Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/8/2011		 Time of Accident
11:56 PM 		County
Story - 85		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011016087
Literal Description
SB/WB Interstate 0035 (Milepost 107) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452766.3
Y-Coordinate
4643119.
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1 		Driver's Name - Last
MCVICKER		 First
ADAM		 Middle
KENT		 Suffix
City
SHERRILL		 State
IA - Iowa, US		 Zip
52073
Driver's Age
26		 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
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
3 - Extricated by mechanical means
Transported to:
METHODIST HOSPITAL		 Transported by:
MARY GREELEY AMBULANCE
Insurance Co. Name
Year
2003		 Make
Chevrolet - CHEV		 Model
S10		 Style
PK		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
4 - Disabling 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
1 - Apparently normal		 Vision Obscured
88 - Other (explain in narrative)		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
13 - Other non-collision		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
01 - Ran off road, right
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)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT 1 WAS SOUTH BOUND ON I-35 NEAR MILE MARKER 107. THE DRIVER OF UNIT 1 STATED AN UNIDENTIFIED SEMI (WHITE WITH LOTS OF LIGHTS) PASSED UNIT 1 SPRAYING SNOW/SLUSH MIXTURE ONTO THE WINDSHIELD. THE DRIVER OF UNIT 1 THEN LOST VISIBILITY AND HIS VEHICLE LEFT THE ROADWAY, COMING TO REST IN THE WEST DITCH OF I-35 NEAR THE 106.9 MILE-MARKER. UNIT 1 RECEIVED DISABLING DAMAGE. UNIT 1 DRIVER SUSTAINED SEVERE INJURIES AND WAS TRANSPORTED TO METHODIST HOSPITAL IN DES MOINES FOR MEDICAL ATTENTION FOR INJURIES RECEIVED DURING THE CRASH..
Officer
UNDERWOOD 		Badge No.
527		 Time Officer Notified of Accident
23:56		 Time Officer Arrived At Scene
00:07
Name of Agency
P01		 Date of Report
3/9/2011		 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