Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
2/20/2011
Time of Accident
08:15 AM
County
Dubuque - 31
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011012584
Literal Description
Iowa 0136 / IOWA 136
Legal Intervention?
No
Private Property?
No
X-Coordinate:
658599.3
Y-Coordinate
4688285.
U
N
I
T

1
Driver's Name - Last
BEAN
First
DOUGLAS
Middle
RAY
Suffix
City
SCOTCH GROVE
State
IA - Iowa, US
Zip
52310
Driver's Age
42
Citation Charge Code 1
321.288
Citation Charge 1
FAILURE TO MAINTAIN CONTROL
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
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
1 - Switch in ON position
Ejection
1 - Not ejected
Ejection Path
Trapped
1 - Not trapped
Transported to:
Transported by:
Insurance Co. Name
Year
2008
Make
Ford - FORD
Model
F25
Style
PK
Approximate Cost to Repair or Replace
5000
Initial Travel Direction
3 - South
Vehicle Action
01 - Movement essentially straight
Speed Limit
55
Point of Initial Impact
04 - Right Rear
Most Damaged Area
04 - Right Rear
Extent of Damage
3 - Functional damage
Underride/Override
1 - None
Total Occupants
2
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
01 - Ran off road, right
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?
P
R
O
P
E
R
T
Y

D
A
M
A
G
E
If Property other than vehicles damaged explain Object Damaged
SOD IN YARD
Estimate of Damage
100
Owner's Name - Last
KREMER
First
ROBERT
Middle
Suffix
Owner Company Name
City
CASCADE
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)
07 - Sleet, hail, freezing rain
Environment
2 - Weather condition
Location
First Harmful Event of Crash (use codes 11-42 only)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision
Roadway
01 - None apparent
Type
Light Conditions
1 - Daylight
Surface Conditions
5
Type of Roadway Junction/Feature
01 - No special feature
Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

#1 WAS SOUTH BOUND ON HWY 136. #1 LOST CONTROLAND WENT OFF ON THE RIGHT SIDE OF THE ROAD HITTING A UTILITY POLE IN THE YARD OF 2449 HWY 136 N.
Officer
DAUSENER
Badge No.
144
Time Officer Notified of Accident
08:20
Time Officer Arrived At Scene
08:40
Name of Agency
P10
Date of Report
2/20/2011
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