Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
10/16/2010		 Time of Accident
02:01 PM 		County
Jefferson - 51		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010059504
Literal Description
DEWBERRY AVE and SB/WB US 0034 / US 34 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
574272.6
Y-Coordinate
4540221.
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1 		Driver's Name - Last
BERTSCH		 First
MARILYN		 Middle
JEAN		 Suffix
City
FAIRFIELD		 State
IA - Iowa, US		 Zip
52556
Driver's Age
68		 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
2 - Incapacitating		 Occupant Protection
9 - Unknown		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
UNIVERSITY OF IOWA		 Transported by:
AIR CARE
Insurance Co. Name
Year
1998		 Make
Mercury - MERC		 Model
SABLE		 Style
4D		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
4 - Underride, compartment intrusion unknown
Total Occupants
1		 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
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
21 - Vehicle in traffic		 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?
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2 		Driver's Name - Last
GREINER		 First
CHRISTOPHER		 Middle
ALLEN		 Suffix
City
BATAVIA		 State
IA - Iowa, US		 Zip
52533
Driver's Age
35		 Citation Charge Code 1
321.322(1)		 Citation Charge 1
FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY
Gender
Male		 State
IA - Iowa, 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
3 - Non-incapacitating		 Occupant Protection
9 - Unknown		 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:
JEFFERSON COUNTY HOSPITAL		 Transported by:
JEFFERSON COUNTY AMBULANCE
Insurance Co. Name
RICHARD SWARTZ
Year
2003		 Make
 Model
CONVENTIONAL		 Style
DS		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
04 - Stop signs		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
03 - Dump truck (grain, gravel)		 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
RICHARD SWARTZ		 City
BATAVIA		 State
IA - Iowa, US		 Zip
52533
Number of Axles
5		 Gross Vehicle Weight Rating
52000		 Placard #
 Hazardous Materials Released?
2 - No
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
5 - Broadside		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT #1 WAS TRAVELING WEST ON HIGHWAY 34 (MM206) WHEN UNIT #2 ENTERED THE ROADWAY FROM DEWBERRY AVENUE. UNIT #2 FAILED TO STOP AT THE STOP SIGN CAUSING UNIT #1 TO COLLIDE WITH UNIT #2.
Officer
BUCKALEW 		Badge No.
090		 Time Officer Notified of Accident
14:07		 Time Officer Arrived At Scene
14:19
Name of Agency
P13		 Date of Report
10/17/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743