Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
2/12/2011		 Time of Accident
07:25 AM 		County
Howard - 45		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011011067
Literal Description
ON US 63 MEASURING 2188 FEET NORTH FROM INTERSECTION OF US 63 AND B016 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
556985.2
Y-Coordinate
4785355.
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1 		Driver's Name - Last
BASTIAN		 First
CHRISTOPHER		 Middle
DAVID		 Suffix
City
MEXICO		 State
MO - Missouri, US		 Zip
65265
Driver's Age
18		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE TO MAINTAIN CONTROL
Gender
Male		 State
MO - Missouri, US		 Class
 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
5 - Uninjured		 Occupant Protection
3 - Lap belt only used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2003		 Make
Ford - FORD		 Model
F-350		 Style
PK		 Approximate Cost to Repair or Replace
8000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
3		 Traffic Controls
01 - No controls present		 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
12 - Jackknife		 Second Event
33 - Ditch/embankment		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
12 - Jackknife
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)
01 - Clear		 Environment
1 - None apparent		 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
3 - Dawn		 Surface Conditions
8		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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0
NARRATIVE

THE DRIVER OF THIS VEHICLE WAS TRAVELING NORTH BOUND ON HWY 63, JUST NORTH OF COUNTY ROAD B-16. THE DRIVER WAS GOING UP A SLIGHT GRADE IN THE ROAD. THE VEHICLE DOWN SHIFTED, CAUSING TORQUE TO THE REAR TIRES. THE REAR OF THE PICK UP SLID TO THE LEFT, CAUSING THE TRAILER, THE PICK UP WAS PULLING, TO SWING OUT TO THE RIGHT. THE DRIVER OF THE PICK UP OVER CORRECTED AND THE VEHICLE JACKKNIFED. THE VEHICLE CAME TO REST IN THE SOUTH BOUND DITCH. THERE WERE THREE OCCUPANTS IN THE VEHICLE.
Officer
WILLIAMS 		Badge No.
209		 Time Officer Notified of Accident
07:29		 Time Officer Arrived At Scene
07:44
Name of Agency
P08		 Date of Report
2/12/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381