Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/1/2011		 Time of Accident
01:05 PM 		County
Monroe - 68		 Accident occurred within corporate limits of (city)
Lovilia - 4545		 Law Enforcement Case Number:
2011014492
Literal Description
INTERSECTION OF IOWA 5 AND W 19TH ST AND E 19TH ST IN LOVILIA 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
507826.3
Y-Coordinate
4553849.
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1 		Driver's Name - Last
SCHIPPERS		 First
KEITH		 Middle
EDWARD		 Suffix
City
ALBIA		 State
IA - Iowa, US		 Zip
52531
Driver's Age
65		 Citation Charge Code 1
321.320		 Citation Charge 1
FAIL TO YIELD UPON LEFT TURN
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
1 - None 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:
 Transported by:
Insurance Co. Name
Year
1990		 Make
 Model
3155		 Style
FRONT ASSIST		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
1 - North		 Vehicle Action
02 - Turning left		 Speed Limit
45		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
02 - Right Front		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
20 - Farm vehicle/equipment		 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?
U
N
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2 		Driver's Name - Last
ALVARADO		 First
MATILDA		 Middle
 Suffix
City
OTTUMWA		 State
IA - Iowa, US		 Zip
525010000
Driver's Age
56		 Citation Charge Code 1
 Citation Charge 1
Gender
Female		 State
IA - Iowa, US		 Class
D - Chauffeur		 Endorsements
3 - Pass Veh less than 16 Pass Design		 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
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
MONROE CO HOSPITAL		 Transported by:
MCH AMBUALANCE
Insurance Co. Name
Year
2003		 Make
Toyota - TOYT		 Model
COROLLA		 Style
4D		 Approximate Cost to Repair or Replace
8000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
45		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
4		 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)
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
4 - Angle, oncoming left turn		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
11 - Four-way intersection		 Workers Present?
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D 		Name- Last
RITCHIE		 First
JENNIFER		 Middle
L		 Suffix
City
 State
 Zip Code
Age
53		 Sex
Female		 Unit No.
2		 Seating Position
03 - Front: Right Side		 Injury Status
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MONROE COUNTY HOSPITAL		 Transported by:
MCH AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
VANHAARLEM		 First
TAREK		 Middle
 Suffix
City
 State
 Zip Code
Age
2		 Sex
Male		 Unit No.
2		 Seating Position
07 - Rear: Left Side		 Injury Status
4 - Possible		 Occupant Protection
5 - Child safety seat used		 Airbag Deployment
6 - Not applicable		 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:
MONROE COUNTY HOSPITAL		 Transported by:
MCH AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
FLORES		 First
JENNIFER		 Middle
RITCHIE		 Suffix
City
 State
 Zip Code
Age
34		 Sex
Male		 Unit No.
2		 Seating Position
09 - Rear: Right Side		 Injury Status
4 - Possible		 Occupant Protection
9 - Unknown		 Airbag Deployment
6 - Not applicable		 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:
MONROE COUNTY HOSPITAL		 Transported by:
MCH AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
D
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NARRATIVE

UNIT 1 WAS TRAVELING NORTHBOUND ON HIGHWAY 5 IN HIS JOHN DEER TRACTOR TOWING HAY TRAILER. THE OPERATOR OF UNIT 1 STATED THAT HE MADE A LEFT TURN ON WEST 19TH STREET IN LOVILIA FROM HIGHWAY 5. THE OPERATOR OF UNIT 1 STATED THAT HE DIDN'T SEE UNIT 2 TRAVELING SOUTHBOUND ON HIGHWAY 5. THE OPERATOR OF UNIT 2 ATTEMPTED TO BRAKE TO AVOID COLLISION BUT WAS UNABLE TO STOP. UNIT 2 COLLIDED WITH UNIT 1'S RIGHT FRONT WHEEL CAUSING DAMAGE TO UNIT 1'S TIRE AND SEVERE FRONT END DAMAGE TO UNIT 2.
Officer
STRUECKER 		Badge No.
304		 Time Officer Notified of Accident
13:13		 Time Officer Arrived At Scene
13:17
Name of Agency
P02		 Date of Report
3/1/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653