Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
11/1/2010		 Time of Accident
07:54 PM 		County
Cerro Gordo - 17		 Accident occurred within corporate limits of (city)
Mason City - 4822		 Law Enforcement Case Number:
2010062513
Literal Description
N EISENHOWER AVE and Willow Creek 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
478820.3
Y-Coordinate
4779311.
U
N
I
T

1 		Driver's Name - Last
SOTELO-RUIZ		 First
FRANKLYN		 Middle
 Suffix
City
FERTILE		 State
IA - Iowa, US		 Zip
50434
Driver's Age
30		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE TO MAINTAIN CONTROL
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
2 - Incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
3 - Extricated by mechanical means
Transported to:
MERCY HOSPITAL		 Transported by:
MASON CITY FIRE AND RESCUE
Insurance Co. Name
Year
1998		 Make
Dodge - DODG		 Model
STRATUS		 Style
4 DOOR		 Approximate Cost to Repair or Replace
9000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 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
01 - No controls present		 Vehicle Config.
01 - Passenger car		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
2 - Physical impairment		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
01 - Ran off road, right		 Second Event
04 - Crossed centerline/median		 Third Event
 Fourth Event
30 - Bridge/bridge rail/overpass		 Most Harmful Event (by vehicle)
30 - Bridge/bridge rail/overpass
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
2 - Shoulder		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
30 - Bridge/bridge rail/overpass
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
02 - Bridge/overpass/underpass		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 WAS NORTHBOUND ON MALLARD AVENUE WHEN HE STRUCK THE GUARDRAIL ON THE RIGHT HAND SIDE OF THE ROAD AND THEN BOUNCED ACROSS AND STRUCK THE GUARDRAIL ON THE LEFT HAND SIDE OF THE ROAD.
Officer
HAUGEN 		Badge No.
114		 Time Officer Notified of Accident
19:54		 Time Officer Arrived At Scene
20:02
Name of Agency
P08		 Date of Report
11/2/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381