Iowa State Patrol: Department of Public Safety

Crash Information

L
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C
A
T
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N 		Date of Accident
9/6/2010		 Time of Accident
05:05 PM 		County
Calhoun - 13		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010052449
Literal Description
Iowa 0004 / NORRIDGE AVE and NORRIDGE AVE and Iowa 0175 / 360TH ST and Iowa 0004 / 360TH ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
364044.6
Y-Coordinate
4680782.
U
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1 		Driver's Name - Last
REESE		 First
KATHLEEN		 Middle
RAE		 Suffix
City
URBANDALE		 State
IA - Iowa, US		 Zip
50323
Driver's Age
54		 Citation Charge Code 1
321.322(1)		 Citation Charge 1
FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY
Gender
Female		 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
2 - Incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
STEWART MEMORIAL		 Transported by:
LAKE CITY AMBULANCE
Insurance Co. Name
Year
2007		 Make
Ford - FORD		 Model
FSA		 Style
4D		 Approximate Cost to Repair or Replace
18000
Initial Travel Direction
3 - South		 Vehicle Action
02 - Turning left		 Speed Limit
55		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
02		 Traffic Controls
04 - Stop signs		 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
BURCHAM		 First
ANITA		 Middle
A		 Suffix
City
OBERT		 State
NE - Nebraska, US		 Zip
687570000
Driver's Age
39		 Citation Charge Code 1
 Citation Charge 1
Gender
Female		 State
NE - Nebraska, US		 Class
 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
2 - Incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
STEWART MEMORIAL		 Transported by:
LAKE CITY AMBULANCE
Insurance Co. Name
Year
2006		 Make
General Motors - GMC		 Model
ENVOY		 Style
SUV		 Approximate Cost to Repair or Replace
15000
Initial Travel Direction
4 - West		 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
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
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)
03 - Cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
5 - Broadside		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
11 - Four-way intersection		 Workers Present?
P
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D 		Name- Last
REESE		 First
MICHAEL		 Middle
 Suffix
City
 State
 Zip Code
Age
 Sex
Male		 Unit No.
1		 Seating Position
03 - Front: Right Side		 Injury Status
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
STEWART MEMORIAL		 Transported by:
LAKE CITY AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
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N 		I
N
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U
R
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D 		Name- Last
BURCHAM		 First
MICHAEL		 Middle
 Suffix
City
 State
 Zip Code
Age
 Sex
Male		 Unit No.
2		 Seating Position
03 - Front: Right Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
STEWART MEMORIAL		 Transported by:
LAKE CITY AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
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U
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D 		Name- Last
BURCHAM		 First
CODY		 Middle
 Suffix
City
 State
 Zip Code
Age
 Sex
Male		 Unit No.
2		 Seating Position
09 - Rear: Right Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
STEWART MEMORIAL		 Transported by:
LAKE CITY AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
D
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NARRATIVE

UNIT 1 SOUTHBOUND HWY 4 STOPPED AT STOP SIGN AND PULLED OUT TO MAKE LEFT TURN. UNIT 2 WESTBOUND. UNIT 1 PULLED INTO PATH OF WESTBOUND UNIT AND COLLISION OCCURRED WITHIN INTERSECTION
Officer
MORENZ 		Badge No.
230		 Time Officer Notified of Accident
17:08		 Time Officer Arrived At Scene
17:08
Name of Agency
P07		 Date of Report
9/6/2010		 Investigation made at scene?
 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