Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
10/9/2010		 Time of Accident
02:30 PM 		County
Marion - 63		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010058337
Literal Description
Iowa 0005 / IOWA 5 measuring 505 Meters Southeast from Iowa 0005 / IOWA 5 and WABASH DR 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
507677.5
Y-Coordinate
4556702.
U
N
I
T

1 		Driver's Name - Last
GILBERT		 First
GEORGE		 Middle
MICHAEL		 Suffix
City
LOVILIA		 State
IA - Iowa, US		 Zip
50150
Driver's Age
53		 Citation Charge Code 1
321J.2		 Citation Charge 1
OWI
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
FAIL TO MAINTAIN CONTROL
Alcohol Test Given?
2 - Blood		 Drug Test Given?
1 - None		 Citation Charge Code 3
321.174		 Citation Charge 3
FAIL TO HAVE VALID DRIVER'S LICENSE
Citation Charge Code 4
 Citation Charge 4
Seating Position
01 - Front: Left Side / Motorcycle Driver		 Injury Status
2 - Incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
4 - Not applicable (motorcycle, bicycle, etc.)		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
METHODIST DES MOINES		 Transported by:
HELICOPTER
Insurance Co. Name
Year
2008		 Make
 Model
20C		 Style
MC		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
06 - No Passing Zone (marked)		 Vehicle Config.
14 - Motorcycle		 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
01 - Ran off road, right		 Second Event
39 - Sign post		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
01 - Ran off road, right
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
CHEVRON SIGN		 Estimate of Damage
100
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
STATE D.O.T.
City
 State
 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
4 - Roadside		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
39 - Sign post
Manner of Crash/Collision
1 - Non-collision		 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

VEHICLE WAS NORTHBOUND ON HIGHWAY 5 FROM LOVILIA. DRIVER LOST CONTROL AS ROADWAY CURVED TO THE NORTHWEST. VEHICLE LEFT ROADWAY TO THE RIGHT AND STRUCK CHEVRON SIGN AND CAME TO REST AGAINST DITCH EMBANKMENT. OBSERVATIONS OF POSSIBLE ALCOHOL CONSUMPTION WERE OBSERVED OF DRIVER. DRIVER ADMITTED TO CONSUMING ALCOHOLIC BEVERAGES. DRIVER PROVIDE BREATH FOR PBT. PBT INDICATED DRIVER'S BAC ABOVE THE LEGAL LIMIT. DRIVER CONSENTED TO PROVIDE BLOOD SPECIMEN FOR CHEMICAL TESTING. BLOOD SPECIMEN SENT TO DCI FOR CHEMICAL TESTING. CHARGES ARE PENDING.
Officer
MAJOR 		Badge No.
049		 Time Officer Notified of Accident
14:33		 Time Officer Arrived At Scene
14:49
Name of Agency
P02		 Date of Report
10/9/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653