Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
9/11/2010		 Time of Accident
08:35 PM 		County
Jasper - 50		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010053358
Literal Description
SB/WB Interstate 0080 (Milepost 175) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
510512.1
Y-Coordinate
4615370.
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1 		Driver's Name - Last
SOMMERFELD		 First
AMBER		 Middle
NOEL		 Suffix
City
ANKENY		 State
IA - Iowa, US		 Zip
500230000
Driver's Age
33		 Citation Charge Code 1
 Citation Charge 1
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

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
3 - Non-incapacitating		 Occupant Protection
9 - Unknown		 Airbag Deployment
2 - Deployed side of person		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
MERCY		 Transported by:
MERCY 1
Insurance Co. Name
Year
2006		 Make
Honda - HOND		 Model
ODYSSEY		 Style
VAN		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
4 - West		 Vehicle Action
10 - Slowing/stopping		 Speed Limit
70		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
4		 Traffic Controls
01 - No controls present		 Vehicle Config.
03 - Van or mini-van		 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
10 - Separation of units		 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
T

2 		Driver's Name - Last
MILLER		 First
DENNIS		 Middle
R		 Suffix
City
WEST DES MOINES		 State
IA - Iowa, US		 Zip
50265
Driver's Age
51		 Citation Charge Code 1
321.285		 Citation Charge 1
FAILURE TO STOP WITHIN THE ASSURED CLEAR DISTANCE
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

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
1 - Deployed front of person		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2003		 Make
 Model
MURANO		 Style
SUV		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
4 - West		 Vehicle Action
99 - Unknown		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 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
21 - Vehicle in traffic		 Second Event
10 - Separation of units		 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
3 - Rear-end		 Roadway
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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D 		Name- Last
DEAL		 First
CANDICE		 Middle
A		 Suffix
City
 State
 Zip Code
Age
31		 Sex
Female		 Unit No.
2		 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
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
SKIFF		 Transported by:
NEWTON FIRE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
D
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R
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NARRATIVE

UNITS 1 AND 2 WERE TRAVELING WEST ON INTERSTATE 80. UNIT 1 SLOWED FOR TRAFFIC AHEAD. UNIT 2 THEN REAR ENDED UNIT 1. BOTH UNITS SEPARATED. UNIT 1 CAME TO REST FACING NORTH IN THE OUTSIDE LANE WESTBOUND. UNIT 2 OVERTURNED AND CAME TO REST ON THE WHEELS OF THE VEHICLE IN THE MEDIAN FACING EAST.
Officer
VANZEE 		Badge No.
044		 Time Officer Notified of Accident
20:35		 Time Officer Arrived At Scene
20:43
Name of Agency
P01		 Date of Report
9/11/2010		 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