Crash Information

L O C A T I O N	Date of Accident 12/29/2010	Time of Accident 07:07 AM	County Pottawattamie - 78	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010073840
	Literal Description INTERSTATE 0080 (MILEPOST 27.35)				Legal Intervention? No	Private Property? No
					X-Coordinate: 284410.1
					Y-Coordinate 4597043.

U N I T 1	Driver's Name - Last MULLER			First ANTHONY			Middle J		Suffix
	City OMAHA			State NE - Nebraska, US				Zip 68154
	Driver's Age 18					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	Gender Male	State NE - Nebraska, US	Class	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 4 - Possible	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: REFUSED					Transported by:
	Insurance Co. Name
	Year 1995		Make Chevrolet - CHEV		Model BLAZER		Style SUV		Approximate Cost to Repair or Replace 3500
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 5 - Severe, vehicle totaled	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 03 - Ran off road, left	Second Event 06 - Evasive action (swerve, panic braking, etc.)	Third Event	Fourth Event 11 - Overturn/rollover	Most Harmful Event (by vehicle) 11 - Overturn/rollover
	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 MALDONADO			First ERIC			Middle D		Suffix
	City BELLEVUE			State NE - Nebraska, US				Zip 68005
	Driver's Age 29					Citation Charge Code 1		Citation Charge 1
	Gender Male	State NB - New Brunswick, CA	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 4 - Possible	Occupant Protection 1 - None used		Airbag Deployment 5 - Not deployed	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: MERCY-CB					Transported by: NEOLA RESCUE
	Insurance Co. Name
	Year 1999		Make Mitsubishi - MITS		Model MIRAGE		Style 4DR		Approximate Cost to Repair or Replace 4000
	Initial Travel Direction 2 - East	Vehicle Action 88 - Other (explain in narrative)	Speed Limit 70	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	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 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 3 - Median	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	Weather Conditions (up to two) 03 - Cloudy	Roadway 01 - None apparent	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

VEH #1 & #2 WERE BOTH EAST BOUND ON I-80. VEH #2 PREVIOUSLY HAD SLID INTO MEDIAN. VEH#1 DRIVER LOST CONTROL AND SLID INTO MEDIAN STRIKING VEH#2 AND ROLLING TWICE COMING TO REST ON WHEELS NEXT TO TREE. VEH#2 DRIVER WAS SETTING IN VEH WAITING FOR TOW. **** EXPLAIN THE VEHICLE ACTION FOR UNIT 002 **** EXPLAIN THE VEHICLE ACTION FOR UNIT 002

Officer ZENOR	Badge No. 239	Time Officer Notified of Accident 07:07	Time Officer Arrived At Scene 07:07
Name of Agency P03	Date of Report 12/29/2010	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