Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
10/23/2010		 Time of Accident
07:41 AM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010060775
Literal Description
Interstate 0035 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452010.8
Y-Coordinate
4611402.
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1 		Driver's Name - Last
SKAGGS		 First
KELLI		 Middle
ANN		 Suffix
City
NEWTON		 State
IA - Iowa, US		 Zip
50208
Driver's Age
49		 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
4 - Possible		 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
2 - Freed by non-mechanical means
Transported to:
METHODIST HOSPITAL		 Transported by:
AMBULANCE
Insurance Co. Name
Year
2000		 Make
Chevrolet - CHEV		 Model
BLAZER		 Style
SUV		 Approximate Cost to Repair or Replace
6000
Initial Travel Direction
4 - West		 Vehicle Action
08 - Leaving traffic lane		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 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
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
03 - Ran off road, left
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)
03 - Cloudy		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
2 - Dusk		 Surface Conditions
2		 Type of Roadway Junction/Feature
20 - Off-ramp		 Workers Present?
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NARRATIVE

VEHICLE #1 LOST CONTROL OF HER VEHICLE AND CRASHED INTO THE SOUTH DITCH AREA, ROLLING HER VEHICLE DUE TO THE WET ROADS AND TRAVELING TOO FAST.
Officer
SONNENFELT 		Badge No.
295		 Time Officer Notified of Accident
07:30		 Time Officer Arrived At Scene
07:30
Name of Agency
P01		 Date of Report
10/23/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011