Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
3/16/2011
Time of Accident
03:00 PM
County
Dallas - 25
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011017462
Literal Description
PROSPECT AVE AT HWY 6
Legal Intervention?
No
Private Property?
No
X-Coordinate:
417591.3
Y-Coordinate
4607247.
U
N
I
T

1
Driver's Name - Last
IRVIN
First
STEVEN
Middle
CRAIG
Suffix
City
ADEL
State
IA - Iowa, US
Zip
500030000
Driver's Age
55
Citation Charge Code 1
Citation Charge 1
Gender
Male
State
IA - Iowa, US
Class
B - Veh w/26001 GVWR or more Towed unit is less than 10001 GVWR
Endorsements
N - Tank
Restrictions

N - Non-resident CDL
Citation Charge Code 2
Citation Charge 2
Alcohol Test Given?
1 - None
Drug Test Given?
Citation Charge Code 3
Citation Charge 3
Citation Charge Code 4
Citation Charge 4
Seating Position
02 - Front: Center
Injury Status
5 - Uninjured
Occupant Protection
1 - None 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:
N/A
Transported by:
Insurance Co. Name
Year
2009
Make
Model
UNIT 309
Style
ROAD MAINTAINER
Approximate Cost to Repair or Replace
100
Initial Travel Direction
4 - West
Vehicle Action
09 - Backing
Speed Limit
55
Point of Initial Impact
05 - Rear
Most Damaged Area
05 - Rear
Extent of Damage
2 - Minor damage
Underride/Override
1 - None
Total Occupants
01
Traffic Controls
01 - No controls present
Vehicle Config.
21 - Maintenance/construction vehicle
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
I
T

2
Driver's Name - Last
WATTS
First
RALPH
Middle
DOUGLAS
Suffix
City
ADEL
State
IA - Iowa, US
Zip
500030000
Driver's Age
45
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
N - Tank
Restrictions

N - Non-resident CDL
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:
N/A
Transported by:
Insurance Co. Name
Year
2002
Make
Ford - FORD
Model
RNG
Style
PK
Approximate Cost to Repair or Replace
4000
Initial Travel Direction
3 - South
Vehicle Action
01 - Movement essentially straight
Speed Limit
55
Point of Initial Impact
01 - Front
Most Damaged Area
01 - Front
Extent of Damage
3 - Functional damage
Underride/Override
1 - None
Total Occupants
01
Traffic Controls
04 - Stop 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
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?
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
3 - Rear-end
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 BACKING FROM HWY 6 ONTO PROSPECT AVE WHEN HE DIDN'T SEE UNIT 2 AND BACKED INTO HIM.
Officer
EHLER
Badge No.
212
Time Officer Notified of Accident
15:08
Time Officer Arrived At Scene
15:13
Name of Agency
P01
Date of Report
3/16/2011
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