Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/28/2010		 Time of Accident
07:54 AM 		County
Linn - 57		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010073637
Literal Description
JOHNSON AVE NW and SHORT ST NW measuring 172 Feet Southwest from JOHNSON AVE NW 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
604922.8
Y-Coordinate
4647025.
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1 		Driver's Name - Last
KOCZO		 First
CYNTHIA		 Middle
ANNE		 Suffix
City
CEDAR RAPIDS		 State
IA - Iowa, US		 Zip
524050000
Driver's Age
52		 Citation Charge Code 1
 Citation Charge 1
Gender
Female		 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
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
2004		 Make
Chevrolet - CHEV		 Model
TBZ		 Style
SW		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
35		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
2 - Minor 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?
U
N
I
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2 		Driver's Name - Last
EHLERT		 First
STEVEN		 Middle
ROBERT		 Suffix
City
CEDAR RAPIDS		 State
IA - Iowa, US		 Zip
524050000
Driver's Age
53		 Citation Charge Code 1
321.321		 Citation Charge 1
FAIL TO YIELD ENTERING THROUGH HIGHWAY
Gender
Male		 State
IA - Iowa, US		 Class
D - Chauffeur		 Endorsements
2 - Veh w/16001 GVWR or more, Not Vid for Trk-Trctr Semitrailer Comb		 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
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
2004		 Make
Toyota - TOYT		 Model
TUN		 Style
PK		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
3 - South		 Vehicle Action
02 - Turning left		 Speed Limit
35		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
02 - Right 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
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)
01 - Clear		 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		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
5		 Type of Roadway Junction/Feature
04 - Business drive		 Workers Present?
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NARRATIVE

VEHICLE 2 WAS ENTERING JOHNSON AVENUE FROM THE DRIVEWAY LOCATED AT 4820 JOHNSON AVENUE AND PULLED INTO THE PATH OF VEHICLE 1 STRIKING VEHICLE 1 IN THE LEFT FRONT FENDER AND LEFT DOOR CAUSING MODERATE DAMAGE.
Officer
WILLIS 		Badge No.
313		 Time Officer Notified of Accident
07:56		 Time Officer Arrived At Scene
07:56
Name of Agency
P11		 Date of Report
12/28/2010		 Investigation made at scene?
Yes		 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