Crash Information

L O C A T I O N	Date of Accident 9/13/2010	Time of Accident 06:21 PM	County Polk - 77	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010053694
	Literal Description INTERSTATE 80 EB TO INTERSTATE 235 SB - EASTMIX				Legal Intervention? No	Private Property? No
					X-Coordinate: 451623.1
					Y-Coordinate 4611223.

U N I T 1	Driver's Name - Last MCFADDEN			First AMY			Middle JO		Suffix
	City DES MOINES			State IA - Iowa, US				Zip 503170000
	Driver's Age 33					Citation Charge Code 1 321.445		Citation Charge 1 FAIL TO WEAR/MAINTAIN SAFETY BELTS
	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 4 - Possible	Occupant Protection 1 - None used		Airbag Deployment 5 - Not deployed	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: METHODIST					Transported by: AMBULANCE
	Insurance Co. Name
	Year 1999		Make Ford - FORD		Model XPL		Style SW		Approximate Cost to Repair or Replace 8000
	Initial Travel Direction 2 - East	Vehicle Action 07 - Entering traffic lane (merging)	Speed Limit 65	Point of Initial Impact 08 - Left Front	Most Damaged Area 09 - Top	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 04 - Sport utility vehicle	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 01 - Ran off road, right	Second Event 06 - Evasive action (swerve, panic braking, etc.)	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 1 - On Roadway	Weather Conditions (up to two) 03 - Cloudy	Environment 2 - Weather condition	Location	First Harmful Event of Crash (use codes 11-42 only) 11 - Overturn/rollover
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 03 - Cloudy	Roadway 02 - Road surface condition	Type
Light Conditions 2 - Dusk	Surface Conditions 2	Type of Roadway Junction/Feature 17 - On-ramp merge area	Workers Present?

P
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Name- Last
NORTON

First
GARRET

Middle
ALAN

Suffix

City

State

Zip Code

Age
10

Sex
Male

Unit No.
1

Seating Position
04 - Center: Left Side / Motorcycle Passenger

Injury Status
4 - Possible

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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
METHODIST 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 EASTBOUND ON INTERSTATE 80 AND WAS MERGING ONTO INTERSTATE 235 WESTBOUND AT THE EAST MIX. DRIVER OF VEHICLE 1 LOST CONTROL CAUSING THE VEHICLE TO GO OFF THE ROAD TO THE RIGHT AND ROLL.

Officer PEARSTON	Badge No. 168	Time Officer Notified of Accident 18:21	Time Officer Arrived At Scene 18:26
Name of Agency P01	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 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011