Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
2/22/2011		 Time of Accident
03:25 PM 		County
Jackson - 49		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011013049
Literal Description
NB/EB US 0061 / US 61 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
691639.7
Y-Coordinate
4676792.
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1 		Driver's Name - Last
RAZIC		 First
ESO		 Middle
 Suffix
City
DUBUQUE		 State
IA - Iowa, US		 Zip
52001
Driver's Age
44		 Citation Charge Code 1
321.285		 Citation Charge 1
FAILURE TO STOP IN AN ASSURED CLEAR DISTANCE
Gender
Male		 State
IA - Iowa, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
T - Dbl/Trpl Trlr		 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
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL DUBUQUE		 Transported by:
MAQUOKETA AMBULANCE
Insurance Co. Name
HIRSCHBACH MOTOR LINES INC.
Year
2011		 Make
 Model
CONVENTIONAL		 Style
SEMI		 Approximate Cost to Repair or Replace
100000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
01		 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
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
21 - Vehicle in traffic		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
21 - Vehicle in traffic
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
HIRSCHBACH MOTOR LINES INC.		 City
SOUTH SIOUX CITY		 State
NE - Nebraska, US		 Zip
687762653
Number of Axles
5		 Gross Vehicle Weight Rating
46000		 Placard #
 Hazardous Materials Released?
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2 		Driver's Name - Last
RAUSCH		 First
KASEY		 Middle
FRANCIS		 Suffix
City
DURANGO		 State
IA - Iowa, US		 Zip
52039
Driver's Age
20		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 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

B - Cor Lenses		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
4 - Breath		 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:
MERCY HOSPITAL DUBUQUE		 Transported by:
MAQUOKETA AMBULANCE
Insurance Co. Name
SIMON, BRIAN LARRY
Year
2006		 Make
Chevrolet - CHEV		 Model
G3500 EXPRESS		 Style
VAN		 Approximate Cost to Repair or Replace
20000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
02		 Traffic Controls
01 - No controls present		 Vehicle Config.
07 - Truck/trailer		 Cargo Body Type
02 - Van/enclosed box		 Vehicle Defect
04 - Blowout		 Driver Condition
1 - Apparently normal		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
21 - Vehicle in traffic		 Second Event
10 - Separation of units		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
21 - Vehicle in traffic
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
SIMON, BRIAN LARRY		 City
DUBUQUE		 State
IA - Iowa, US		 Zip
52001
Number of Axles
4		 Gross Vehicle Weight Rating
10001		 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)
21 - Vehicle in traffic
Manner of Crash/Collision
3 - Rear-end		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

BOTH UNIT #1 AND #2 WERE NORTHBOUND ON HWY.61. UNIT #2 WAS HAVING MECHANICAL PROBLEMS (BLOWN TRAILER TIRE). UNIT #2 WAS SLOWING DOWN. DRIVER OF UNIT #1 STRUCK UNIT #2 FROM BEHIND. AFTER IMPACT UNIT #2 A TRUCK AND TRAILER COMBINATION BECAME DISCONNECTED. THE TRUCK CAME TO REST IN THE DITCH. THE TRAILER CAME TO REST UNDER UNIT #1.
Officer
JAMES 		Badge No.
376		 Time Officer Notified of Accident
15:27		 Time Officer Arrived At Scene
15:34
Name of Agency
P12		 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 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504