Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/2/2011		 Time of Accident
07:16 AM 		County
Winneshiek - 96		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011014595
Literal Description
295TH AVE and Chi Mil St Paul and Pac RR 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
582726.1
Y-Coordinate
4776212.
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1 		Driver's Name - Last
BLAESS		 First
JORDAN		 Middle
MICHAEL		 Suffix
City
SPILLVILLE		 State
IA - Iowa, US		 Zip
52168
Driver's Age
17		 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
4 - Possible		 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:
WMC		 Transported by:
WMC AMBULANCE
Insurance Co. Name
Year
1986		 Make
Chevrolet - CHEV		 Model
CK		 Style
PICKUP		 Approximate Cost to Repair or Replace
2000
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
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
09 - Railway crossing device		 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
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
24 - Railway vehicle/train		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
24 - Railway vehicle/train
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?
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Y

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If Property other than vehicles damaged explain Object Damaged
TRAIN		 Estimate of Damage
2000
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
CANADIAN PACIFIC RAILROAD
City
MASON CITY		 State
IA - Iowa, US		 Zip
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)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
03 - Railroad crossing		 Workers Present?
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0
NARRATIVE

Driver of vehicle #1 was travelling southbound on 295th Ave., North of Hwy. 24. Driver of vehicle #1 failed to see a westbound train in enough time to get stopped. Driver of vehicle #1 collided with the train. The vehicle rolled and came to rest in the West ditch.
Officer
EUANS 		Badge No.
346		 Time Officer Notified of Accident
07:22		 Time Officer Arrived At Scene
07:27
Name of Agency
P10		 Date of Report
3/2/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046