Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
9/22/2010		 Time of Accident
02:45 PM 		County
Warren - 91		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010055294
Literal Description
I-35 SB 61 MM 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
434794.4
Y-Coordinate
4586170.
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1 		Driver's Name - Last
STEIN		 First
JANICE		 Middle
MARIE		 Suffix
City
DEXTER		 State
IA - Iowa, US		 Zip
50070
Driver's Age
47		 Citation Charge Code 1
321.306		 Citation Charge 1
IMPROPER USE LANES
Gender
Female		 State
IA - Iowa, US		 Class
B - Veh w/26001 GVWR or more Towed unit is less than 10001 GVWR		 Endorsements
P - Pass		 Restrictions

B - Cor Lenses		 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:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2005		 Make
Chevrolet - CHEV		 Model
AVO		 Style
SD		 Approximate Cost to Repair or Replace
1500
Initial Travel Direction
3 - South		 Vehicle Action
06 - Changing lanes		 Speed Limit
70		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
88 - Other control (explain in narrative)		 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
21 - Vehicle in traffic		 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?
U
N
I
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2 		Driver's Name - Last
ADAMS		 First
THOMAS		 Middle
FRANK		 Suffix
City
LIBERTY		 State
MO - Missouri, US		 Zip
64068
Driver's Age
38		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
MO - Missouri, US		 Class
 Endorsements
None		 Restrictions

B - Cor Lenses		 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:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2003		 Make
Honda - HOND		 Model
ACC		 Style
PC		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
03 - Right Side		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
88 - Other control (explain in narrative)		 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
21 - Vehicle in traffic		 Third Event
 Fourth Event
39 - Sign post		 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?
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Y

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If Property other than vehicles damaged explain Object Damaged
SIGN		 Estimate of Damage
0
Owner's Name - Last
IOWA DOT		 First
 Middle
 Suffix
Owner Company Name
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)
21 - Vehicle in traffic
Manner of Crash/Collision
6 - Sideswipe, same direction		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
07 - Crossover in median		 Workers Present?
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NARRATIVE

VEHICLE 1 WAS SOUTHBOUND ON I-35 (RIGHT LANE) AND CHANGED LANES INTO THE SIDE OF VEHICLE 2 (LEFT LANE) IN ORDER TO ACCESS THE EMERGENCY CROSSOVER AT THE 61 MM. VEHICLE 2 WAS STRUCK IN THE RIGHT SIDE THEN PUSHED INTO THE CROSSOVER SIGN (LEFT REAR) AND CAME TO REST IN THE MEDIAN. VEHICLE 1 CAME TO REST ON THE SHOULDER.
Officer
WINKLER 		Badge No.
043		 Time Officer Notified of Accident
14:45		 Time Officer Arrived At Scene
14:55
Name of Agency
P02		 Date of Report
9/22/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653