Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
10/27/2010		 Time of Accident
03:23 PM 		County
Harrison - 43		 Accident occurred within corporate limits of (city)
Missouri Valley - 5130		 Law Enforcement Case Number:
2010061547
Literal Description
Interstate 0029 (Milepost 76) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
256720.3
Y-Coordinate
4604322.
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1 		Driver's Name - Last
STEIN		 First
HOWARD		 Middle
WILLIAM		 Suffix
City
CLYDE		 State
MI - Michigan, US		 Zip
48049
Driver's Age
69		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
MI - Michigan, 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
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2006		 Make
Fiat - FIAT		 Model
TOP		 Style
TRAILOR		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
1 - North		 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
2 - Minor 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
13 - Camper		 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
10 - Separation of units		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
10 - Separation of units
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)
09 - Severe winds		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
1 - Non-collision		 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

ON 10-27-2010 VEHICLE ONE TRAVELING I29NB AT MM 76. VEHICLE ONE'S TRAILOR SEPARATED FROM THE HITCH DUE TO SEVERE HIGH WINDS. MINOR DAMAGE TO TRAILOR. NO CITATIONS ISSUED.
Officer
YANEFF 		Badge No.
177		 Time Officer Notified of Accident
15:23		 Time Officer Arrived At Scene
15:39
Name of Agency
P04		 Date of Report
10/27/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 04 Office
3710 Highway 30 E
Denison,IA 51442-7560
Phone: (712) 263-4621
Fax: (712) 263-2325