U
N
I
T
1
|
Driver's Name - Last SINES |
First JAMES |
Middle ALAN |
Suffix
|
City OLLIE |
State IA - Iowa, US |
Zip 525760000 |
Driver's Age 23 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State IA - Iowa, US |
Class 0 - ID |
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 9 - Unknown |
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 1996 |
Make Dodge - DODG |
Model RAM 2500 |
Style TRUCK |
Approximate Cost to Repair or Replace 50 |
Initial Travel Direction 4 - West |
Vehicle Action 02 - Turning left |
Speed Limit 50 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
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 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 RUNNELS |
First JEFFREY |
Middle WADE |
Suffix
|
City OTTUMWA |
State IA - Iowa, US |
Zip 52501 |
Driver's Age 37 |
Citation Charge Code 1
|
Citation Charge 1
|
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
|
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:
|
Transported by:
|
Insurance Co. Name
|
Year 2006 |
Make Jeep - JEP |
Model GRAND CHEROKEE |
Style SUV |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 4 - West |
Vehicle Action 02 - Turning left |
Speed Limit 50 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 02 - Right Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 02 |
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
|
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) 06 - Rain |
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 5 - Dark, roadway not lighted |
Surface Conditions 2 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
VEH #1 WAS BING DRIVEN BY AN INTOXICATED DRIVER IN A RECKLESS MANNER AND WAS BEING PURSUED BY VEHICLE #2 WHICH IS A MARKED KEOKUK COUNTY PATROL VEHICLE BEING DRIVER BY A DEPUTY. WHEN VEHICLE #1 WENT TO MAKE A LEFT TURN ONTO 253RD AVE FROM COUNTY BLACKTOP V5G, THE DRIVER BEGAN TO LOSE CONTROL AND THEN HIT THE RIGHT PASSANGER SIDE OF VEHICLE #2 AS THE OFFICER WAS ALSO MAKING A LEFT HAND TURN ONTO 253RD. VEH #1 EVENTUALLY WENT ALL THE WAY IN THE DITCH AND THE DRIVER APPREHENDED AFTER THE TRUCK HAD NO WHERE ELSE TO GO. VEH #1 WAS TOWED BY DICKS TOWING OF SIGOURNEY AND HAD MINOR DAMAGE. VEH #2 WAS DRIVEN AWAY FROM THE SCENE AND HAD COSMETIC DAMAGE TO SEVERAL AREAS ON THE FRONT AND RIGHT SIDE OF THE VEHICLE. NO ONE WAS HURT IN THE ACCIDENT. |
|
Officer
HENNINGSEN |
Badge No. 194 |
Time Officer Notified of Accident 00:03 |
Time Officer Arrived At Scene 00:03 |
Name of Agency P13 |
Date of Report 9/19/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743