U
N
I
T
1
|
Driver's Name - Last
HACH |
First
RACHAEL |
Middle
RENEE |
Suffix
|
City
ELKADER |
State
IA - Iowa, US |
Zip
520430000 |
Driver's Age
20 |
Citation Charge Code 1
321.285 |
Citation Charge 1
FAIL TO STOP WITHIN THE ASSURED CLEAR DISTANCE |
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
3 - Non-incapacitating |
Occupant Protection
2 - Shoulder and lap belt used |
Airbag Deployment
1 - Deployed front of person |
Airbag Switch Status
3 - No ON/OFF switch present |
Ejection
1 - Not ejected |
Ejection Path
|
Trapped
1 - Not trapped |
Transported to:
MERCY HOSPITAL-OELWEIN |
Transported by:
STRAWBERRY POINT AMBULANCE |
Insurance Co. Name
|
Year
2008 |
Make
Chevrolet - CHEV |
Model
IMP |
Style
4D |
Approximate Cost to Repair or Replace
12000 |
Initial Travel Direction
3 - South |
Vehicle Action
01 - Movement essentially straight |
Speed Limit
55 |
Point of Initial Impact
01 - Front |
Most Damaged Area
01 - Front |
Extent of Damage
4 - Disabling damage |
Underride/Override
1 - None |
Total Occupants
01 |
Traffic Controls
01 - No controls present |
Vehicle Config.
01 - Passenger car |
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?
|
U
N
I
T
2
|
Driver's Name - Last
GRINE |
First
CIERA |
Middle
MALORIE |
Suffix
|
City
LAMONT |
State
IA - Iowa, US |
Zip
50650 |
Driver's Age
20 |
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
3 - Non-incapacitating |
Occupant Protection
1 - None used |
Airbag Deployment
6 - Not applicable |
Airbag Switch Status
3 - No ON/OFF switch present |
Ejection
1 - Not ejected |
Ejection Path
|
Trapped
3 - Extricated by mechanical means |
Transported to:
MANCHESTER HOSPITAL |
Transported by:
STRAWBERRY POINT AMBULANCE |
Insurance Co. Name
|
Year
2002 |
Make
Pontiac - PONT |
Model
SUNFIRE |
Style
2 DR. |
Approximate Cost to Repair or Replace
10000 |
Initial Travel Direction
3 - South |
Vehicle Action
10 - Slowing/stopping |
Speed Limit
55 |
Point of Initial Impact
05 - Rear |
Most Damaged Area
05 - Rear |
Extent of Damage
5 - Severe, vehicle totaled |
Underride/Override
1 - None |
Total Occupants
02 |
Traffic Controls
01 - No controls present |
Vehicle Config.
01 - Passenger car |
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)
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
3 - Rear-end |
Roadway
01 - None apparent |
Type
|
Light Conditions
5 - Dark, roadway not lighted |
Surface Conditions
1 |
Type of Roadway Junction/Feature
05 - Farm/residential drive |
Workers Present?
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last
GRINE |
First
PAUL |
Middle
JESSE |
Suffix
|
City
|
State
|
Zip Code
|
Age
18 |
Sex
Male |
Unit No.
02 |
Seating Position
03 - Front: Right Side |
Injury Status
3 - Non-incapacitating |
Occupant Protection
1 - None used |
Airbag Deployment
6 - Not applicable |
Airbag Switch Status
3 - No ON/OFF switch present |
Ejection
1 - Not ejected |
Ejection Path
1 - Not ejected/not applicable |
Trapped
1 - Not trapped |
Transported to:
MANCHESTER HOSPITAL |
Transported by:
STRAWBERRY POINT AMBULANCE |
| NON-MOTORIST |
Type
|
Location
|
Action
|
Condition
|
Safety Equipment
|
Contributing Circumstances
|
Unit No. of Vehicle Striking
|
D
I
A
G
R
A
M
0 |
 |
| NARRATIVE |
VEHICLES #1 AND #2 WERE BOTH TRAVELING SOUTHBOUND ON C AVE. THE DRIVER OF VEHICLE #2 WAS WAITING FOR A NORTHBOUND CAR THAT WAS TURNING INTO 1696 C AVE. DRIVER OF VEHICLE #2 WAS ALSO GOING TO TURN INTO 1696 C AVE. WHILE WAITING, VEHICLE #2 WAS STRUCK FROM THE REAR BY VEHICLE #1. |
|
Officer
EUANS |
Badge No.
346 |
Time Officer Notified of Accident
20:38 |
Time Officer Arrived At Scene
20:53 |
Name of Agency
P10 |
Date of Report
10/10/2010 |
Investigation made at scene?
Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046