Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
10/22/2010		 Time of Accident
01:25 AM 		County
Franklin - 35		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010060522
Literal Description
SB/WB Interstate 0035 (Milepost 162) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
464237.1
Y-Coordinate
4727734.
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1 		Driver's Name - Last
KOZIOL		 First
DAVID		 Middle
A		 Suffix
City
ALTOONA		 State
IA - Iowa, US		 Zip
500090000
Driver's Age
47		 Citation Charge Code 1
 Citation Charge 1
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
 Restrictions

B - Cor Lenses		 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 MASON CITY		 Transported by:
MERCY AIR LIFE
Insurance Co. Name
Year
2008		 Make
Chevrolet - CHEV		 Model
IMPALA		 Style
4D		 Approximate Cost to Repair or Replace
15000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
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
03 - Ran off road, left		 Second Event
04 - Crossed centerline/median		 Third Event
 Fourth Event
11 - Overturn/rollover		 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)
33 - Ditch/embankment
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

UNIT 1 WAS NORTHBOUND WHEN THE DRIVER LOST CONTROL AND LEFT THE ROADWAY AT THE 162.0 MILE MARKER ON I35. UNIT 1 CONTINUED NORTHWEST FROM I35 UNTIL IT ROLLED OVER AND CAME TO REST APPROXIMATELY 250 FEET WEST OF 162.25 MILE MARKER POST ON I35.
Officer
DANIELSON 		Badge No.
070		 Time Officer Notified of Accident
01:27		 Time Officer Arrived At Scene
01:44
Name of Agency
P08		 Date of Report
10/22/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381