U
N
I
T
1
|
Driver's Name - Last STRAVERS |
First JACOB LEVI |
Middle
|
Suffix
|
City REASNOR |
State IA - Iowa, US |
Zip 502320000 |
Driver's Age 18 |
Citation Charge Code 1 321.322 |
Citation Charge 1 STOP SIGN |
Gender Male |
State IA - Iowa, US |
Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat |
Endorsements
|
Restrictions
B - Cor Lenses |
Citation Charge Code 2 321.98 |
Citation Charge 2 PROOF OF REGISTRATION |
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:
|
Transported by:
|
Insurance Co. Name
|
Year 1994 |
Make Chevrolet - CHEV |
Model CAMARO |
Style 2 |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 06 - Left Rear |
Most Damaged Area 06 - Left Rear |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 03 |
Traffic Controls 04 - Stop signs |
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?
|
U
N
I
T
2
|
Driver's Name - Last OBRIEN |
First JENNIE |
Middle LEA |
Suffix
|
City NEWTON |
State IA - Iowa, US |
Zip 502080000 |
Driver's Age 26 |
Citation Charge Code 1 321.20B-A |
Citation Charge 1 PROOF OF INSURANCE |
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 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: SKIFF HOSP (NEWTON) |
Transported by: KELLOG RESUE |
Insurance Co. Name
|
Year 1999 |
Make Mitsubishi - MITS |
Model MIR |
Style 4D |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 4 - West |
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 01 |
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 5 - Broadside |
Roadway 01 - None apparent |
Type
|
Light Conditions 5 - Dark, roadway not lighted |
Surface Conditions 1 |
Type of Roadway Junction/Feature 11 - Four-way intersection |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
VEHICLE #1 IS SOUTHBOUND ON HWY 224 AT HWY 6. AT THIS LOCATION THE SOUTHBOUND TRAFFIC HAS A STOP SIGN. VEHICLE #2 IS COMING FROM THE EAST TRAVELING IN A WESTBOUND DIRECTION OF TRAVEL AND HAD NO TRAFFIC CONTROL. VEHICLE #1 STOPS AT THE STOP SIGN AND THEN ATTEMPTS TO CROSS HWY 6 AND CONTINUE SOUTHBOUND ON HWY 224. VEHICLE #1 PULLS INTO THE PATH OF VEHICLE #2. CONTACT IS MADE TO THE FRONT OF VEHICLE #2 TO THE LEFT REAR CORNER OF VEHICLE #1. THIS IMPACT OCCURS IN THE WESTBOUND LANE OF TRAVEL. AFTER IMPACT VEHICLE #1 DOES A 360 DEGREE COUNTERCLOCKWISE ROTATION AND COMES TO REST FACING SOUTH IN THE INTERSECTION. AFTER IMPACT VEHICLE #2 ROTATES 90 DEGREES COUNTERCLOCKWISE COMES TO REST FACING SOUTH IN THE INTERSECTION. |
|
Officer
BATTLES |
Badge No. 392 |
Time Officer Notified of Accident 21:20 |
Time Officer Arrived At Scene 21:46 |
Name of Agency P01 |
Date of Report 9/12/2010 |
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