Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/22/2011		 Time of Accident
06:30 PM 		County
Dubuque - 31		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011005487
Literal Description
GOLF COURSE RD MEASURING 2667 FEET WEST FROM DYERSVILLE EAST RD AND GOLF COURSE RD EAST OF DYERSVILLE 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
658184.1
Y-Coordinate
4707151.
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1 		Driver's Name - Last
WALL		 First
JASON		 Middle
WILLIAM		 Suffix
City
DYERSVILLE		 State
IA - Iowa, US		 Zip
52040
Driver's Age
41		 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
 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:
 Transported by:
Insurance Co. Name
Year
2007		 Make
Chevrolet - CHEV		 Model
2500		 Style
PK		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
50		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
03 - Right Side		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
02		 Traffic Controls
07 - Warning sign		 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
02 - Ran off road, straight		 Second Event
33 - Ditch/embankment		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
33 - Ditch/embankment
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?
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If Property other than vehicles damaged explain Object Damaged
FENCE		 Estimate of Damage
200
Owner's Name - Last
RAHE		 First
JOHN		 Middle
EDWARD		 Suffix
Owner Company Name
City
DYERSVILLE		 State
IA - Iowa, US		 Zip
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)
33 - Ditch/embankment
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
3		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE 1 WEST BOUND SLID ON ICE AND ENTERED THE WEST DITCH COLLIDING WITH THE DITCH AND FENCE. CAME TO REST ON ITS PASSENGER SIDE FACING SOUTH WEST
Officer
DRISCOLL 		Badge No.
127		 Time Officer Notified of Accident
18:35		 Time Officer Arrived At Scene
18:45
Name of Agency
P10		 Date of Report
1/22/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046