Crash Information

L O C A T I O N	Date of Accident 1/17/2011	Time of Accident 07:27 AM	County Boone - 08	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011003567
	Literal Description IOWA 17 MM 12.6				Legal Intervention? No	Private Property? No
					X-Coordinate: 432380.4
					Y-Coordinate 4642726.

U N I T 1	Driver's Name - Last LERDAL			First MONA			Middle CHAR		Suffix
	City OGDEN			State IA - Iowa, US				Zip 502120000
	Driver's Age 28					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	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 3 - Non-incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: BOONE CO HOSPITAL					Transported by: AMBULANCE
	Insurance Co. Name
	Year 2005		Make		Model CHK		Style SW		Approximate Cost to Repair or Replace 20000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 03 - Right Side	Most Damaged Area 03 - Right Side	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 06 - Evasive action (swerve, panic braking, etc.)	Second Event 21 - Vehicle in traffic	Third Event	Fourth Event 33 - Ditch/embankment	Most Harmful Event (by vehicle) 06 - Evasive action (swerve, panic braking, etc.)
	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 SCHMIDT			First CLAYTON			Middle PAUL		Suffix
	City WEBSTER CITY			State IA - Iowa, US				Zip 505950000
	Driver's Age 35					Citation Charge Code 1		Citation Charge 1
	Gender Male	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 3 - Non-incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: BOONE CO HOSPITAL					Transported by: AMBULANCE
	Insurance Co. Name
	Year 2005		Make Chevrolet - CHEV		Model TBZ		Style SW		Approximate Cost to Repair or Replace 15000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	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 21 - Vehicle in traffic	Second Event 06 - Evasive action (swerve, panic braking, etc.)	Third Event	Fourth Event 01 - Ran off road, right	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) 03 - Cloudy	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) 03 - Cloudy	Roadway 02 - Road surface condition	Type
Light Conditions 1 - Daylight	Surface Conditions 4	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

UNIT #1 WAS TRAVELING NORTHBOUND ON HWY 17 NEAR THE 12 MILE MARKER. UNIT #2 WAS TRAVELING SOUTHBOUND AT THE SAME LOCATION. UNIT #1 LOST CONTROL ON SNOW COVERED ROAD, AND BEGAN TO SPIN. UNIT #1 CROSSED THE CENTERLINE AND ENTERED THE SOUTHBOUND LANE. UNIT #2 COLLIDED WITH UNIT #1 IN A BROADSIDE COLLISION, SENDING BOTH VEHICLES INTO THE WEST DITCH WHERE THEY CAME TO A REST.

Officer MOSES	Badge No. 167	Time Officer Notified of Accident 07:27	Time Officer Arrived At Scene 07:56
Name of Agency P01	Date of Report 1/17/2011	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