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
10:40 AM 		County
Clayton - 22		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011012605
Literal Description
US 0018 / US 18 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
639399.3
Y-Coordinate
4762939.
U
N
I
T

1 		Driver's Name - Last
HEIM		 First
JESSICA		 Middle
M		 Suffix
City
PRAIRIE DU CHIEN		 State
WI - Wisconsin, US		 Zip
538212808
Driver's Age
19		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Female		 State
WI - Wisconsin, US		 Class
D - Chauffeur		 Endorsements
None		 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
3 - Non-incapacitating		 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:
PRAIRIE DU CHIEN HOSPITAL		 Transported by:
MAR MAC AMBULANCE
Insurance Co. Name
Year
1999		 Make
Chevrolet - CHEV		 Model
MONTE CARLO		 Style
2DR		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
09 - Top		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
06 - No Passing Zone (marked)		 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
01 - Ran off road, right		 Second Event
33 - Ditch/embankment		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
01 - Ran off road, right
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)
06 - Rain		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
33 - Ditch/embankment
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

VEHICLE #1 WAS TRAVELING EASTBOUND ON HWY 18 AND GIARD. THE WEATHER CONDITIONS WERE RAIN AND ROADWAYS WERE WET. VEHICLE #1 LOST CONTROL IN THE EASTBOUND LANE AND ENTERED THE SOUTH DITCH STRIKING A SNOW BANK BEFORE ROLLING ONTO ITS TOP. VEHICLE #1 CAME TO REST ON ITS TOP FACING NORTHBOUND.
Officer
SOLBERG 		Badge No.
135		 Time Officer Notified of Accident
10:45		 Time Officer Arrived At Scene
10:50
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