Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/24/2010		 Time of Accident
04:15 PM 		County
Jasper - 50		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010073013
Literal Description
171 MM EB ON I-80 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
504279.8
Y-Coordinate
4614297.
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1 		Driver's Name - Last
FERGUSON		 First
WILLIAM		 Middle
A		 Suffix
City
FT COLLINS		 State
CO - Colorado, US		 Zip
80528
Driver's Age
50		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
CO - Colorado, US		 Class
 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
2 - Freed by non-mechanical means
Transported to:
 Transported by:
Insurance Co. Name
Year
2004		 Make
Chevrolet - CHEV		 Model
TRAILBLAZER		 Style
SUV		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
07 - Left Side		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 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)
03 - Cloudy		 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
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT #1 WAS TRAVELING EAST BOUND ON INTERSTATE 80 AT THE 171 MILE MARKER AND LOST CONTROL OF THE VEHICLE. UNIT #1 WENT INTO THE SOUTH DITCH WHERE IT CAME TO A REST ON ITS SIDE.
Officer
STARRETT 		Badge No.
248		 Time Officer Notified of Accident
16:15		 Time Officer Arrived At Scene
16:17
Name of Agency
P01		 Date of Report
12/24/2010		 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