Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/21/2010		 Time of Accident
08:00 AM 		County
Cerro Gordo - 17		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010072140
Literal Description
NB INTERSTATE 35 187 MM 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
472104.7
Y-Coordinate
4765832.
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1 		Driver's Name - Last
PORTER		 First
WILLIAM		 Middle
EUGENE		 Suffix
City
FORT DODGE		 State
IA - Iowa, US		 Zip
505010000
Driver's Age
48		 Citation Charge Code 1
 Citation Charge 1
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

B - Cor Lenses		 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:
 Transported by:
Insurance Co. Name
Year
2008		 Make
Dodge - DODG		 Model
RAM		 Style
PK		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
04 - Right Rear		 Most Damaged Area
04 - Right Rear		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
07 - Truck/trailer		 Cargo Body Type
05 - Flatbed		 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
01 - Ran off road, right		 Second Event
12 - Jackknife		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
12 - Jackknife
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
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
12 - Jackknife
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
3		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

U1 WAS TRAVELING NB ON I-35 NEAR 187 MM. U1 LOST CONTROL ON ICE. U1 ENTERED THE EAST DITCH. U1 JACKNIFED WHILE ENTERING THE DITCH. U1 CAME TO REST FACING SOUTH WITH TRAILER GOING EAST/WEST. TRAILER WAS STILL ATTACHED.
Officer
SNIEDER 		Badge No.
150		 Time Officer Notified of Accident
08:00		 Time Officer Arrived At Scene
08:02
Name of Agency
P08		 Date of Report
12/21/2010		 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