Crash Information

L O C A T I O N	Date of Accident 8/29/2010	Time of Accident 10:30 PM	County Louisa - 58	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010051278
	Literal Description G AVE NB 1803 FT SOUTH OF BOX CAR RD				Legal Intervention? No	Private Property? No
					X-Coordinate: 656580.0
					Y-Coordinate 4577405.

U N I T 1	Driver's Name - Last TAYLOR			First JACOB			Middle JAY RICHARD		Suffix
	City MUSCATINE			State IA - Iowa, US				Zip 52761
	Driver's Age 24					Citation Charge Code 1 321.263		Citation Charge 1 INFORMATION AND AID-LEAVING THE SCENE OF ACCIDENT
	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 2 321.288		Citation Charge 2 FAILURE TO MAINTAIN CONTROL
	Alcohol Test Given? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3 321I.14(3)		Citation Charge 3 ATV OPERATION WITH MORE PERSONS THAN DESIGNED TO CARRY
						Citation Charge Code 4 321I.14(1)(A)		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 3 - Totally ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: UNIVERSITY OF IOWA HOSPITAL					Transported by: PRIVATE
	Insurance Co. Name
	Year 2006		Make Honda - HOND		Model TRX 450R		Style ATV		Approximate Cost to Repair or Replace 4000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 35	Point of Initial Impact 02 - Right Front	Most Damaged Area 02 - Right Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 15 - Moped/All-Terrain Vehicle	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 9 - Unknown	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 01 - Ran off road, right	Second Event 33 - Ditch/embankment	Third Event	Fourth Event	Most Harmful Event (by vehicle) 11 - Overturn/rollover
	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 2 - Shoulder	Weather Conditions (up to two) 99 - Unknown	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 33 - Ditch/embankment
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 99 - Unknown	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 6	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
RYAN

First
CAITLIN

Middle
ROSE

Suffix

City

State

Zip Code

Age
21

Sex
Female

Unit No.
1

Seating Position
04 - Center: Left Side / Motorcycle Passenger

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
3 - Totally ejected

Ejection Path
9 - Unknown

Trapped
1 - Not trapped

Transported to:
UNIVERSITY OF IOWA HOSPITAL

Transported by:
PRIVATE

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, AN UNREGISTERED SPORT ATV, WAS TRAVELING NORTHBOUND ON G AVE., WHEN IT EXITED THE ROADWAY AND ENTERED THE EAST DITCH. UNIT #1 THEN ROLLED NUMEROUS TIMES EJECTING THE DRIVER AND PASSENGER.

Officer GUHL	Badge No. 128	Time Officer Notified of Accident 11:00	Time Officer Arrived At Scene 14:00
Name of Agency P12	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 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504