Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
9/13/2010		 Time of Accident
12:29 PM 		County
Scott - 82		 Accident occurred within corporate limits of (city)
Davenport - 1827		 Law Enforcement Case Number:
2010053637
Literal Description
HWY 61 SOUTHBOUND @ W 5TH ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
702159.5
Y-Coordinate
4599838.
U
N
I
T

1 		Driver's Name - Last
STACY		 First
GREGORY		 Middle
LEE		 Suffix
City
WAYLAND		 State
IA - Iowa, US		 Zip
526540000
Driver's Age
50		 Citation Charge Code 1
321.256		 Citation Charge 1
FAIL TO OBEY TRAFFIC CONTROL DEVICE
Gender
Male		 State
IA - Iowa, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
N - Tank		 Restrictions

 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
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2001		 Make
 Model
 Style
TT		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
25		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
03 - Flashing traffic control signal		 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
30 - Bridge/bridge rail/overpass		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
30 - Bridge/bridge rail/overpass
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?
P
R
O
P
E
R
T
Y

D
A
M
A
G
E
If Property other than vehicles damaged explain Object Damaged
RAILROAD OVERPASS WARNING SIGN		 Estimate of Damage
1000
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
IOWA DOT
City
DAVENPORT		 State
IA - Iowa, US		 Zip
P
R
O
P
E
R
T
Y

D
A
M
A
G
E
If Property other than vehicles damaged explain Object Damaged
RAILROAD OVERPASS		 Estimate of Damage
0
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
ROCK ISLAND LINES RAILROAD
City
 State
 Zip
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)
30 - Bridge/bridge rail/overpass
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
02 - Bridge/overpass/underpass		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 SOUTHBOUND ON HIGHWAY 61 FAILED TO OBEY WARNING SIGNS OF LOW RAILROAD OVERPASS. TRAILER OF UNIT 1 STRUCK OVERPASS CAUSING FUNCTIONAL DAMAGE TO UNIT 1 AND MINOR DAMAGE TO WARNING SIGNS ON OVERPASS.
Officer
MESSERICH 		Badge No.
166		 Time Officer Notified of Accident
12:29		 Time Officer Arrived At Scene
12:29
Name of Agency
P12		 Date of Report
9/13/2010		 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