Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
3/5/2011
Time of Accident
11:08 AM
County
Jasper - 50
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011015167
Literal Description
HWY 163 AT CR F-62
Legal Intervention?
No
Private Property?
No
X-Coordinate:
484965.2
Y-Coordinate
4603135.
U
N
I
T

1
Driver's Name - Last
CLARK
First
JACOB
Middle
SETH
Suffix
City
PRAIRIE CITY
State
IA - Iowa, US
Zip
50228
Driver's Age
32
Citation Charge Code 1
321.321
Citation Charge 1
FAIL TO YIELD UPON ENTERING THROUGH HIGHWAY
Gender
Male
State
IA - Iowa, US
Class
D - Chauffeur
Endorsements
2 - Veh w/16001 GVWR or more, Not Vid for Trk-Trctr Semitrailer Comb
Restrictions

B - Cor Lenses
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:
REFUSED
Transported by:
Insurance Co. Name
Year
1995
Make
Ford - FORD
Model
F250
Style
TRUCK
Approximate Cost to Repair or Replace
1000
Initial Travel Direction
3 - South
Vehicle Action
01 - Movement essentially straight
Speed Limit
55
Point of Initial Impact
04 - Right Rear
Most Damaged Area
04 - Right Rear
Extent of Damage
2 - Minor damage
Underride/Override
1 - None
Total Occupants
01
Traffic Controls
05 - Yield signs
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
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
PIERSON
First
WAYNE
Middle
ALLAN
Suffix
City
ANKENY
State
IA - Iowa, US
Zip
500210000
Driver's Age
61
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:
REFUSED
Transported by:
Insurance Co. Name
Year
1997
Make
Honda - HOND
Model
CIV
Style
4D
Approximate Cost to Repair or Replace
5000
Initial Travel Direction
2 - East
Vehicle Action
01 - Movement essentially straight
Speed Limit
65
Point of Initial Impact
01 - Front
Most Damaged Area
01 - Front
Extent of Damage
4 - Disabling 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
06 - Evasive action (swerve, panic braking, etc.)
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)
02 - Partly cloudy
Environment
1 - None apparent
Location
First Harmful Event of Crash (use codes 11-42 only)
22 - Vehicle in/from other roadway
Manner of Crash/Collision
5 - Broadside
Roadway
01 - None apparent
Type
Light Conditions
1 - Daylight
Surface Conditions
1
Type of Roadway Junction/Feature
22 - Other intersection
Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 WAS SOUTHBOUND CR F-62 CROSSING HWY 163 FROM A YIELD SIGN WHEN HE FAILED TO YIELD TO UNIT 2 WHO WAS EASTBOUND ON HWY 163. UNIT 2 BRAKED SHARPLY TO AVOID UNIT 1, BUT WAS UNABLE TO DO SO.
Officer
EHLER
Badge No.
212
Time Officer Notified of Accident
11:10
Time Officer Arrived At Scene
11:35
Name of Agency
P01
Date of Report
3/5/2011
Investigation made at scene?
Yes
T.I. #



Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011