Crash Information

L O C A T I O N	Date of Accident 12/23/2010	Time of Accident 11:20 PM	County Iowa - 48	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010072765
	Literal Description NB/EB Interstate 0080 (Milepost 218)				Legal Intervention? No	Private Property? No
					X-Coordinate: 579491.0
					Y-Coordinate 4615489.

U N I T 1	Driver's Name - Last FARMER			First LUCAS			Middle J		Suffix
	City SPRINGVILLE			State IL - Illinois, US				Zip 61362
	Driver's Age 33					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IL - Illinois, US	Class D - Chauffeur	Endorsements None	Restrictions None	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 2 - Blood			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: NOT TRANSPORTED					Transported by:
	Insurance Co. Name
	Year 1997		Make Chevrolet - CHEV		Model TR		Style TRK		Approximate Cost to Repair or Replace 1000
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 2 - Minor damage	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 01 - No controls present	Vehicle Config. 02 - Four-tire light truck (pick-up, panel)	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 06 - Evasive action (swerve, panic braking, etc.)	Second Event 21 - Vehicle in traffic	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?

U N I T 2	Driver's Name - Last CUSICK			First KRISTIANN			Middle R		Suffix
	City FOND DU LAC			State WI - Wisconsin, US				Zip 549350000
	Driver's Age 41					Citation Charge Code 1		Citation Charge 1
	Gender Female	State WI - Wisconsin, US	Class B - Veh w/26001 GVWR or more Towed unit is less than 10001 GVWR	Endorsements P - Pass	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: NOT TRANSPORTED					Transported by:
	Insurance Co. Name
	Year 1999		Make		Model SL1		Style 4DR		Approximate Cost to Repair or Replace 1000
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 03 - Right Side	Most Damaged Area 03 - Right Side	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 3	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 06 - Evasive action (swerve, panic braking, etc.)	Second Event 21 - Vehicle in traffic	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) 08 - Snow	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 5 - Broadside	Weather Conditions (up to two) 08 - Snow	Roadway 02 - Road surface condition	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 3	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE'S 1 AND 2 WERE EASTBOUND N I-80 WHEN VEHICLE 2 LOST CONTROL DUE TO ICY CONDITIONS AND PROCEEDED TO SLIDE SIDEWAYS ON THE ROAD. VEHICLE 1 WAS UNABLE TO COME TO A COMPLETE STOP AND MADE CONTACT WITH VEHICLE 2.

Officer HERNANDEZ	Badge No. 154	Time Officer Notified of Accident	Time Officer Arrived At Scene
Name of Agency P11	Date of Report 12/23/2010	Investigation made at scene?	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327