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Y

D
A
M
A
G
E
If Property other than vehicles damaged explain Object Damaged
TREES/SHRUBS/NEWSPAPER STANDS		 Estimate of Damage
500
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
STATE OF IOWA DOT
City
AMES		 State
IA - Iowa, US		 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
6 - Outside Trafficway		 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
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 PULLED INTO A PARKING SPACE AT THE WESTBOUND MITCHELLVILLE REST AREA. THE DRIVER OF UNIT 1 HIT THE ACCELERATOR UPON ENTERING THE PARKING SPACE. UNIT 1 THEN TRAVELED NORTH OVER THE CURB AND STRUCK 3 NEWSPAPER STANDS AND SMALL TREES. UNIT 1 CAME TO REST ON TOP OF THE NEWSPAPER STANDS AND TREES FACING NORTH.
Officer
VANZEE 		Badge No.
044		 Time Officer Notified of Accident
12:57		 Time Officer Arrived At Scene
13:23
Name of Agency
P01		 Date of Report
8/25/2010		 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