U
N
I
T
1
|
Driver's Name - Last RODRIGUEZ |
First LOUIE |
Middle
|
Suffix
|
City STORM LAKE |
State IA - Iowa, US |
Zip 505880000 |
Driver's Age 65 |
Citation Charge Code 1 321.303 |
Citation Charge 1 UNSAFE PASSING |
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 2 321.20B |
Citation Charge 2 FAILURE TO HAVE VALID INSURANCE-ACCIDENT |
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 1 - Deployed front of person |
Airbag Switch Status 1 - Switch in ON position |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 1998 |
Make Buick - BUIC |
Model REG |
Style 4D |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 4 - West |
Vehicle Action 05 - Overtaking/passing |
Speed Limit 55 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 4 |
Traffic Controls 06 - No Passing Zone (marked) |
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 04 - Crossed centerline/median |
Second Event 21 - Vehicle in traffic |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 04 - Crossed centerline/median |
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 SKIYE |
First HAL |
Middle NORRIS |
Suffix
|
City RENWICK |
State IA - Iowa, US |
Zip 505770000 |
Driver's Age 51 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State IA - Iowa, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements
|
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 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name RENWICK EXPRESS |
Year 2007 |
Make
|
Model CLASSIC |
Style CONVENTIONAL |
Approximate Cost to Repair or Replace 300 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 06 - Left Rear |
Most Damaged Area 06 - Left Rear |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 06 - No Passing Zone (marked) |
Vehicle Config. 09 - Tractor/semi-trailer |
Cargo Body Type 09 - Other truck cargo type (explain in narrative) |
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 02 - Ran off road, straight |
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 RENWICK EXPRESS |
City RENWICK |
State IA - Iowa, US |
Zip 50577 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard #
|
Hazardous Materials Released? 3 - Not applicable |
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 7 - Sideswipe, opposite direction |
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?
|
D I A G R A M
0 |
|
NARRATIVE |
UNIT ONE WAS TRAVELING WEST ON D59 WEST OF HWY 39 IN SAC COUNTY. UNIT TWO WAS TRAVELING EAST ON THE SAME ROADWAY. UNIT ONE WAS TRAVELING BEHIND AN UNKNOWN SEMI. UNIT ONE ATTEMPTED TO PASS THE UNKNOWN SEMI ON THE LEFT IN A NO PASSING ZONE. UNIT TWO NOTICED UNIT ONE MAKING THE PASS AND DROVE OFF THE ROADWAY ONTO THE SHOULDER TO AVOID HITTING UNIT ONE. UNIT ONE STRUCK UNIT TWO ON THE DRIVER SIDE REAR TIRE OF UNIT TWO. UNIT ONE LOST CONTROL AND DROVE OFF THE ROADWAY INTO THE SOUTH DITCH. UNIT ONE ALSO HAD DAMAGE ON THE PASSENGER SIDE WHICH INDICATES UNIT ONE STRUCK THE UNKNOWN SEMI. THE UNKNOWN SEMI DID NOT STOP AND CONTINUED WEST ON D59. UNIT TWO CAME TO REST ON THE ROADWAY WITH A DAMAGED RIM AND TIRE. A WITNESS BEHIND UNIT ONE STATED THAT UNIT ONE PASSED A SEMI UP A HILL AND SAW UNIT TWO COMING THE OTHER WAY. THEY STATED THAT UNIT TWO SWERVED OVER TO THE SHOULDER TO AVOID HITTING UNIT ONE. THE DISTANCE FROM THE START OF THE NO PASSING ZONE FROM THE POINT OF INITIAL IMPACT WAS .2 OF A MILE LONG. THE DRIVER OF UNIT ONE WAS CHARGED WITH UNSAFE PASS AND FAILURE TO HAVE VALID INSURANCE. |
|
Officer
MILLER |
Badge No. 155 |
Time Officer Notified of Accident 06:55 |
Time Officer Arrived At Scene 07:14 |
Name of Agency P04 |
Date of Report 10/15/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 04 Office
3710 Highway 30 E
Denison,IA 51442-7560
Phone: (712) 263-4621
Fax: (712) 263-2325