Iowa State Patrol: Department of Public Safety

Crash Information

L
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C
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N 		Date of Accident
1/14/2011		 Time of Accident
11:36 AM 		County
Harrison - 43		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011003114
Literal Description
SB/WB INTERSTATE 0029, (I-29 SB 81.60 MM) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
251543.3
Y-Coordinate
4611335.
U
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1 		Driver's Name - Last
OFFENBACKER		 First
ALYXANDRIA		 Middle
MARIE		 Suffix
City
MODALE		 State
IA - Iowa, US		 Zip
515560000
Driver's Age
27		 Citation Charge Code 1
321.306		 Citation Charge 1
IMPROPER USE OF LANES
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
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2000		 Make
Dodge - DODG		 Model
R1500		 Style
PK		 Approximate Cost to Repair or Replace
1500
Initial Travel Direction
3 - South		 Vehicle Action
06 - Changing lanes		 Speed Limit
70		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
01 - No controls present		 Vehicle Config.
02 - Four-tire light truck (pick-up, panel)		 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?
U
N
I
T

2 		Driver's Name - Last
FETTERS		 First
ROBERT		 Middle
JOHN		 Suffix
City
SIOUX FALLS		 State
SD - South Dakota, US		 Zip
571070353
Driver's Age
79		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
SD - South Dakota, 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
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2010		 Make
Dodge - DODG		 Model
JOURNEY		 Style
PC		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
03 - Right Side		 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
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
1 - On Roadway		 Weather Conditions (up to two)
05 - Mist		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
6 - Sideswipe, same direction		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

Unit 1 entering I-29 from on ramp near 81.60 mile marker. Unit 2 southbound I-29. Unit 1 entered I-29 behind semi. Unit 1 merged into Unit 2's lane to pass semi. Unit 1 struck Unit 2. Unit 1 driver advised she did not see Unit 2. Semi was none contact with unknown information.
Officer
PAULSEN 		Badge No.
148		 Time Officer Notified of Accident
11:36		 Time Officer Arrived At Scene
11:36
Name of Agency
P04		 Date of Report
1/14/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 04 Office
3710 Highway 30 E
Denison,IA 51442-7560
Phone: (712) 263-4621
Fax: (712) 263-2325