U
N
I
T
1
|
Driver's Name - Last BURNS |
First BOBBIE |
Middle J |
Suffix
|
City OXFORD |
State IA - Iowa, US |
Zip 52322 |
Driver's Age 26 |
Citation Charge Code 1 FAILURE TO MAINTAIN |
Citation Charge 1 321.288 |
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
|
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 3 - Non-incapacitating |
Occupant Protection 1 - None used |
Airbag Deployment 6 - Not applicable |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 4 - Not applicable (motorcycle, bicycle, etc.) |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: MOUNT PLEASANT HOSPITAL |
Transported by: AMBULANCE |
Insurance Co. Name
|
Year 2005 |
Make
|
Model VS800GLP |
Style MOTORCYCLE |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 4 - West |
Vehicle Action 02 - Turning left |
Speed Limit 35 |
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 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 14 - Motorcycle |
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 WITTE |
First TRINIDY |
Middle M |
Suffix
|
City OXFORD |
State IA - Iowa, US |
Zip 52322 |
Driver's Age 37 |
Citation Charge Code 1
|
Citation Charge 1
|
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
|
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 1 - None used |
Airbag Deployment 6 - Not applicable |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 4 - Not applicable (motorcycle, bicycle, etc.) |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 2006 |
Make
|
Model SUPERGLIDE |
Style MOTORCYCLE |
Approximate Cost to Repair or Replace 807 |
Initial Travel Direction 4 - West |
Vehicle Action 02 - Turning left |
Speed Limit 35 |
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 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 14 - Motorcycle |
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) 01 - Clear |
Environment 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 6 - Sideswipe, same direction |
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 |
VEH #1 AND VEH #2 ARE MOTORCYCLES AND WERE BOTH TRAVELING TOGETHER EN ROUTE TO THE SAME DESTINATION. BOTH VEHICLES LEFT THE HY VEE GAS STATION IN MOUNT PLEASANT MAKING LEFT HAND TURNS ONTO HWY 34 WHEN VEH #1 GOT CAUGHT UP IN THE REAR WHEEL OF VEH #2. THE DRIVER OF VEH #1 WAS THROWN FROM THE BIKE WHILE THE DRIVER OF VEH #2 WAS ABLE TO STAY ON AND PARK THE BIKE JUST DOWN THE ROAD. WHILE THE DRIVER OF VEH #1 WAS LAYING IN THE ROADWAY WITH INJURIES, THE BIKE CONTINUED TO TRAVEL DOWN THE ROAD AND FINALLY CAME TO A REST ON THE SOUTH SIDE SHOULDER OF HWY 34. THE DRIVER OF VEH #1 WAS TRANSPORTED TO THE HOSPITAL BY AMBULANCE AND HER BIKE TOWED BY BREUERS OF MOUNT PLEASANT. THE DRIVER OF VEH #2 LEFT THE SCENE ON HER OWN BIKE. |
|
Officer
HENNINGSEN |
Badge No. 194 |
Time Officer Notified of Accident 11:10 |
Time Officer Arrived At Scene 11:11 |
Name of Agency P13 |
Date of Report 9/2/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743