Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/21/2011		 Time of Accident
12:10 PM 		County
Webster - 94		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011004992
Literal Description
P059 / PARAGON AVE and D014 / 170TH ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
405680.7
Y-Coordinate
4710892.
U
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1 		Driver's Name - Last
TATE		 First
BLANKNEY		 Middle
ERICK		 Suffix
City
FORT DODGE		 State
IA - Iowa, US		 Zip
50501
Driver's Age
20		 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

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
2 - Incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
TRINITY HOSPITAL		 Transported by:
FT DODGE RESCUE
Insurance Co. Name
Year
1998		 Make
Dodge - DODG		 Model
DURANGO		 Style
SUV		 Approximate Cost to Repair or Replace
6000
Initial Travel Direction
2 - East		 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
5 - Override, moving vehicle
Total Occupants
2		 Traffic Controls
04 - Stop signs		 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
22 - Vehicle in/from other roadway		 Second Event
11 - Overturn/rollover		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
22 - Vehicle in/from other roadway
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
BECHTEL		 First
JOHNATHON		 Middle
WAYNE		 Suffix
City
LAURENS		 State
IA - Iowa, US		 Zip
50554
Driver's Age
37		 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

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
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
NORSEMEN SPECIALIZED DIVISION
Year
2006		 Make
 Model
TT		 Style
SEMI		 Approximate Cost to Repair or Replace
15000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
45		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
05 - Flatbed		 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
22 - Vehicle in/from other roadway		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
22 - Vehicle in/from other roadway
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
NORSEMEN SPECIALIZED DIVISION		 City
LAKE MILLS		 State
IA - Iowa, US		 Zip
50450
Number of Axles
5		 Gross Vehicle Weight Rating
80000		 Placard #
 Hazardous Materials Released?
2 - No
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)
22 - Vehicle in/from other roadway
Manner of Crash/Collision
5 - Broadside		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
11 - Four-way intersection		 Workers Present?
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D 		Name- Last
CULVER		 First
JONATHON		 Middle
STORMBRINGER		 Suffix
City
 State
 Zip Code
Age
20		 Sex
Male		 Unit No.
1		 Seating Position
03 - Front: Right Side		 Injury Status
2 - Incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
3 - Extricated by mechanical means
Transported to:
TRINITY HOSPITAL		 Transported by:
FT DODGE RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

VEHICLE #1 WAS EASTBOUND ON WEBSTER COUNTY ROADWAY D-14. VEHICLE #2 WAS NORTHBOUND ON WEBSTER COUNTY ROADWAY P-59. THE DRIVER OF VEHICLE #1 FAILED TO STOP AT THE STOP SIGN AND VEHICLE #2 STRUCK THE PASSENGER SIDE OF VEHICLE #1. BOTH VEHICLES CAME TO REST IN THE EAST DITCH, WITH VEHICLE #1 BEING ON ITS PASSENGER SIDE.
Officer
ANDERSON 		Badge No.
379		 Time Officer Notified of Accident
12:41		 Time Officer Arrived At Scene
13:07
Name of Agency
P07		 Date of Report
1/21/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218