Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
9/18/2010		 Time of Accident
12:20 PM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010054631
Literal Description
I-35 SB TO I-80 EB IN THE EAST MIX 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
451889.8
Y-Coordinate
4611150.
U
N
I
T

1 		Driver's Name - Last
MUNOZ		 First
CARLOS		 Middle
ALBERTO		 Suffix
City
CRYSTAL		 State
MN - Minnesota, US		 Zip
55422
Driver's Age
19		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE TO MAINTAIN CONTROL
Gender
Male		 State
MN - Minnesota, US		 Class
D - Chauffeur		 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
5 - Uninjured		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
NA		 Transported by:
NA
Insurance Co. Name
Year
2008		 Make
Chevrolet - CHEV		 Model
MALIBU		 Style
4D		 Approximate Cost to Repair or Replace
6000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
25		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 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
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
01 - Ran off road, right		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
38 - Poles (utility, light, etc.)
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
POLE-UNDAMAGED		 Estimate of Damage
0
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
IOWA DOT
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)
06 - Rain		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
38 - Poles (utility, light, etc.)
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
17 - On-ramp merge area		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT #1 WAS ON THE RAMP FROM I-35 SB TO I-80 EB. DRIVER OF UNIT #1 WAS GOING TOO FAST AND LOST CONTROL. UNIT #1 HIT THE POLE FOR THE I-80 OVERHEAD SIGNS CAUSING DISABLING DAMAGE.
Officer
CHAMPLIN 		Badge No.
220		 Time Officer Notified of Accident
12:20		 Time Officer Arrived At Scene
12:28
Name of Agency
P01		 Date of Report
9/18/2010		 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