Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/3/2011		 Time of Accident
03:54 PM 		County
Marion - 63		 Accident occurred within corporate limits of (city)
Melcher-Dallas - 4937		 Law Enforcement Case Number:
2011014878
Literal Description
2ND ST NW and C ST NW measuring 28 Meters Southwest from Off Roadway/Roadway Not Found 		Legal Intervention?
No		 Private Property?
Yes
X-Coordinate:
479517.7
Y-Coordinate
4564042.
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T

1 		Driver's Name - Last
EGEN		 First
ALEX		 Middle
EDWARD		 Suffix
City
RUSSELL		 State
IA - Iowa, US		 Zip
50238
Driver's Age
22		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
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
9 - Unknown		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
LUCAS CO HOSPITAL		 Transported by:
MERCY AMBULANCE
Insurance Co. Name
Year
1996		 Make
Dodge - DODG		 Model
R250		 Style
PK		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
25		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
02 - Four-tire light truck (pick-up, panel)		 Cargo Body Type
01 - Not applicable		 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
02 - Ran off road, straight		 Second Event
37 - Tree		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
37 - Tree
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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E
If Property other than vehicles damaged explain Object Damaged
GRASS/TREE		 Estimate of Damage
100
Owner's Name - Last
LANGEBARTELS		 First
RANDALL		 Middle
E		 Suffix
Owner Company Name
City
MELCHER		 State
IA - Iowa, US		 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
6 - Outside Trafficway		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
37 - Tree
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
12 - T - intersection		 Workers Present?
D
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M

0
NARRATIVE

THE DRIVER OF UNIT 1 WAS HAVING A MEDICAL ISSUE WHEN UNIT 1 LEFT THE ROADWAY AND ENTERED A YARD. UPON ENTERING THE YARD UNIT 1 STRUCK A TREE.
Officer
KLEIN 		Badge No.
152		 Time Officer Notified of Accident
15:59		 Time Officer Arrived At Scene
16:07
Name of Agency
P02		 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 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653