U
N
I
T
1
|
Driver's Name - Last PORTER |
First MARK |
Middle S |
Suffix
|
City OMAHA |
State IA - Iowa, US |
Zip 68127 |
Driver's Age 59 |
Citation Charge Code 1 321.445 |
Citation Charge 1 FAIL TO WEAR/MAINTAIN SAFETY BELTS |
Gender Male |
State NE - Nebraska, US |
Class
|
Endorsements None |
Restrictions
None |
Citation Charge Code 2 321.284 |
Citation Charge 2 OPEN CONTAINER - DRIVER 21 AND OVER |
Alcohol Test Given? 1 - None |
Drug Test Given? 1 - None |
Citation Charge Code 3 321.288 |
Citation Charge 3 FAIL TO MAINTAIN CONTROL |
Citation Charge Code 4
|
Citation Charge 4
|
Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 3 - Non-incapacitating |
Occupant Protection 1 - None used |
Airbag Deployment 3 - Deployed both front/side |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: UNMC |
Transported by: COUNCIL BLUFFS RESCUE |
Insurance Co. Name
|
Year 2008 |
Make Toyota - TOYT |
Model YARIS |
Style 2DR |
Approximate Cost to Repair or Replace 12000 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 07 - Left Side |
Most Damaged Area 07 - Left Side |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 01 |
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 03 - Ran off road, left |
Second Event 04 - Crossed centerline/median |
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 LIVENGOOD |
First LYNDSEY |
Middle RENEE |
Suffix
|
City MISSOURI VALLEY |
State IA - Iowa, US |
Zip 515550000 |
Driver's Age 29 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Female |
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 4 - Possible |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 3 - Deployed both front/side |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: REFUSED |
Transported by: CRESCENT |
Insurance Co. Name
|
Year 2004 |
Make Mazda - MAZD |
Model MZ6 |
Style 4D |
Approximate Cost to Repair or Replace 12000 |
Initial Travel Direction 1 - North |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
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. 01 - Passenger car |
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 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
|
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) 08 - Snow |
Environment 2 - Weather condition |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 2 - Head-on |
Roadway 02 - Road surface condition |
Type
|
Light Conditions 5 - Dark, roadway not lighted |
Surface Conditions 4 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
Vehicle #1 was traveling SB on I-29, coming from Dunlap, IA. Vehicle #2 wastraveling NB on I-29, coming from Omaha, NE. Vehicle #2 lost control of his vehicle in the snow and crossed the median. Vehicle #1 then struck Vehicle #2 in the right lane of I-29 NB. Both vehicles come to rest in the NB lanes of I-29. Vehicle #2 was unable to avoid Vehicle #1. Driver #1 stated that he was unsure of what happen. Alcohol was involved, PBT should that Driver #1 was under .08. |
|
Officer
BARDSLEY |
Badge No. 037 |
Time Officer Notified of Accident 17:59 |
Time Officer Arrived At Scene 18:02 |
Name of Agency P03 |
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 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504