Crash Information

L O C A T I O N	Date of Accident 9/14/2010	Time of Accident 02:29 PM	County Dubuque - 31	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010053464
	Literal Description US 0052 / US 52				Legal Intervention? No	Private Property? No
					X-Coordinate: 657880.7
					Y-Coordinate 4722598.

U N I T 1	Driver's Name - Last LUCKRITZ			First STEPHEN			Middle F		Suffix
	City HASTINGS			State MN - Minnesota, US				Zip 55033
	Driver's Age 66					Citation Charge Code 1 321.297		Citation Charge 1 DRIVING ON WRONG SIDE OF TWO WAY HIGHWAY
	Gender Male	State AZ - Arizona, US	Class D - Chauffeur	Endorsements None	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 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	Trapped 1 - Not trapped
	Transported to: GUTTENBERG HOSPITAL					Transported by: AMBULANCE
	Insurance Co. Name
	Year 2005		Make Buick - BUIC		Model LACROSS		Style 4D		Approximate Cost to Repair or Replace 12000
	Initial Travel Direction 3 - South	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 2	Traffic Controls 01 - No controls present	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 04 - Crossed centerline/median	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 04 - Crossed centerline/median
	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 REIMER			First VALERIE			Middle LYNN		Suffix
	City GUTTENBERG			State IA - Iowa, US				Zip 52052
	Driver's Age 27					Citation Charge Code 1 321.445		Citation Charge 1 FAILURE TO WEAR SEATBELT
	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 1 - None 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: FINLEY HOSPITAL DUBUQUE					Transported by: AMBULANCE
	Insurance Co. Name
	Year 1999		Make Chrysler - CHRY		Model 300		Style 4D		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 1 - North	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 1	Traffic Controls 01 - No controls present	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?

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 2 - Head-on	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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S
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N

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J
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Name- Last
LUCKRITZ

First
MONICA

Middle
KATHRYN

Suffix

City

State

Zip Code

Age
63

Sex
Female

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:
GUTTENBERG HOSPITAL

Transported by:
AMBULANCE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE #1 WAS SOUTH BOUND ON HWY 52. #1 CROSSED OVER THE CENTER LINE INTO THE PATH OF VEHICLE #2. THE VEHICLES COLLIDED ON THE FRONT DRIVERS SIDES OF THE VEHICLES. VEHICLE #2 WENT OFF INTO THE EAST DITCH. VEHICLE #1 WENT OFF ONTO THE EAST SHOULDER / DICTH.

Officer DAUSENER	Badge No. 144	Time Officer Notified of Accident 14:31	Time Officer Arrived At Scene 14:41
Name of Agency P10	Date of Report 9/14/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046