Iowa State Patrol: Department of Public Safety

Crash Information

L
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C
A
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N 		Date of Accident
1/17/2011		 Time of Accident
06:55 PM 		County
Cedar - 16		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011003771
Literal Description
SB/WB Interstate 0080 measuring 589 Feet East from Interstate 0080 (Milepost 255) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
638456.9
Y-Coordinate
4613821.
U
N
I
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1 		Driver's Name - Last
JOHANSEN		 First
KEITH		 Middle
O		 Suffix
City
LOGANSPORT		 State
IN - Indiana, US		 Zip
469470000
Driver's Age
66		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IN - Indiana, US		 Class
 Endorsements
None		 Restrictions

 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
2004		 Make
Lincoln - LINC		 Model
TOWN CAR		 Style
4DR		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
01		 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
01 - Ran off road, right		 Second Event
35 - Guardrail		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
35 - Guardrail
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
2 - Shoulder		 Weather Conditions (up to two)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
35 - Guardrail
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
4		 Type of Roadway Junction/Feature
02 - Bridge/overpass/underpass		 Workers Present?
D
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0
NARRATIVE

UNIT 1 WAS WEST BOUND ON I 80. DRIVER OF UNIT 1 LOST CONTROL ON ICE COVERED ROAD STRIKING GAURDRAIL. UNIT 1 CAME TO REST ON THE RIGHT SHOULDER.
Officer
NEVILLE 		Badge No.
328		 Time Officer Notified of Accident
18:57		 Time Officer Arrived At Scene
19:22
Name of Agency
P12		 Date of Report
1/17/2011		 Investigation made at scene?
No		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504