Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
10/22/2010		 Time of Accident
10:13 PM 		County
Jasper - 50		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010060729
Literal Description
SB/WB Iowa 0330 / IOWA 330 N and Mud Creek measuring 3085 Feet Northeast from Iowa 0330 / IOWA 330 N and N 107TH AVE W 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
479661.3
Y-Coordinate
4633693.
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1 		Driver's Name - Last
PAXTON		 First
JILL		 Middle
COFFIN		 Suffix
City
BAXTER		 State
IA - Iowa, US		 Zip
500280000
Driver's Age
60		 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
5 - Uninjured		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2008		 Make
Honda - HOND		 Model
ACC		 Style
4D		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
02 - Right Front		 Extent of Damage
4 - Disabling damage		 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
25 - Animal		 Second Event
23 - Parked motor vehicle		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
25 - Animal
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)
02 - Partly cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
25 - Animal
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 SB ON HWY 330 NEAR THE 4.5 MILE MARKER. UNIT #1 STRUCK A DEER. UNIT #1 CAME TO REST ON THE RIGHT SHOULDER OF SB HWY 330.
Officer
MILLER 		Badge No.
366		 Time Officer Notified of Accident
22:15		 Time Officer Arrived At Scene
22:15
Name of Agency
P11		 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 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327