Crash Information

L O C A T I O N	Date of Accident 10/31/2010	Time of Accident 05:38 PM	County Jasper - 50	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010062303
	Literal Description WB I-80 MEASURING 0.7 MILES EAST FROM MILEPOST 153				Legal Intervention? No	Private Property? No
					X-Coordinate: 477073.2
					Y-Coordinate 4614989.

U N I T 1	Driver's Name - Last HARRIS			First STEPHEN			Middle E		Suffix
	City CHICAGO			State IL - Illinois, US				Zip 60616
	Driver's Age 25					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IL - Illinois, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements N - Tank	Restrictions N - Non-resident CDL	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 2 - Incapacitating	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: DSM METHODIST					Transported by: JASPER CO AMBULANCE
	Insurance Co. Name LIGHTHOUSE TRANSPORTATION SERV LLC
	Year 2007		Make Western Star - WSTR		Model		Style TRACTOR		Approximate Cost to Repair or Replace 50000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	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 02	Traffic Controls 01 - No controls present	Vehicle Config. 07 - Truck/trailer	Cargo Body Type 07 - Auto transporter	Vehicle Defect 01 - None	Driver Condition 9 - Unknown	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 03 - Ran off road, left	Second Event 11 - Overturn/rollover	Third Event	Fourth Event	Most Harmful Event (by vehicle) 11 - Overturn/rollover
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name LIGHTHOUSE TRANSPORTATION SERV LLC			City BOLINGBROOK		State IL - Illinois, US			Zip 60440
	Number of Axles 05			Gross Vehicle Weight Rating 80000		Placard #			Hazardous Materials Released? 3 - Not applicable

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 2 - Shoulder	Weather Conditions (up to two) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 11 - Overturn/rollover
Manner of Crash/Collision 1 - Non-collision	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?

P
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Name- Last
TATE

First
JOEL

Middle
KYLE

Suffix

City

State

Zip Code

Age
42

Sex
Male

Unit No.
01

Seating Position
03 - Front: Right Side

Injury Status
3 - Non-incapacitating

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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
METHODIST-DSM

Transported by:
JASPER CO AMBULANCE

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 WESTBOUND WHEN IT LOST CONTROL FOR UNKNOWN REASONS, ENTERED THE MEDIAN AND FINALLY CAME TO A REST ON ITS LEFT SIDE. DRIVER WAS TRANSPORTED TO THE HOSPITAL WHERE HE WAS TAKEN TO THE ICU UNIT AND WAS UNABLE TO SPEAK WITH LEC TO DETERMINE THE CAUSE. PASSENGER ADVISED DRIVERS HANDS WERE SHAKING PRIOR TO COLLISION, SO IS POSSIBLE MEDICAL REASON, BUT IS CURRENTLY UNCONFIRMED.

Officer EHLER	Badge No. 212	Time Officer Notified of Accident 17:42	Time Officer Arrived At Scene 17:59
Name of Agency P01	Date of Report 10/31/2010	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