Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
9/18/2010		 Time of Accident
10:20 PM 		County
Cerro Gordo - 17		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010054688
Literal Description
B020 / 310TH ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
466559.9
Y-Coordinate
4784581.
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1 		Driver's Name - Last
TOBIN		 First
MATTHEW		 Middle
DONALD		 Suffix
City
MASON CITY		 State
IA - Iowa, US		 Zip
50401
Driver's Age
19		 Citation Charge Code 1
321.20B		 Citation Charge 1
NO INSURANCE IN AN ACCIDENT
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
None		 Restrictions

None		 Citation Charge Code 2
321.288		 Citation Charge 2
FAILURE TO MAINTAIN CONTROL
Alcohol Test Given?
1 - None		 Drug Test Given?
9 - Refused		 Citation Charge Code 3
124.401(5)		 Citation Charge 3
POSSESSION OF MARIJUANA
Citation Charge Code 4
321J.2		 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
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
AMBULANCE
Insurance Co. Name
Year
1993		 Make
Chevrolet - CHEV		 Model
LUM		 Style
4D		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
5 - Severe, vehicle totaled		 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
6 - Under the influence of alcohol/drugs/medications		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
05 - Animal or object in roadway		 Second Event
01 - Ran off road, right		 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?
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Y

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If Property other than vehicles damaged explain Object Damaged
POWER POLE		 Estimate of Damage
300
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
ALLIANT ENERGY
City
 State
 Zip
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Y

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If Property other than vehicles damaged explain Object Damaged
FENCE/ BEAN CROP		 Estimate of Damage
400
Owner's Name - Last
OUVERSON		 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
6 - Outside Trafficway		 Weather Conditions (up to two)
01 - Clear		 Environment
6 - Animal in roadway		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 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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NARRATIVE

VEHICLE 1 WAS WESTBOUND ON B-20. THE DRIVER OF VEHICLE ONE CLAIMED THAT HE SWERVED TO AVOID A DEER IN THE ROADWAY. THE DRIVER OF VEHICLE ONE DROVE ONTO THE NORTH SHOULDER, CAME BACK ONTO THE ROADWAY AND LOST CONTROL. VEHICLE 1 ENTERED THE NORTH DITCH SIDEWAYS, AND STRUCK THE POWER POLE. THE VEHICLE CONTINUED INTO THE BEAN FIELD. VEHICLE 1 THEN ROLLED COMING TO FINAL REST ON ITS TIRES FACING NORTH.
Officer
DUENOW 		Badge No.
080		 Time Officer Notified of Accident
22:01		 Time Officer Arrived At Scene
22:01
Name of Agency
P08		 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 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381