U
N
I
T
3
|
Driver's Name - Last STEIN |
First KARIN |
Middle MARGARETE |
Suffix
|
City KELLOGG |
State IA - Iowa, US |
Zip 50135 |
Driver's Age 49 |
Citation Charge Code 1
|
Citation Charge 1
|
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
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 5 - Uninjured |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 9 - Unknown |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 1995 |
Make Plymouth - PLYM |
Model VOYAGER |
Style VAN |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 4 - West |
Vehicle Action 11 - Stopped for stop sign/signal |
Speed Limit 25 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 02 - Traffic signals |
Vehicle Config. 03 - Van or mini-van |
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 23 - Parked motor vehicle |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
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
4
|
Driver's Name - Last ANDERSON |
First AUDREY |
Middle VIOLET |
Suffix
|
City GRINNELL |
State IA - Iowa, US |
Zip 50112 |
Driver's Age 20 |
Citation Charge Code 1
|
Citation Charge 1
|
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 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 2009 |
Make Dodge - DODG |
Model AVENGER |
Style CAR |
Approximate Cost to Repair or Replace 500 |
Initial Travel Direction 4 - West |
Vehicle Action 11 - Stopped for stop sign/signal |
Speed Limit 25 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 02 - Traffic signals |
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 23 - Parked motor vehicle |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
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?
|
| 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) 21 - Vehicle in traffic |
Manner of Crash/Collision 5 - Broadside |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 11 - Four-way intersection |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
UNIT #1, AN EMERGENCY VEHICLE IN EMERGENCY STATUS, WAS EB ON 5TH AVE. UNIT #2 WAS NB ON HWY 146/WEST ST. UNITS #3 AND #4 WERE STOPPED FOR A RED TRAFFIC LIGHT FACING WEST. UNIT #1 HAD LIGHTS AND SIRENS ACTIVATED AND ATTEMPTED TO NEGOTIATE THROUGH THE INTERSECTION WHILE HAVING A RED LIGHT. UNIT #2 HAD A GREEN TRAFFIC LIGHT AND FAILED TO OBSERVE UNIT #1'S LIGHTS AND SIRENS AND ENTERED THE INTERSECTION OF HWY 146/WEST ST AND 5TH AVE. UNIT #1 AND UNIT #2 COLLIDED IN THE INTERSECTION. THE COLLISION OF UNIT #1 AND #2 CAUSED UNIT #2 TO STRIKE UNIT #3. THAT COLLISION CAUSED UNIT #3 TO STRIKE UNIT #4. UNIT #1 CAME TO REST FACING NORTH EAST. UNIT #2 CAME TO REST FACING NORTH EAST. UNIT #3 CAME TO REST FACING NORTH. UNIT #4 CAME TO REST FACING WEST. |
|
Officer
MILLER |
Badge No. 366 |
Time Officer Notified of Accident 15:28 |
Time Officer Arrived At Scene 15:55 |
Name of Agency P11 |
Date of Report 1/24/2011 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327