U
N
I
T
1
|
Driver's Name - Last COOPER |
First LAWRENCE |
Middle ADAMS |
Suffix
|
City WARSAW |
State MO - Missouri, US |
Zip 65355 |
Driver's Age 28 |
Citation Charge Code 1 321.306 |
Citation Charge 1 IMPROPER USE OF LANES |
Gender Male |
State MO - Missouri, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements X - Hazmat & Tank |
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:
|
Transported by:
|
Insurance Co. Name COOPER TRUCKING |
Year 2006 |
Make International - INTL |
Model TR |
Style TR |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 04 - Right Rear |
Most Damaged Area 04 - Right Rear |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 09 - Tractor/semi-trailer |
Cargo Body Type 04 - Cargo tank |
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 01 - Ran off road, right |
Second Event 23 - Parked motor vehicle |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 23 - Parked motor vehicle |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name COOPER TRUCKING |
City WARSAW |
State MO - Missouri, US |
Zip 65355 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard # 12633 |
Hazardous Materials Released? 2 - No |
U
N
I
T
2
|
Driver's Name - Last
|
First
|
Middle
|
Suffix
|
City
|
State
|
Zip
|
Driver's Age
|
Citation Charge Code 1
|
Citation Charge 1
|
Gender
|
State
|
Class
|
Endorsements None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given?
|
Drug Test Given?
|
Citation Charge Code 3
|
Citation Charge 3
|
Citation Charge Code 4
|
Citation Charge 4
|
Seating Position
|
Injury Status
|
Occupant Protection
|
Airbag Deployment
|
Airbag Switch Status
|
Ejection
|
Ejection Path
|
Trapped
|
Transported to:
|
Transported by:
|
Insurance Co. Name BRAINERD RECREATIONAL SUPPLY INC |
Year 2000 |
Make Volvo - VOLV |
Model TR |
Style TR |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 4 - West |
Vehicle Action 13 - Illegally Parked/unattended |
Speed Limit 70 |
Point of Initial Impact 05 - Rear |
Most Damaged Area 05 - Rear |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 07 - Truck/trailer |
Cargo Body Type 05 - Flatbed |
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 23 - Parked motor vehicle |
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 BRAINERD RECREATIONAL SUPPLY INC |
City BRAINERD |
State MN - Minnesota, US |
Zip 56401 |
Number of Axles 5 |
Gross Vehicle Weight Rating 63000 |
Placard #
|
Hazardous Materials Released? 3 - Not applicable |
| 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) 23 - Parked motor vehicle |
Manner of Crash/Collision 6 - Sideswipe, same direction |
Roadway 01 - None apparent |
Type
|
Light Conditions 5 - Dark, roadway not lighted |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
VEHICLE 1 WAS WESTBOUND ON I-80. VEHICLE 2 WAS ILLEGAL PARKED BUT COMPLETELY OFF THE TRAVELLED PORTION OF THE ROADWAY ON THE SHOULDER AT THE 53.8 MM OF WESTBOUND I-80. AS VEHICLE 1 APPROACHED VEHICLE 2, VEHICLE 1 CROSSED OUT OF IT LANE AND ONTO THE SHOULDER STIKING THE REAR OF VEHICLE 2. DRIVER OF VEHICLE 1 WAS CITED FOR IMPROPER USE OF LANES AND A WARNING FOR FAILURE TO MAINTAIN CONTROL. THE OPERATOR OF VEHICLE 2 WAS IN HIS CAB RETRIEVING A BOTTLE OF WATER. THIS WAS NOT AN EMERGENCY NOR DIRE NECCESSITY REASON TO STOP AND PARK. OPERATOR OF VEHICLE 2 WAS CITED FOR IMPROPER USE OF CONTROLLED ACCESS FACILITY. VEHICLE 1 SUSTAINED FUNCTIONAL DAMAGE TO BOTH THE TRACTOR AND TRAILER. VEHICLE 2 SUSTAINED MINOR DAMAGE. VEHICLE 2 OPERATOR INFO: FREDERICK WILLIAM SHEFFIELD JR. D.L. # E055068605410 (MN) |
|
Officer
BULLINGTON |
Badge No. 253 |
Time Officer Notified of Accident 22:50 |
Time Officer Arrived At Scene 23:29 |
Name of Agency P03 |
Date of Report 3/3/2011 |
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