U
N
I
T
1
|
Driver's Name - Last CARTER |
First JOLEEN |
Middle MARIE |
Suffix
|
City ALTOONA |
State IA - Iowa, US |
Zip 500090000 |
Driver's Age 33 |
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
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 2005 |
Make
|
Model CHK |
Style SW |
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 02 - Right Front |
Most Damaged Area 02 - Right Front |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 01 |
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 06 - Evasive action (swerve, panic braking, etc.) |
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
|
First
|
Middle
|
Suffix
|
City
|
State
|
Zip
|
Driver's Age
|
Citation Charge Code 1
|
Citation Charge 1
|
Gender
|
State
|
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
|
Injury Status
|
Occupant Protection
|
Airbag Deployment 9 - Unknown |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year
|
Make Chevrolet - CHEV |
Model TRAILBLAZER |
Style SUV |
Approximate Cost to Repair or Replace
|
Initial Travel Direction 4 - West |
Vehicle Action 06 - Changing lanes |
Speed Limit 65 |
Point of Initial Impact 07 - Left Side |
Most Damaged Area 99 - Unknown |
Extent of Damage 3 - Functional 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 99 - Unknown |
Driver Condition 9 - Unknown |
Vision Obscured 99 - Unknown |
Contributing Circumstances, Driver (up to 2)
|
| SEQUENCE OF EVENTS |
First Event 21 - Vehicle in traffic |
Second Event 52 - Hit and run |
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 2 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
VEHICLE #1 AND VEHICLE #2 WERE BOTH TRAVELING WEST ON I-80 WEST NEAR THE #139 MM IN POLK COUNTY, IOWA. VEHICLE #1 WAS IN THE FAR LEFT (SOUTH) LANE OF TRAVEL. VEHICLE #2 WAS IN THE CENTER LANE OF TRAVEL SLIGHTLY AHEAD OF VEHICLE #1 AND ATTEMPTING TO CHANGE LANES FROM THE CENTER LANE TO THE LEFT (SOUTH) LANE. ALTHOUGH VEHICLE #1 ATTEMPTED TO AVOID THE COLLISION, VEHICLE #2 FAILED TO YIELD THE RIGHT OF WAY AND STRUCK VEHICLE #1. THE LEFT SIDE OF VEHICLE #2 (DRIVER'S DOOR AREA) IMPACTED THE FRONT, RIGHT CORNER OF VEHICLE #1. AFTER THE COLLISION, VEHICLE #1 LOST CONTROL AND SPUN COUNTER-CLOCKWISE AND IMPACTED THE CONCRETE MEDIAN BARRIER ON THE FRONT, LEFT CORNER. VEHICLE #1 CAME TO FINAL REST FACING SOUTHWESTERLY AGAINST THE CONCRETE BARRIER. VEHICLE #2 DID NOT STOP AFTER THE COLLISION AND CONTINUED WEST ON I-80. THE DESCRIPTION OF VEHICLE #2 WAS A MAROON CHEVY TRAILBLAZER TYPE VEHICLE WHICH SHOULD HAVE DAMAGE TO THE LEFT SIDE NEAR THE DRIVER'S DOOR AREA. VEHICLE #2 MOST LIKELY HAS SILVER PAINT TRANSFER FROM VEHICLE #1. VEHICLE #1 HAD MAROON PAINT TRANSFER ON THE FRONT, RIGHT CORNER OF THE VEHICLE FROM THE INITIAL IMPACT. AT THE TIME OF THIS REPORT, VEHICLE #2 HAS NOT BEEN LOCATED. |
|
Officer
LAMPE |
Badge No. 309 |
Time Officer Notified of Accident 08:01 |
Time Officer Arrived At Scene 08:03 |
Name of Agency P01 |
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 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011