Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
2/25/2011		 Time of Accident
08:36 PM 		County
Dallas - 25		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011013696
Literal Description
EB I-80 110.13 MM 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
415533.6
Y-Coordinate
4599224.
U
N
I
T

1 		Driver's Name - Last
MOULIES		 First
MOHAMED		 Middle
 Suffix
City
ELLENTON		 State
FL - Florida, US		 Zip
342223139
Driver's Age
54		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
FL - Florida, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 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
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
NA		 Transported by:
NA
Insurance Co. Name
FREIGHTPRO CORP
Year
2004		 Make
 Model
COLUMBIA		 Style
SEMI		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
02 - Van/enclosed box		 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
 Most Harmful Event (by vehicle)
12 - Jackknife
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
FREIGHTPRO CORP		 City
WILLOWBROOK		 State
IL - Illinois, US		 Zip
60527
Number of Axles
2		 Gross Vehicle Weight Rating
800000		 Placard #
 Hazardous Materials Released?
2 - No
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)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
12 - Jackknife
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
4		 Type of Roadway Junction/Feature
02 - Bridge/overpass/underpass		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 LOST CONTROL AND JACK-KNIFED ON I-80 EASTBOUND @ HWY 169 BRIDGE.
Officer
BOHLEN 		Badge No.
467		 Time Officer Notified of Accident
20:36		 Time Officer Arrived At Scene
21:05
Name of Agency
P01		 Date of Report
2/25/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011