Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/22/2010		 Time of Accident
03:14 PM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010072484
Literal Description
SB/WB Interstate 0080 measuring 878 Meters West from Interstate 0080 and US 0065 (Milepost 84) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
455707.8
Y-Coordinate
4612002.
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1 		Driver's Name - Last
COUGHENNOWER		 First
JACOB		 Middle
RYAN		 Suffix
City
INDIANOLA		 State
IA - Iowa, US		 Zip
501250000
Driver's Age
21		 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

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
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2001		 Make
Honda - HOND		 Model
CIV		 Style
4D		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 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
1 - Apparently normal		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
03 - Ran off road, left		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
38 - Poles (utility, light, etc.)		 Most Harmful Event (by vehicle)
38 - Poles (utility, light, etc.)
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?
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Y

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If Property other than vehicles damaged explain Object Damaged
ON RAMP LIGHT POLE		 Estimate of Damage
2500
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
STATE OF IOWA
City
 State
 Zip
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)
02 - Partly cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
38 - Poles (utility, light, etc.)
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

DRIVER TOOK HWY 65 WESTBOUND RAMP TO I-80. DRIVER WENT OFF LEFT SHOULDER OF RAMP, OVER CORRECTED, SPUN IN A CIRCLE, AND WENT INTO RIGHT DITCH STRIKING A LIGHT POLE
Officer
GENT 		Badge No.
077		 Time Officer Notified of Accident
15:19		 Time Officer Arrived At Scene
15:22
Name of Agency
P13		 Date of Report
12/22/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743