U
N
I
T
2
|
Driver's Name - Last NICHOLS |
First AUSTIN |
Middle WADE |
Suffix
|
City STATE CENTER |
State IA - Iowa, US |
Zip 502470000 |
Driver's Age 19 |
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 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 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
|
Year 2008 |
Make Ford - FORD |
Model F15 |
Style PK |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 2 - East |
Vehicle Action 10 - Slowing/stopping |
Speed Limit 70 |
Point of Initial Impact 05 - Rear |
Most Damaged Area 05 - Rear |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
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?
|
U
N
I
T
3
|
Driver's Name - Last DREYER |
First VENUS |
Middle MARIE |
Suffix
|
City HARLAN |
State IA - Iowa, US |
Zip 515370000 |
Driver's Age 35 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Female |
State IA - Iowa, US |
Class D - Chauffeur |
Endorsements 3 - Pass Veh less than 16 Pass Design |
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 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 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 2004 |
Make Ford - FORD |
Model EC3 |
Style VAN |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 2 - East |
Vehicle Action 10 - Slowing/stopping |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 3 |
Traffic Controls 01 - No controls present |
Vehicle Config. 03 - Van or mini-van |
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?
|
| 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 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 3 - Rear-end |
Roadway 11 - Non-contact vehicle |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last GAUL |
First NANCY |
Middle
|
Suffix
|
City
|
State
|
Zip Code
|
Age 62 |
Sex Female |
Unit No. 3 |
Seating Position 08 - Rear: Center |
Injury Status 3 - Non-incapacitating |
Occupant Protection 3 - Lap belt only used |
Airbag Deployment 5 - Not deployed |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path 1 - Not ejected/not applicable |
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
| NON-MOTORIST |
Type
|
Location
|
Action
|
Condition
|
Safety Equipment
|
Contributing Circumstances
|
Unit No. of Vehicle Striking
|
D I A G R A M
0 |
|
| NARRATIVE |
UNIT #1 WAS HEADING EAST ON I-80 WHEN A NON CONTACT VEHICLE IN FRONT BRAKED HARD TO MAKE AN ILLEGAL U TURN IN THE MEDIAN. UNIT #1 BRAKED HARD TO AVOID REAR ENDING THE NON CONTACT VEHICLE. UNIT #2 THAT WAS FOLLOWING UNIT #1 BRAKED HARD ALSO TO AVOID REAR ENDING UNIT #1. ANOTHER NON CONTACT VEHICLE BEHIND UNIT #2 WAS ABLE TO DRIVE INTO MEDIAN AVOIDING A COLLISION. UNIT #3 WAS BEHIND THAT NON CONTACT VEHICLE AND BRAKED HARD. UNIT #3 WAS UN ABLE TO STOP IN TIME AND REAR ENDED UNIT #2 WHICH FORCED UNIT #2 INTO THE REAR OF UNIT #1. UNIT #1 DROVE OF ROAD LEFT INTO MEDIAN COMING TO REST. UNIT #2 ALSO DROVE OF ROAD LEFT COMING TO REST IN MEDIAN. UNIT #3 DROVE OFF ROAD RIGHT COMING TO REST PARTIALLY IN EAST DITCH. THE NON CONTACT VEHICLE THAT MADE THE ILLEGAL U TURN WAS NEVER LOCATED. |
|
Officer
JOHNSON |
Badge No. 087 |
Time Officer Notified of Accident 15:42 |
Time Officer Arrived At Scene 15:51 |
Name of Agency P03 |
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 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504