Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
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N
Date of Accident
10/9/2010
Time of Accident
03:12 AM
County
Scott - 82
Accident occurred within corporate limits of (city)
Walcott - 8052
Law Enforcement Case Number:
2010058261
Literal Description
PILOT NORTH PARKING LOT NORTH OF WALKER ST
Legal Intervention?
No
Private Property?
Yes
X-Coordinate:
684444.1
Y-Coordinate
4609835.
U
N
I
T

1
Driver's Name - Last
PLASIVAL
First
JOHN
Middle
WILLS
Suffix
City
DORCHESTER
State
MA - Massachusetts, US
Zip
021242728
Driver's Age
36
Citation Charge Code 1
Citation Charge 1
Gender
Male
State
MA - Massachusetts, US
Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more
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:
Transported by:
Insurance Co. Name
Year
2009
Make
Volvo - VOLV
Model
Style
SEMI
Approximate Cost to Repair or Replace
3000
Initial Travel Direction
3 - South
Vehicle Action
02 - Turning left
Speed Limit
Point of Initial Impact
05 - Rear
Most Damaged Area
05 - Rear
Extent of Damage
4 - Disabling damage
Underride/Override
9 - Unknown
Total Occupants
2
Traffic Controls
01 - No controls present
Vehicle Config.
07 - Truck/trailer
Cargo Body Type
02 - Van/enclosed box
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
23 - Parked motor vehicle
Second Event
Third Event
Fourth Event
Most Harmful Event (by vehicle)
23 - Parked motor vehicle
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
First
Middle
Suffix
City
State
Zip
Driver's Age
Citation Charge Code 1
Citation Charge 1
Gender
State
Class
Endorsements
None
Restrictions

None
Citation Charge Code 2
Citation Charge 2
Alcohol Test Given?
Drug Test Given?
Citation Charge Code 3
Citation Charge 3
Citation Charge Code 4
Citation Charge 4
Seating Position
Injury Status
Occupant Protection
Airbag Deployment
Airbag Switch Status
Ejection
Ejection Path
Trapped
Transported to:
Transported by:
Insurance Co. Name
Year
2010
Make
International - INTL
Model
PRO STAR
Style
SEMI
Approximate Cost to Repair or Replace
10000
Initial Travel Direction
Vehicle Action
12 - Legally Parked
Speed Limit
Point of Initial Impact
05 - Rear
Most Damaged Area
01 - Front
Extent of Damage
4 - Disabling damage
Underride/Override
9 - Unknown
Total Occupants
2
Traffic Controls
01 - No controls present
Vehicle Config.
07 - Truck/trailer
Cargo Body Type
02 - Van/enclosed box
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
23 - Parked motor vehicle
Second Event
Third Event
Fourth Event
Most Harmful Event (by vehicle)
23 - Parked motor vehicle
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

3
Driver's Name - Last
First
Middle
Suffix
City
State
Zip
Driver's Age
Citation Charge Code 1
Citation Charge 1
Gender
State
Class
Endorsements
None
Restrictions

None
Citation Charge Code 2
Citation Charge 2
Alcohol Test Given?
Drug Test Given?
Citation Charge Code 3
Citation Charge 3
Citation Charge Code 4
Citation Charge 4
Seating Position
Injury Status
Occupant Protection
Airbag Deployment
Airbag Switch Status
Ejection
Ejection Path
Trapped
Transported to:
Transported by:
Insurance Co. Name
Year
2007
Make
Model
Style
SEMI
Approximate Cost to Repair or Replace
500
Initial Travel Direction
Vehicle Action
12 - Legally Parked
Speed Limit
Point of Initial Impact
05 - Rear
Most Damaged Area
05 - Rear
Extent of Damage
2 - Minor damage
Underride/Override
9 - Unknown
Total Occupants
1
Traffic Controls
01 - No controls present
Vehicle Config.
07 - Truck/trailer
Cargo Body Type
02 - Van/enclosed box
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
23 - Parked motor vehicle
Second Event
Third Event
Fourth Event
Most Harmful Event (by vehicle)
23 - Parked motor vehicle
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
9 - Unknown
Weather Conditions (up to two)
01 - Clear
Environment
1 - None apparent
Location
First Harmful Event of Crash (use codes 11-42 only)
23 - Parked motor vehicle
Manner of Crash/Collision
3 - Rear-end
Roadway
01 - None apparent
Type
Light Conditions
4 - Dark, roadway lighted
Surface Conditions
1
Type of Roadway Junction/Feature
01 - No special feature
Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT ONE WAS TRYING TO TURN IN PARKING LOT. UNIT ONE'S TRAILER STRUCK UNIT 2. UNIT 2 THEN GOT PUSHED INTO UNIT 3. UNIT 1 IMPROPER ACTION- DID NOT MAKE WIDE ENOUGH APPROACH TO MAKE THE TURN.
Officer
ERWIN
Badge No.
334
Time Officer Notified of Accident
03:12
Time Officer Arrived At Scene
03:26
Name of Agency
P12
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 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504