Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
2/22/2011		 Time of Accident
04:55 PM 		County
Webster - 94		 Accident occurred within corporate limits of (city)
Fort Dodge - 2690		 Law Enforcement Case Number:
2011013041
Literal Description
8TH AVE N and N 16TH ST 		Legal Intervention?
No		 Private Property?
Yes
X-Coordinate:
403351.7
Y-Coordinate
4707486.
U
N
I
T

1 		Driver's Name - Last
ALTMAN		 First
JEREMY		 Middle
LEE		 Suffix
City
FORT DODGE		 State
IA - Iowa, US		 Zip
50501
Driver's Age
29		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IA - Iowa, US		 Class
0 - ID		 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
1 - None		 Drug Test Given?
3 - Urine		 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
1 - None 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:
TRINITY REGIONAL HOSPITAL		 Transported by:
UNK
Insurance Co. Name
Year
1998		 Make
Pontiac - PONT		 Model
BON		 Style
4D		 Approximate Cost to Repair or Replace
1500
Initial Travel Direction
4 - West		 Vehicle Action
88 - Other (explain in narrative)		 Speed Limit
25		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
02		 Traffic Controls
01 - No controls present		 Vehicle Config.
01 - Passenger car		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
8 - Other (explain in narrative)		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
02 - Ran off road, straight		 Second Event
13 - Other non-collision		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
42 - Other fixed object (explain in narrative)
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
FENCE		 Estimate of Damage
120
Owner's Name - Last
MARTINSON		 First
PHILLIP		 Middle
 Suffix
Owner Company Name
City
FORT DODGE		 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)
02 - Partly cloudy		 Environment
1 - None apparent		 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
1		 Type of Roadway Junction/Feature
12 - T - intersection		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT ONE WAS TRYING TO ELUDE THE FORT DODGE POLICE WHEN THE VEHICLE SKIDDED TO A STOP AT A T-INTERSECTION STRIKING A FENCE.
Officer
NILES 		Badge No.
158		 Time Officer Notified of Accident
16:55		 Time Officer Arrived At Scene
16:56
Name of Agency
P07		 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 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218