Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/17/2011		 Time of Accident
06:45 AM 		County
Cedar - 16		 Accident occurred within corporate limits of (city)
West Branch - 8252		 Law Enforcement Case Number:
2011003531
Literal Description
254.8 MM OF INTERSTATE 80 W/B 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
637920.2
Y-Coordinate
4613803.
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1 		Driver's Name - Last
MORGAN		 First
DARRYL		 Middle
D		 Suffix
City
SOUTH BEND		 State
IN - Indiana, US		 Zip
466280000
Driver's Age
63		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IN - Indiana, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
 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
RECREATIONAL CUSTOMS INC
Year
1999		 Make
Ford - FORD		 Model
F250		 Style
PCK		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 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
13 - Camper		 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
12 - Jackknife		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
12 - Jackknife
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
RECREATIONAL CUSTOMS INC		 City
GOSHEN		 State
IN - Indiana, US		 Zip
46528
Number of Axles
4		 Gross Vehicle Weight Rating
10001		 Placard #
 Hazardous Materials Released?
2 - No
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)
12 - Jackknife
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
3 - Dawn		 Surface Conditions
3		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT 1 WESTBOUND ON INTERSTATE 80 WHEN DRIVER LOST CONTROL ON SNOW AND ICE COVERED ROADWAY. UNIT 1 ENTERED THE NORTH ROAD DITCH WHERE THE UNIT JACKKNIFED AND TRAILER ROLLED ONTO ITS SIDE.
Officer
MESSERICH 		Badge No.
166		 Time Officer Notified of Accident
06:50		 Time Officer Arrived At Scene
06:50
Name of Agency
P12		 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 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504