Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
3/9/2011
Time of Accident
06:55 AM
County
Warren - 91
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011016118
Literal Description
R035 / 10TH AVE
Legal Intervention?
No
Private Property?
No
X-Coordinate:
433946.3
Y-Coordinate
4587369.
U
N
I
T

1
Driver's Name - Last
SIEREN
First
ALFRED
Middle
JOHN
Suffix
City
NORWALK
State
IA - Iowa, US
Zip
502110000
Driver's Age
59
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
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
9 - Unknown
Ejection
1 - Not ejected
Ejection Path
Trapped
1 - Not trapped
Transported to:
Transported by:
Insurance Co. Name
Year
1998
Make
Ford - FORD
Model
F15
Style
3D
Approximate Cost to Repair or Replace
2000
Initial Travel Direction
1 - North
Vehicle Action
09 - Backing
Speed Limit
55
Point of Initial Impact
08 - Left Front
Most Damaged Area
08 - Left Front
Extent of Damage
2 - Minor damage
Underride/Override
1 - None
Total Occupants
01
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
06 - Hillcrest
Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
13 - Other non-collision
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
City
State
Zip
Number of Axles
Gross Vehicle Weight Rating
Placard #
Hazardous Materials Released?
U
N
I
T

2
Driver's Name - Last
HOBART
First
MICHAEL
Middle
EUGENE
Suffix
City
PROLE
State
IA - Iowa, US
Zip
502290000
Driver's Age
48
Citation Charge Code 1
Citation Charge 1
Gender
Male
State
IA - Iowa, US
Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more
Endorsements
N - 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
9 - Unknown
Ejection
1 - Not ejected
Ejection Path
Trapped
1 - Not trapped
Transported to:
Transported by:
Insurance Co. Name
Year
1994
Make
Chevrolet - CHEV
Model
C15
Style
PK
Approximate Cost to Repair or Replace
20000
Initial Travel Direction
1 - North
Vehicle Action
01 - Movement essentially straight
Speed Limit
55
Point of Initial Impact
07 - Left Side
Most Damaged Area
07 - Left Side
Extent of Damage
5 - Severe, vehicle totaled
Underride/Override
1 - None
Total Occupants
01
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
06 - Hillcrest
Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
06 - Evasive action (swerve, panic braking, etc.)
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
City
State
Zip
Number of Axles
Gross Vehicle Weight Rating
Placard #
Hazardous Materials Released?
P
R
O
P
E
R
T
Y

D
A
M
A
G
E
If Property other than vehicles damaged explain Object Damaged
NONE
Estimate of Damage
Owner's Name - Last
First
Middle
Suffix
Owner Company Name
City
State
Zip
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)
03 - Cloudy
Environment
7 - Previous accident
Location
First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
6 - Sideswipe, same direction
Roadway
02 - Road surface condition
Type
Light Conditions
1 - Daylight
Surface Conditions
5
Type of Roadway Junction/Feature
01 - No special feature
Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UPON MY ARRIVAL AT THE ACCIDENT SCENE I OBSERVED A WHITE 4DR VEHICLE ON THE EAST SHOULDER WITH A ONE SINGLE OCCUPANT. A FEMALE DRIVER. THERE WAS ALSO A PICKUP TRUCK AT THE CREST OF THE HILL PROVIDING TRAFFIC CONTROL. NEITHER VEHICLE WERE INVOLVED IN THE SECOND ACCIDENT. I ALSO OBSERVED VEHICLE LABLED AS VEHICLE ONE IN THE WEST DITCH WITH DAMAGE TO THE PASSENGER SIDE REAR QUARTER PANEL. THE NEXT VEHICLE THAT I OBSERVED WAS A VEHICLE I LABELED VEHICLE NUMBER TWO. IT HAD DAMAGE TO THE ENTIRE DRIVER SIDE. FROM STATEMENT MADE BY ALL PARTY'S AT THE SCENE THE NON CONTACT VEHICLE HAD SPUN OUT ON THE ICE ROADS AND ENDED UP IN THE EAST DITCH WITH THE REAR END PARTIALLY ON THE TRAVEL PORTION OF THE ROADWAY. VEHICLE ONE HAD STOPPED ON THE ROADWAY AND WAS IN THE PROCESS OF BACKING UP TO THE NON CONTACT VEHICLE WHEN VEHICLE TWO CAME OVER THE HILL CREST. VEHICLE TWO ATTEMPTED TO STOP. VEHICLE TWO WAS TRAVELING TO FAST FOR CONDITIONS AND WAS UN ABLE TO STOP SO THE DRIVER ATTEMPTED TO PASS BETWEEN THE NON-CONTACT VEHICLE AND VEHICLE ONE. CONTACT WAS MADE BETWEEN VEHICLE ONE AND VEHICLE TWO. VEHICLE ONE ENDED UP IN THE WEST DITCH WHILE VEHICLE TWO WAS ABLE TO DRIVE ONTO THE SHOULDER BEFORE COMING TO A STOP. BOTH VEHICLES WERE IN VIOLATION. VEHICLE ONE WAS IN VIOLATION OF UNSAFE BACKING WHILE VEHICLE TWO FAILED TO MAINTAIN CONTROL OF HIS VEHICLE.
Officer
EYBERG
Badge No.
024
Time Officer Notified of Accident
06:55
Time Officer Arrived At Scene
07:30
Name of Agency
P02
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 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653