U
N
I
T
1
|
Driver's Name - Last
ALBAUGH |
First
NICOLE |
Middle
LAUREN |
Suffix
|
City
ALTOONA |
State
IA - Iowa, US |
Zip
50009 |
Driver's Age
38 |
Citation Charge Code 1
321.288 |
Citation Charge 1
FAIL TO MAINTAIN CONTROL |
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
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
3 - No ON/OFF switch present |
Ejection
1 - Not ejected |
Ejection Path
|
Trapped
1 - Not trapped |
Transported to:
NA |
Transported by:
NA |
Insurance Co. Name
|
Year
2004 |
Make
Dodge - DODG |
Model
DAKOTA |
Style
PK |
Approximate Cost to Repair or Replace
2500 |
Initial Travel Direction
4 - West |
Vehicle Action
01 - Movement essentially straight |
Speed Limit
65 |
Point of Initial Impact
08 - Left Front |
Most Damaged Area
01 - Front |
Extent of Damage
4 - Disabling damage |
Underride/Override
1 - None |
Total Occupants
4 |
Traffic Controls
01 - No controls present |
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
21 - Vehicle in traffic |
Second Event
36 - Concrete barrier (median or right side) |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle)
36 - Concrete barrier (median or right side) |
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
WITTROCK |
First
BLAKE |
Middle
ANDREW |
Suffix
|
City
ANKENY |
State
IA - Iowa, US |
Zip
500210000 |
Driver's Age
26 |
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
4 - Possible |
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:
DOCTORS NOW/JOHNSTON |
Transported by:
DOT SUPERVISOR |
Insurance Co. Name
|
Year
2007 |
Make
Ford - FORD |
Model
CVC |
Style
4D |
Approximate Cost to Repair or Replace
5000 |
Initial Travel Direction
4 - West |
Vehicle Action
01 - Movement essentially straight |
Speed Limit
55 |
Point of Initial Impact
03 - Right Side |
Most Damaged Area
01 - Front |
Extent of Damage
4 - Disabling damage |
Underride/Override
1 - None |
Total Occupants
2 |
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
36 - Concrete barrier (median or right side) |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle)
36 - Concrete barrier (median or right side) |
Emergency Vehicle Type
2 - Police |
Emergency Status
2 - No, not in emergency |
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)
03 - Cloudy |
Environment
2 - Weather condition |
Location
|
First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic |
Manner of Crash/Collision
6 - Sideswipe, same direction |
Roadway
02 - Road surface condition |
Type
|
Light Conditions
1 - Daylight |
Surface Conditions
3 |
Type of Roadway Junction/Feature
01 - No special feature |
Workers Present?
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last
REID |
First
DARREN |
Middle
|
Suffix
|
City
|
State
|
Zip Code
|
Age
|
Sex
Male |
Unit No.
2 |
Seating Position
03 - Front: Right Side |
Injury Status
4 - Possible |
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
1 - Not ejected/not applicable |
Trapped
1 - Not trapped |
Transported to:
DOCTORS NOW/JOHNSTON |
Transported by:
DOT SUPERVISOR |
| NON-MOTORIST |
Type
|
Location
|
Action
|
Condition
|
Safety Equipment
|
Contributing Circumstances
|
Unit No. of Vehicle Striking
|
D
I
A
G
R
A
M
0 |
 |
| NARRATIVE |
VEHICLE #1 WAS TRAVELING WEST ON I235 IN THE MIDDLE LANE NEAR THE 10.4 MM. THE DRIVER LOST CONTROL ON THE ICY ROADWAY AND MADE CONTACT WITH VEHICLE#2 WHICH WAS TRAVELING IN THE LEFT LANE AND SLOWING FOR AN ACCIDENT AHEAD. VEHICLE #1 PUSHED VEHICLE #2 INTO THE CONCRETE MEDIAN BARRIER. VEHICLE #1 ALSO STRUCK THE BARRIER. |
|
Officer
SASSMAN |
Badge No.
115 |
Time Officer Notified of Accident
12:58 |
Time Officer Arrived At Scene
13:05 |
Name of Agency
P01 |
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 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011