Crash Information

L O C A T I O N	Date of Accident 2/14/2011	Time of Accident 08:10 PM	County Dubuque - 31	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011011657
	Literal Description CHRISTOPH RD AND NORTH FORK MAQUOKETA RIVER NORTH OF DYERSVILLE				Legal Intervention? No	Private Property? No
					X-Coordinate: 654115.8
					Y-Coordinate 4707333.

U N I T 1	Driver's Name - Last BLAKE			First BRITTANY			Middle JO		Suffix
	City KALONA			State IA - Iowa, US				Zip 522470000
	Driver's Age 20					Citation Charge Code 1 321.288		Citation Charge 1 FAILURE TO HAVE 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 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 3 - Non-incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 3 - Deployed both front/side	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: FINLEY HOSP/DUBUQUE					Transported by: BI-CO AMBULANCE DYERSVILLE
	Insurance Co. Name
	Year 2000		Make Ford - FORD		Model WIN		Style VAN		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 50	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 07 - Warning sign	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 01 - Ran off road, right	Second Event 30 - Bridge/bridge rail/overpass	Third Event	Fourth Event	Most Harmful Event (by vehicle) 30 - Bridge/bridge rail/overpass
	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?

P R O P E R T Y D A M A G E	If Property other than vehicles damaged explain	Object Damaged BRIDGE		Estimate of Damage 1000
	Owner's Name - Last	First	Middle	Suffix
	Owner Company Name DUBUQUE COUNTY
	City DUBUQUE	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) 30 - Bridge/bridge rail/overpass
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 6	Type of Roadway Junction/Feature 02 - Bridge/overpass/underpass	Workers Present?

P
E
R
S
O
N

I
N
J
U
R
E
D

Name- Last
BLAKE

First
LIBERTY

Middle
ANNE

Suffix

City

State

Zip Code

Age
2

Sex
Female

Unit No.
01

Seating Position
07 - Rear: Left Side

Injury Status
4 - Possible

Occupant Protection
5 - Child safety seat used

Airbag Deployment
2 - Deployed side of person

Airbag Switch Status
3 - No ON/OFF switch present

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
FINLEY HOSP / DUBUQUE

Transported by:
BI-CO AMBULANCE / DYERSVILLE

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 NORTH BOUND STRUCK THE RIGHT SIDE OF THE BRIDGE CAUSING THE VEHICLE TO SPIN AND ROLL ONTO IT'S TOP COMING TO REST FACING SOUTH.

Officer DRISCOLL	Badge No. 127	Time Officer Notified of Accident 20:17	Time Officer Arrived At Scene 20:20
Name of Agency P10	Date of Report 2/14/2011	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