Crash Information

L O C A T I O N	Date of Accident 2/22/2011	Time of Accident 06:30 AM	County Mills - 65	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011012931
	Literal Description NB I-29 MM 41.05				Legal Intervention? No	Private Property? No
					X-Coordinate: 263000.2
					Y-Coordinate 4556306.

U N I T 1	Driver's Name - Last HILL			First TEMA			Middle E		Suffix
	City COUNCIL BLUFFS			State IA - Iowa, US				Zip 51501
	Driver's Age 34					Citation Charge Code 1 321.218		Citation Charge 1 DRIVING WHILE LICENSE DENIED,SUSP,CANCELLED OR REVOKED
	Gender Female	State NE - Nebraska, US	Class	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 4 - Possible	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 Chevrolet - CHEV		Model VENTURE		Style SUV		Approximate Cost to Repair or Replace 10000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 01 - Front	Most Damaged Area 09 - Top	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 9 - Unknown
	Total Occupants 4	Traffic Controls 01 - No controls present	Vehicle Config. 04 - Sport utility vehicle	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 5 - Asleep, fainted, fatigued, etc	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 03 - Ran off road, left	Second Event 11 - Overturn/rollover	Third Event	Fourth Event	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 3 - Median	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	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 3 - Dawn	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
E
R
S
O
N

I
N
J
U
R
E
D

Name- Last
MORRIS

First
JOSEPH

Middle

Suffix

City

State

Zip Code

Age
6

Sex
Male

Unit No.
1

Seating Position
07 - Rear: Left Side

Injury Status
2 - 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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
UNMC

Transported by:
PJ RESCUE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE #1 WAS TRAVELING NORTH ON INTERSTSTE 29 IN MILLS COUNTY AT THE 41 MILEMARKER. VEHICLE #1 RAN OFF THE ROAD, WENT DOWN INTO THE MEDIAN AND ROLLED OVER. VEHICLE #1 CAME TO REST ON ITS TOP IN THE SOUTHBOUND LANE BLOCKING TRAFFIC. THERE WERE 4 PASSENGERS IN THE VEHICLE. A YOUNG BOY IN THE REAR SEAT OF THE VEHICLE WAS INJURED AND TRANSPORTED TO OMAHA NE.

Officer MILLER	Badge No. 199	Time Officer Notified of Accident 06:40	Time Officer Arrived At Scene 06:50
Name of Agency P03	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 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504