Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/20/2011		 Time of Accident
07:28 PM 		County
Decatur - 27		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011004745
Literal Description
INTERSTATE 0035 MM18 NB RAMP 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
430390.8
Y-Coordinate
4518265.
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1 		Driver's Name - Last
COLLINS		 First
NICHOLAS		 Middle
RAY		 Suffix
City
LIVERMORE		 State
IA - Iowa, US		 Zip
50558
Driver's Age
28		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IA - Iowa, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
N - Tank		 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
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
COLLINS TRUCKING
Year
1993		 Make
 Model
379		 Style
SEMI		 Approximate Cost to Repair or Replace
40000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
99 - Unknown		 Most Damaged Area
99 - Unknown		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
02 - Van/enclosed box		 Vehicle Defect
88 - Other (explain in narrative)		 Driver Condition
1 - Apparently normal		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
50 - Fire/explosion		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
50 - Fire/explosion
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
COLLINS TRUCKING		 City
LIVERMORE		 State
IA - Iowa, US		 Zip
50558
Number of Axles
3		 Gross Vehicle Weight Rating
80000		 Placard #
 Hazardous Materials Released?
3 - Not applicable
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)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

THE VEHICLE WAS NORTHBOUND ON I 35 WHEN HE SMELLED SMOKE. THE DRIVER PULLED ONTO THE NORTHBOUND RAMP AT EXIT 18. WHEN THE VEHICLE CAME TO A STOP, THE CAB BECAME ENGULFED IN FLAMES. THE DRIVER EXITED THE VEHICLE WITHOUT ANY INJURIES.
Officer
DANIELS 		Badge No.
089		 Time Officer Notified of Accident
19:29		 Time Officer Arrived At Scene
20:01
Name of Agency
P02		 Date of Report
1/20/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653