U
N
I
T
1
|
Driver's Name - Last MOORE |
First GARY |
Middle RAY |
Suffix
|
City PANAMA |
State OK - Oklahoma, US |
Zip 74951 |
Driver's Age 50 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State OK - Oklahoma, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given? 4 - Breath |
Drug Test Given? 3 - Urine |
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 6 - Not applicable |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: NO TREATMENT |
Transported by:
|
Insurance Co. Name O K TRANSPORTATION INC |
Year 2009 |
Make
|
Model
|
Style TR |
Approximate Cost to Repair or Replace 500 |
Initial Travel Direction 3 - South |
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 2 - Minor damage |
Underride/Override 5 - Override, moving vehicle |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
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 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 O K TRANSPORTATION INC |
City MULDROW |
State OK - Oklahoma, US |
Zip 74948 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard #
|
Hazardous Materials Released? 3 - Not applicable |
U
N
I
T
2
|
Driver's Name - Last UNRUH |
First CRAIG |
Middle W |
Suffix
|
City MEADE |
State KS - Kansas, US |
Zip 67864 |
Driver's Age 39 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State KS - Kansas, 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 1 - Fatal |
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: FATAL |
Transported by: FATAL |
Insurance Co. Name
|
Year 2002 |
Make Honda - HOND |
Model RS |
Style MC |
Approximate Cost to Repair or Replace 13000 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 03 - Right Side |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 2 - Underride, compartment intrusion |
Total Occupants 1 |
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 13 - Other non-collision |
Second Event 21 - Vehicle in traffic |
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
|
First Harmful Event of Crash (use codes 11-42 only) 13 - Other non-collision |
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 |
UNIT 1 WAS SOUTHBOUND ON I-35 AT APPROXIMATELY THE 39.2 MILE MARKER WHEN UNIT 2, ALSO SOUTHBOUND, COLLIDED WITH THE REAR OF THE TRAILER OF UNIT 1IN A SIDESWIPE MANNER. |
|
Officer
SCHMIDT |
Badge No. 336 |
Time Officer Notified of Accident 17:47 |
Time Officer Arrived At Scene 18:18 |
Name of Agency P02 |
Date of Report 9/7/2010 |
Investigation made at scene?
|
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