Crash Information

L O C A T I O N	Date of Accident 10/30/2010	Time of Accident 08:25 AM	County Warren - 91	Accident occurred within corporate limits of (city) Cumming - 1757	Law Enforcement Case Number: 2010062110
	Literal Description CUMMING AVE @ 43RD ST				Legal Intervention? No	Private Property? No
					X-Coordinate: 436489.0
					Y-Coordinate 4592676.

U N I T 1	Driver's Name - Last PANCOAST			First JERRY			Middle LEE		Suffix
	City NORWALK			State IA - Iowa, US				Zip 502110000
	Driver's Age 39					Citation Charge Code 1 321.445		Citation Charge 1 FAIL TO WEAR/MAINTAIN SAFETY BELTS
	Gender Male	State IA - Iowa, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements T - Dbl/Trpl Trlr	Restrictions None	Citation Charge Code 2 321.322(1)		Citation Charge 2 FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY
	Alcohol Test Given? 1 - None			Drug Test Given? 1 - None		Citation Charge Code 3 321.306		Citation Charge 3 IMPROPER USE OF LANES
						Citation Charge Code 4		Citation Charge 4
	Seating Position 01 - Front: Left Side / Motorcycle Driver	Injury Status 5 - Uninjured	Occupant Protection 1 - None used		Airbag Deployment 6 - Not applicable	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 2 - Freed by non-mechanical means
	Transported to: NOT TRANSPORTED					Transported by:
	Insurance Co. Name
	Year 1984		Make Oldsmobile - OLDS		Model CUT		Style 4D		Approximate Cost to Repair or Replace 3500
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 35	Point of Initial Impact 08 - Left Front	Most Damaged Area 08 - Left Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 04 - Stop signs	Vehicle Config. 01 - Passenger car	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 5 - Asleep, fainted, fatigued, etc	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 04 - Crossed centerline/median	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 2	Driver's Name - Last MENDOZA-NAZARIT			First MARTIN			Middle		Suffix
	City DES MOINES			State IA - Iowa, US				Zip 51320
	Driver's Age 48					Citation Charge Code 1 321.174		Citation Charge 1 FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR
	Gender Male	State NO - None, US	Class	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: NOT TRANSPORTED					Transported by:
	Insurance Co. Name
	Year 2008		Make Toyota - TOYT		Model TUN		Style PK		Approximate Cost to Repair or Replace 3500
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 35	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 2	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 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			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) 21 - Vehicle in traffic
Manner of Crash/Collision 5 - Broadside	Weather Conditions (up to two) 01 - Clear	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 ONE WAS EAST BOUND ON G14 WHEN THE DRIVER BECAME FATIGUED AND FEEL ASLEEP BEHIND THE WHEEL. UNIT ONE FAILED TO STOP AT A POSTED STOP SIGN AND CONTINUED EAST CROSSING OVER THE CENTER LINE OF THE ROAD STRIKING UNIT TWO. UNIT TWO SAW UNIT ONE COMING AND PULLED ON TO THE SHOULDER AND CAME TO A STOP. UNIT ONE ALSO HIT A TRAILER THAT WAS BEING PULLED BY UNIT TWO. ALL OCCUPANTS REFUSED MEDICAL TREATMENT.

Officer OSSIAN	Badge No. 160	Time Officer Notified of Accident 09:15	Time Officer Arrived At Scene 09:15
Name of Agency P02	Date of Report 10/30/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653