Crash Information

L O C A T I O N	Date of Accident 9/3/2010	Time of Accident 05:05 PM	County Hamilton - 40	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010051993
	Literal Description Interstate 0035 (Milepost 131)				Legal Intervention? No	Private Property? No
					X-Coordinate: 452969.9
					Y-Coordinate 4681183.

U N I T 1	Driver's Name - Last LAWRENCE			First MEGAN			Middle BRYNNE		Suffix
	City ROSEVILLE			State MN - Minnesota, US				Zip 55113
	Driver's Age 18					Citation Charge Code 1 321.288		Citation Charge 1 FAILURE TO MAINTAIN CONTROL
	Gender Female	State MN - Minnesota, 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 5 - Uninjured	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	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2000		Make Volkswagon - VOLK		Model BEETLE		Style PASS		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 01 - Front	Most Damaged Area 01 - 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 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 21 - Vehicle in traffic	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 21 - Vehicle in traffic
	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 WARREN			First GARY			Middle LEROY		Suffix
	City URBANDALE			State IA - Iowa, US				Zip 50322
	Driver's Age					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 1 - Switch in ON position		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2011		Make Chevrolet - CHEV		Model TRAVERSE		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 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 04	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 21 - Vehicle in traffic	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 21 - Vehicle in traffic
	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) 02 - Partly cloudy	Environment 1 - None apparent	Location 1 - Before work zone warning sign	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 3 - Rear-end	Weather Conditions (up to two) 02 - Partly cloudy	Roadway 01 - None apparent	Type 8 - Other type of work zone (explain in narrative)
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present? No

P
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J
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Name- Last
WARREN

First
SHARON

Middle
K

Suffix

City

State

Zip Code

Age

Sex
Female

Unit No.
02

Seating Position
09 - Rear: Right Side

Injury Status
4 - Possible

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
5 - Not deployed

Airbag Switch Status
9 - Unknown

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
MARY GREELEY HOSPITAL

Transported by:
JEWELL ELLSWORTH EMS

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE #1 WAS NORTHBOUND I35 AT THE 131.20 MILE MARKER. THIS WAS PRIOR TO ROAD CONSTRUCTION BEFORE SIGNS THAT INDICATED THE WORK ZONE. TRAFFIC WAS HEAVY DUE TO IT BEING FRIDAY AND THE TIME OF THE ACCIDENT. VEHICLE #1 MADE CONTACT WITH VEHICLE #2. VEHICLE #2 WAS PULLING A BOAT WITH IOWA PLATE 1732NB. THE CONTACT MOVED THE BOAT INTO THE BACK OF VEHICLE #2 CAUSING DAMAGE TO THE BOAT AND VEHICLE #2. VEHICLE #1 CAME TO REST FACING SOUTHWEST ON THE EAST SHOULDER. VEHICLE #1 CAME TO REST FACING NORTH ON THE WEST SHOULDER. AN OCCUPANT FROM VEHICLE #2 WAS TAKEN TO MARY GREELEY HOSPITAL IN AMES, IA TO GET CHECKED OUT.

Officer BROSHAR	Badge No. 120	Time Officer Notified of Accident 17:05	Time Officer Arrived At Scene 17:19
Name of Agency P07	Date of Report 9/3/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218