U
N
I
T
1
|
Driver's Name - Last NELSON |
First RANDALL |
Middle LYNN |
Suffix
|
City OTLEY |
State IA - Iowa, US |
Zip 50214 |
Driver's Age
|
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 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 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 2006 |
Make Chevrolet - CHEV |
Model IMPALA |
Style 4D |
Approximate Cost to Repair or Replace 1500 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 10 - Under Carriage |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 3 |
Traffic Controls 01 - No controls present |
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 20 - Non-motorist (see non-motorist type) |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 20 - Non-motorist (see non-motorist type) |
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
2
|
Driver's Name - Last MASTERSON |
First LORETTA |
Middle LYNN |
Suffix
|
City NORTH ENGLISH |
State IA - Iowa, US |
Zip 52316 |
Driver's Age
|
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? 4 - Breath |
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 2002 |
Make Ford - FORD |
Model EXPLORER XLT |
Style MPV |
Approximate Cost to Repair or Replace 0 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 10 - Under Carriage |
Most Damaged Area
|
Extent of Damage 1 - None |
Underride/Override 1 - None |
Total Occupants 3 |
Traffic Controls 01 - No controls present |
Vehicle Config. 04 - Sport utility vehicle |
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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 13 - Other non-collision |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 13 - Other non-collision |
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) 02 - Partly cloudy |
Environment 4 - Pedestrian action |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 20 - Non-motorist (see non-motorist type) |
Manner of Crash/Collision 1 - Non-collision |
Roadway 01 - None apparent |
Type
|
Light Conditions 5 - Dark, roadway not lighted |
Surface Conditions 1 |
Type of Roadway Junction/Feature 16 - Intersection with ramp |
Workers Present?
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last WALLACE |
First MAXWELL |
Middle JAMES |
Suffix
|
City
|
State
|
Zip Code
|
Age
|
Sex Male |
Unit No.
|
Seating Position 15 - Pedestrian |
Injury Status 1 - Fatal |
Occupant Protection
|
Airbag Deployment
|
Airbag Switch Status
|
Ejection
|
Ejection Path
|
Trapped
|
Transported to: UNIVERSITY OF IOWA HOSPITALS |
Transported by: JOHNSON CO. MEDICAL EXAMINER |
| NON-MOTORIST |
Type 1 - Pedestrian |
Location 8 - Other non-intersection (explain in narrative) |
Action 8 - Other (explain in narrative) |
Condition 6 - Under the influence of alcohol/drugs/medications |
Safety Equipment 4 - None |
Contributing Circumstances 88 - Other (explain in narrative) |
Unit No. of Vehicle Striking 001 |
D I A G R A M
0 |
|
D I A G R A M
1 |
|
| NARRATIVE |
A PASSENGER IN A VEHICLE THAT WAS STOPPED ON THE RIGHT SHOULDER OF THE WEST BOUND EXIT RAMP TO TIFFIN, EXIT #237, EXITED THE VEHICLE AND WALKED EAST BACK DOWN THE RAMP. THE PEDESTRIAN THEN WALKED INTO THE TRAFFIC LANES OF WESTBOUND I-80. AFTER NEARLY BEING STRUCK BY A SEMI TRACTOR TRAILER AND AN AUTOMOBILE, THE PEDESTRIAN BECAME PRONE OR NEARLY PRONE NEAR THE CENTERLINE OF THE WESTBOUND LANES OF I-80. IT IS UNCLEAR WHY THE PEDESTRIAN WAS NO LONGER UPRIGHT. VEHICLE #1 WAS WESTBOUND ON I-80 WHEN THEY STRUCK AND RAN OVER THE PEDESTRIAN AS HE WAS PRONE OR NEARLY PRONE IN THE MIDDLE OF THE WESTBOUND LANES. DRIVER #1 STOPPED MOMENTARILY, 1/8 TO 1/4 MILE DOWN THE ROAD AND CHECKED THEIR VEHICLE BUT SEEING NO DAMAGE, CONTINUED ON HIS WAY. DRIVER #1 CLAIMS HE WAS NOT AWARE THAT THE OBJECT HE HAD STRUCK IN THE ROADWAY WAS A PERSON. VEHICLE #2 WAS ALSO WESTBOUND ON I-80 AND DRIVER #2 SAW AN OBJECT LYING IN THE TRAFFIC LANE AHEAD AND ATTEMPTED TO STEER TO THE RIGHT TO AVOID IT. DRIVER #2 THEN RECOGNIZED THAT IT WAS A PERSON LYING IN THE ROAD. THE FRONT LEFT TIRE OF VEHICLE #2 RAN OVER THE LOWER LEG OF THE BODY AND DRIVER #2 PULLED TO THE LEFT SHOULDER OF THE ROAD AND STOPPED, ATTEMPTED TO RENDER AID TO THE VICTIM, AND REMAINED AT THE SCENE. |
|
Officer
MCCORMICK |
Badge No. 299 |
Time Officer Notified of Accident 00:03 |
Time Officer Arrived At Scene 00:14 |
Name of Agency P11 |
Date of Report 2/13/2011 |
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