U
N
I
T
1
|
Driver's Name - Last MURPHY |
First SEAN |
Middle PATRIC |
Suffix
|
City DES MOINES |
State IA - Iowa, US |
Zip 503150000 |
Driver's Age 32 |
Citation Charge Code 1 321.322(1) |
Citation Charge 1 FAIL TO OBEY 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 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 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: NONE |
Transported by:
|
Insurance Co. Name
|
Year 1999 |
Make Chevrolet - CHEV |
Model EXP |
Style VN |
Approximate Cost to Repair or Replace 2500 |
Initial Travel Direction 1 - North |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 25 |
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 04 - Stop signs |
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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 21 - Vehicle in traffic |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 22 - Vehicle in/from other roadway |
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 HELMON |
First KAREN |
Middle LOUISE |
Suffix
|
City DES MOINES |
State IA - Iowa, US |
Zip 50316 |
Driver's Age 64 |
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
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 4 - Possible |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 5 - Not deployed |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: NONE |
Transported by:
|
Insurance Co. Name
|
Year 1997 |
Make Chevrolet - CHEV |
Model VEN |
Style VN |
Approximate Cost to Repair or Replace 3000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 25 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 02 - Right Front |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 2 |
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 8 - Other (explain in narrative) |
Vision Obscured 10 - Blinded by sun or headlights |
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?
|
|
P
R
O
P
E
R
T
Y
D
A
M
A
G
E
|
If Property other than vehicles damaged explain |
Object Damaged NONE |
Estimate of Damage
|
Owner's Name - Last
|
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 5 - Broadside |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
ON 10-11-10 I TROOPER BERGMANN ARRIVED ON SCENE AT E4TH AND E WALNUT TO AN ACCIDENT WITH NO INJURYS THAT I HEARD OVER DSMN PD DISPATCH. WHEN ARRIVING ON SCENE AT 0741UNIT 1 WAS TOUCHING UNIT 2. THE DRIVER OF UNIT 1 ADMITTED TO RUNNING THE STOP SIGN ON E 4TH WHILE TRAVELING NORTH. HE STATED HE DIDN'T SEE THE STOP SIGN UNTIL IT WAS TO LATE AND STRUCK UNIT 2. UNIT 2 WAS TRAVELING EAST. UNIT 1 HAD IMPACT WITH UNIT 2 IN THE FRONT DRIVERS SIDE. UNIT 2 HAD IIMPACT WITH UNIT1 IN THE PASSENGER SIDE FRONT. WHEN ON SCENE EVERYONE SAID THEY WERE OK AND DIDN'T NEED MEDICAL TREATMENT. UNIT 2'S DRIVER SAID HER ANKLE HURT BUT REFUSED TREATMENT AND REFUSED MEDICS TO BE CALLED. |
|
Officer
BERGMANN |
Badge No. 047 |
Time Officer Notified of Accident 07:36 |
Time Officer Arrived At Scene 07:41 |
Name of Agency P16 |
Date of Report 10/11/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 16 Office
Lucas State Office Bldg
Des Moines,IA 50319-
Phone: (515) 281-3879
Fax: (515) 281-6478