U
N
I
T
1
|
Driver's Name - Last
PORTH |
First
ANGELA |
Middle
NICHOLE |
Suffix
|
City
STOCKTON |
State
IA - Iowa, US |
Zip
52769 |
Driver's Age
23 |
Citation Charge Code 1
321.288 |
Citation Charge 1
FAILURE TO MAINTAIN CONTROL |
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
S - SR Required |
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
2 - Incapacitating |
Occupant Protection
2 - Shoulder and lap belt used |
Airbag Deployment
5 - Not deployed |
Airbag Switch Status
3 - No ON/OFF switch present |
Ejection
3 - Totally ejected |
Ejection Path
|
Trapped
1 - Not trapped |
Transported to:
GENESIS EAST |
Transported by:
MEDIC EMS |
Insurance Co. Name
|
Year
1998 |
Make
Pontiac - PONT |
Model
GRA |
Style
4D |
Approximate Cost to Repair or Replace
7000 |
Initial Travel Direction
1 - North |
Vehicle Action
01 - Movement essentially straight |
Speed Limit
55 |
Point of Initial Impact
05 - Rear |
Most Damaged Area
05 - Rear |
Extent of Damage
5 - Severe, vehicle totaled |
Underride/Override
1 - None |
Total Occupants
1 |
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
04 - Crossed centerline/median |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle)
04 - Crossed centerline/median |
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
BRODERSEN |
First
THOMAS |
Middle
NIKOLAI |
Suffix
|
City
WILTON |
State
IA - Iowa, US |
Zip
52778 |
Driver's Age
25 |
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:
N/A |
Transported by:
|
Insurance Co. Name
|
Year
2000 |
Make
General Motors - GMC |
Model
YUK |
Style
SW |
Approximate Cost to Repair or Replace
7000 |
Initial Travel Direction
3 - South |
Vehicle Action
01 - Movement essentially straight |
Speed Limit
55 |
Point of Initial Impact
01 - Front |
Most Damaged Area
01 - Front |
Extent of Damage
4 - Disabling damage |
Underride/Override
1 - None |
Total Occupants
4 |
Traffic Controls
01 - No controls present |
Vehicle Config.
04 - Sport utility vehicle |
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)
05 - Mist |
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
2 - Dusk |
Surface Conditions
3 |
Type of Roadway Junction/Feature
01 - No special feature |
Workers Present?
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last
BRODERSEN |
First
ALEXIS |
Middle
L |
Suffix
|
City
|
State
|
Zip Code
|
Age
23 |
Sex
Female |
Unit No.
2 |
Seating Position
03 - Front: Right Side |
Injury Status
3 - Non-incapacitating |
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
1 - Not ejected/not applicable |
Trapped
1 - Not trapped |
Transported to:
GENESIS EAST |
Transported by:
MEDIC EMS |
| NON-MOTORIST |
Type
|
Location
|
Action
|
Condition
|
Safety Equipment
|
Contributing Circumstances
|
Unit No. of Vehicle Striking
|
D
I
A
G
R
A
M
0 |
 |
| NARRATIVE |
UNIT 1 WAS TRAVELING NORTH ON Y48 AND LOST CONTROL ON THE ICY ROADS. UNIT 1 CAME AROUND THE CURVE AND SPUN AROUND FACING SOUTH IN THE SOUTHBOUND LANES WHILE STILL TRAVELING NORTH. UNIT 2 WAS SOUTH BOUND AND STRUCK UNIT 1 IN THE REAR IN THE SOUTHBOUND LANES. UNIT 1 CAME TO REST IN THE WEST DITCH FACING WEST. UNIT 2 CAME TO REST IN THE ROADWAY FACING NORTHWEST. |
|
Officer
DRECHSLER |
Badge No.
262 |
Time Officer Notified of Accident
17:50 |
Time Officer Arrived At Scene
17:56 |
Name of Agency
P12 |
Date of Report
2/26/2011 |
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