Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
2/1/2011		 Time of Accident
09:57 AM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011008124
Literal Description
NB/EB Interstate 0080 measuring 760 Meters East from Interstate 0080 (Milepost 145) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
463977.8
Y-Coordinate
4613654.
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1 		Driver's Name - Last
CROMWELL		 First
JAY		 Middle
ALLEN		 Suffix
City
PALMERSVILLE		 State
TN - Tennessee, US		 Zip
38241
Driver's Age
43		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
TN - Tennessee, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
T - Dbl/Trpl Trlr		 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
ICS LOGISTICS CORPORATION
Year
1998		 Make
 Model
379		 Style
TR		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
06 - Left Rear		 Most Damaged Area
06 - Left Rear		 Extent of Damage
2 - Minor damage		 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
01 - None		 Driver Condition
1 - Apparently normal		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
03 - Ran off road, left		 Second Event
12 - Jackknife		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
12 - Jackknife
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
ICS LOGISTICS CORPORATION		 City
ALTOONA		 State
IA - Iowa, US		 Zip
50009
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
3 - Median		 Weather Conditions (up to two)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
12 - Jackknife
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT 1 WAS TRAVELING EAST ON INTERSTATE 80. THE DRIVER OF UNIT 1 LOST CONTROL OF THE VEHICLE, ENTERED THE MEDIAN AND JACKKNIFED. UNIT 1 CAME TO REST IN THE MEDIAN.
Officer
VANZEE 		Badge No.
044		 Time Officer Notified of Accident
10:04		 Time Officer Arrived At Scene
10:04
Name of Agency
P01		 Date of Report
2/1/2011		 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