Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/3/2011		 Time of Accident
05:20 AM 		County
Pottawattamie - 78		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011000316
Literal Description
INTERSTATE 0029 MEASURING 0.21 MILES NORTHWEST FROM INTERSTATE 0029 (MILEPOST 71) (RAMP AREA FROM I-680WB TO I-29SB) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
257665.6
Y-Coordinate
4597204.
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1 		Driver's Name - Last
YOUNG		 First
CHARLES		 Middle
CURTIS		 Suffix
City
SPARTA		 State
TN - Tennessee, US		 Zip
38583
Driver's Age
67		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Male		 State
TN - Tennessee, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
X - Hazmat & Tank		 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
3 - Non-incapacitating		 Occupant Protection
 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
JENNIE EDMUNDSON MEMORIAL HOSP		 Transported by:
CRESCENT RESCUE
Insurance Co. Name
WERNER ENTERPRISES INC
Year
2010		 Make
International - INTL		 Model
PPR		 Style
TT		 Approximate Cost to Repair or Replace
20000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
 Point of Initial Impact
02 - Right Front		 Most Damaged Area
02 - Right Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
02 - Van/enclosed box		 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
11 - Overturn/rollover		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
11 - Overturn/rollover
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
WERNER ENTERPRISES INC		 City
OMAHA		 State
NE - Nebraska, US		 Zip
68138
Number of Axles
5		 Gross Vehicle Weight Rating
80000		 Placard #
 Hazardous Materials Released?
3 - Not applicable
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
6 - Outside Trafficway		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
1		 Type of Roadway Junction/Feature
19 - On-ramp		 Workers Present?
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NARRATIVE

UNIT #1 WAS TRAVELING WEST ON I-680 AND TOOK THE RAMP TO I-29 SOUTH. WHILE ON THE RAMP AREA, THE DRIVER FOR SOME UNKNOWN REASON LEFT THE ROADWAY TO THE RIGHT. AFTER LEAVING THE ROADWAY, UNIT #1 SUBSEQUENTLY ROLLED.
Officer
HOY 		Badge No.
325		 Time Officer Notified of Accident
05:25		 Time Officer Arrived At Scene
05:41
Name of Agency
P03		 Date of Report
1/3/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504