U
N
I
T
1
|
Driver's Name - Last WARD |
First LARRY |
Middle JOHN |
Suffix
|
City MEDIAPOLIS |
State IA - Iowa, US |
Zip 526370000 |
Driver's Age 55 |
Citation Charge Code 1 321.288 |
Citation Charge 1 FAIL TO MAINTAIN CONTROL |
Gender Male |
State IA - Iowa, 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: NOT TRANSPORTED |
Transported by:
|
Insurance Co. Name
|
Year 2006 |
Make
|
Model SEMI |
Style SEMI |
Approximate Cost to Repair or Replace 5500 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 03 - Right Side |
Most Damaged Area 03 - Right Side |
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 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 1 - Apparently normal |
Vision Obscured 88 - Other (explain in narrative) |
Contributing Circumstances, Driver (up to 2)
|
| SEQUENCE OF EVENTS |
First Event 21 - Vehicle in traffic |
Second Event
|
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
|
City
|
State
|
Zip
|
Number of Axles
|
Gross Vehicle Weight Rating
|
Placard #
|
Hazardous Materials Released?
|
U
N
I
T
2
|
Driver's Name - Last PONTIER |
First FRANK |
Middle ANTHONY |
Suffix
|
City OSCEOLA |
State IA - Iowa, US |
Zip 502130000 |
Driver's Age 81 |
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
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: NOT TRANSPORTED |
Transported by:
|
Insurance Co. Name
|
Year 1995 |
Make Chevrolet - CHEV |
Model C1500 |
Style PK |
Approximate Cost to Repair or Replace 4500 |
Initial Travel Direction 2 - East |
Vehicle Action 02 - Turning left |
Speed Limit 55 |
Point of Initial Impact 07 - Left Side |
Most Damaged Area 07 - Left Side |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
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 21 - Vehicle in traffic |
Second Event
|
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
|
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) 21 - Vehicle in traffic |
Manner of Crash/Collision 6 - Sideswipe, same direction |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 2 |
Type of Roadway Junction/Feature 12 - T - intersection |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
UNIT ONE WAS EASTBOUND ON HIGHWAY 34 @ 297TH AVE WHEN A WESTBOUND SEMI THROW SNOW AND SLUSH ON TO THE WINDSHIELD OF UNIT ONE RESTRICTING THE VISION OF THE DRIVER. UNIT ONE THEN CAME OVER THE TOP OF A HILL WHERE UNIT TWO HAD SLOWED TO MAKE A LEFT TURN ON TO 297TH AVE. UNIT ONE THEN COLLIDED WITH UNIT TWO AS THE DRIVER OF UNIT ONE SWERVED LEFT TO AVOID A COLLISION. THE TRAILER, IA PLATED RW4048 IS WHAT MADE CONTACT WITH UNIT TWO. BOTH DRIVERS REFUSED MEDICAL TREATMENT. UNIT TWO REQUIRED A TOW OUT OF THE DITCH BUT WAS OPERATIONAL AFTER REMOVED FROM THE DITCH. |
|
Officer
OSSIAN |
Badge No. 160 |
Time Officer Notified of Accident 07:45 |
Time Officer Arrived At Scene 07:50 |
Name of Agency P02 |
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 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653