Crash Information

L O C A T I O N	Date of Accident 2/27/2011	Time of Accident 03:54 PM	County Scott - 82	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011014159
	Literal Description HWY 61 SB MM 125				Legal Intervention? No	Private Property? No
					X-Coordinate: 702850.1
					Y-Coordinate 4610505.

U N I T 1	Driver's Name - Last WATERS			First DALE			Middle EUGENE		Suffix
	City ELDRIDGE			State IA - Iowa, US				Zip 527480000
	Driver's Age 60					Citation Charge Code 1 321.321		Citation Charge 1 FAIL TO YIELD UPON ENTERING THROUGH HIGHWAY
	Gender Male	State IA - Iowa, US	Class B - Veh w/26001 GVWR or more Towed unit is less than 10001 GVWR	Endorsements	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 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 1996		Make Buick - BUIC		Model LES		Style 4D		Approximate Cost to Repair or Replace 100
	Initial Travel Direction 3 - South	Vehicle Action 07 - Entering traffic lane (merging)	Speed Limit 65	Point of Initial Impact 06 - Left Rear	Most Damaged Area 06 - Left Rear	Extent of Damage 2 - Minor damage	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 22 - Vehicle in/from other roadway	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 22 - Vehicle in/from other roadway
	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 LARSON			First NICHOLAS			Middle SCOTT		Suffix
	City DAVENPORT			State IA - Iowa, US				Zip 52802
	Driver's Age 22					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 1 - Switch in ON position		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2003		Make Ford - FORD		Model FOCUS		Style 4 DOOR		Approximate Cost to Repair or Replace 3000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 65	Point of Initial Impact 02 - Right Front	Most Damaged Area 05 - Rear	Extent of Damage 3 - Functional damage	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 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	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 2	Type of Roadway Junction/Feature 17 - On-ramp merge area	Workers Present?

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NARRATIVE

UNIT #1 WAS MERGING ONTO SOUTH BOUND HIGHWAY 61. UNIT #2 WAS SOUTH BOUND ON HIGHWAY 61 IN THE RIGHT HAND LANE. UNIT #2 MADE CONTACT WITH THE REAR OF UNIT #1.

Officer HANK	Badge No. 123	Time Officer Notified of Accident 15:51	Time Officer Arrived At Scene 16:00
Name of Agency P12	Date of Report 2/27/2011	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