Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
10/13/2010		 Time of Accident
10:48 PM 		County
Webster - 94		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010059023
Literal Description
220TH ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
395780.4
Y-Coordinate
4703074.
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1 		Driver's Name - Last
WILSON		 First
FRANK		 Middle
LEROY		 Suffix
City
KNIERIM		 State
IA - Iowa, US		 Zip
50512
Driver's Age
56		 Citation Charge Code 1
321J.2		 Citation Charge 1
OWI 2ND
Gender
Male		 State
IA - Iowa, US		 Class
0 - ID		 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
321.288		 Citation Charge 2
FAIL TO MAINTAIN CONTROL
Alcohol Test Given?
9 - Refused		 Drug Test Given?
1 - None		 Citation Charge Code 3
321A.32		 Citation Charge 3
DWS
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
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
TRINITY REGIONAL		 Transported by:
TRMC AMBULANCE
Insurance Co. Name
Year
1992		 Make
 Model
CHEROKEE		 Style
4DR		 Approximate Cost to Repair or Replace
1500
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
50		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 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
11 - Overturn/rollover		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
11 - Overturn/rollover
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)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE #1 WAS WESTBOUND ON 220TH ST WHEN IT LEFT THE ROADWAY AND ROLLED DOWN AN EMBANKMENT
Officer
RINARD 		Badge No.
095		 Time Officer Notified of Accident
22:48		 Time Officer Arrived At Scene
22:57
Name of Agency
P07		 Date of Report
10/13/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218