Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
8/31/2010		 Time of Accident
06:40 AM 		County
Warren - 91		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010051195
Literal Description
NB/EB Interstate 0035 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
434841.9
Y-Coordinate
4573646.
U
N
I
T

1 		Driver's Name - Last
RIVERA		 First
ROBERTO		 Middle
G		 Suffix
City
KENOSHA		 State
WI - Wisconsin, US		 Zip
531400000
Driver's Age
67		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE TO MAINTAIN CONTROL
Gender
Male		 State
WI - Wisconsin, US		 Class
D - Chauffeur		 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
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
9 - Unknown		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
MERCY HOSPITAL		 Transported by:
AMBULANCE
Insurance Co. Name
Year
2007		 Make
Ford - FORD		 Model
ESCAPE		 Style
SUV		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
06 - Left Rear		 Most Damaged Area
06 - Left Rear		 Extent of Damage
5 - Severe, vehicle totaled		 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
8 - Other (explain in narrative)		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
01 - Ran off road, right		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
23 - Parked motor vehicle
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
 First
 Middle
 Suffix
City
 State
 Zip
Driver's Age
 Citation Charge Code 1
 Citation Charge 1
Gender
 State
 Class
 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
 Drug Test Given?
 Citation Charge Code 3
 Citation Charge 3
Citation Charge Code 4
 Citation Charge 4
Seating Position
 Injury Status
 Occupant Protection
 Airbag Deployment
 Airbag Switch Status
 Ejection
 Ejection Path
 Trapped
Transported to:
 Transported by:
Insurance Co. Name
MS CARRIERS INC
Year
2011		 Make
International - INTL		 Model
TR		 Style
TR		 Approximate Cost to Repair or Replace
500
Initial Travel Direction
1 - North		 Vehicle Action
12 - Legally Parked		 Speed Limit
 Point of Initial Impact
06 - Left Rear		 Most Damaged Area
06 - Left Rear		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
2		 Traffic Controls
 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
02 - Van/enclosed box		 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
23 - Parked motor vehicle		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
23 - Parked motor vehicle
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
MS CARRIERS INC		 City
MEMPHIS		 State
TN - Tennessee, US		 Zip
38131
Number of Axles
5		 Gross Vehicle Weight Rating
80000		 Placard #
 Hazardous Materials Released?
3 - Not applicable
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)
06 - Rain		 Environment
9 - Unknown		 Location
 First Harmful Event of Crash (use codes 11-42 only)
23 - Parked motor vehicle
Manner of Crash/Collision
6 - Sideswipe, same direction		 Roadway
01 - None apparent		 Type
Light Conditions
3 - Dawn		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
RIVERA		 First
VIRGINIA		 Middle
 Suffix
City
 State
 Zip Code
Age
63		 Sex
Female		 Unit No.
1		 Seating Position
02 - Front: Center		 Injury Status
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
2 - Freed by non-mechanical means
Transported to:
MERCY		 Transported by:
AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 WAS NORTHBOUND ON I-35 AT THE 53 MM. THE DRIVER OF UNIT 1 LOST CONTROL OF THE VEHICLE AND LEFT THE ROADWAY AND ENTERED THE EAST DITCH. WHILE UNIT 1 SLID THROUGH THE DITCH IT ENTERED THE REST AREA AND STRUCK A LEGALLY PARKED SEMI TRAILER. BOTH THE DRIVER AND PASSENGER OF UNIT WERE TAKEN TO MERCY HOSPITAL FOR FURTHER EVALUATION. THE DRIVER OF UNIT 1 WAS ISSUED A CITATION FOR FAILURE TO MAINTAIN CONTROL.
Officer
COLE 		Badge No.
175		 Time Officer Notified of Accident
06:45		 Time Officer Arrived At Scene
06:54
Name of Agency
P02		 Date of Report
8/31/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653