Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
2/22/2011		 Time of Accident
09:30 AM 		County
Fayette - 33		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011012960
Literal Description
W033 / K AVE 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
597897.4
Y-Coordinate
4731231.
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1 		Driver's Name - Last
HOLMES		 First
CEE ANNE		 Middle
GEAN		 Suffix
City
OELWEIN		 State
IA - Iowa, US		 Zip
506620000
Driver's Age
18		 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

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
5 - Uninjured		 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:
 Transported by:
Insurance Co. Name
Year
2000		 Make
Mercury - MERC		 Model
MYSTIQUE		 Style
4D		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
01		 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
01 - Ran off road, right		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
11 - Overturn/rollover		 Most Harmful Event (by vehicle)
11 - Overturn/rollover
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)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE #1 WAS NORTHBOUND ON W33 WHEN THE DRIVER LOST CONTROL OF THE VEHICLE CAUSING THE VEHICLE TO DRIVE INTO THE WEST SIDE DITCH AND ROLL. VEHICLE CAME TO REST ON IT'S TOP.
Officer
YAUK 		Badge No.
494		 Time Officer Notified of Accident
09:35		 Time Officer Arrived At Scene
09:49
Name of Agency
P10		 Date of Report
2/22/2011		 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