Crash Information

L O C A T I O N	Date of Accident 3/12/2011	Time of Accident 12:13 AM	County Monroe - 68	Accident occurred within corporate limits of (city) Lovilia - 4545	Law Enforcement Case Number: 2011016791
	Literal Description HWY 5 AT E 19TH ST				Legal Intervention? No	Private Property? No
					X-Coordinate: 507826.3
					Y-Coordinate 4553849.

U N I T 1	Driver's Name - Last GRIFFITH			First CLAYTON			Middle CASEY		Suffix
	City LOVILIA			State IA - Iowa, US				Zip 501500000
	Driver's Age 25					Citation Charge Code 1 321.263		Citation Charge 1 INFORMATION AND AID-LEAVING SCENE OF ACCIDENT
	Gender Male	State IA - Iowa, US	Class 0 - ID	Endorsements None	Restrictions None	Citation Charge Code 2 321.218		Citation Charge 2 DRIVING WHILE LICENSE SUS, REVOKED, CANCELLED
	Alcohol Test Given? 4 - Breath			Drug Test Given? 1 - None		Citation Charge Code 3 321.288		Citation Charge 3 FAIL TO MAINTAIN CONTROL
						Citation Charge Code 4 321J.2(2)(B)		Citation Charge 4
	Seating Position 01 - Front: Left Side / Motorcycle Driver	Injury Status 3 - Non-incapacitating	Occupant Protection 1 - None used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: MONROE CO HOSPITAL					Transported by: DEPUTY PATROL VEHICLE
	Insurance Co. Name
	Year 1995		Make Chrysler - CHRY		Model NY		Style 4D		Approximate Cost to Repair or Replace 7000
	Initial Travel Direction 1 - North	Vehicle Action 03 - Turning right	Speed Limit 40	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 6 - Under the influence of alcohol/drugs/medications	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 01 - Ran off road, right	Second Event 38 - Poles (utility, light, etc.)	Third Event	Fourth Event	Most Harmful Event (by vehicle) 38 - Poles (utility, light, etc.)
	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 UTILITY POLE		Estimate of Damage
	Owner's Name - Last	First	Middle	Suffix
	Owner Company Name ALLIANT ENERGY
	City	State		Zip

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 4 - Roadside	Weather Conditions (up to two) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 38 - Poles (utility, light, etc.)
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 4 - Dark, roadway lighted	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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Name- Last
VANZANTE

First
KAYLA

Middle
JEAN

Suffix

City

State

Zip Code

Age
18

Sex
Female

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
3 - Non-incapacitating

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
1 - Deployed front of person

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 CO HOSPITAL

Transported by:
AMBULANCE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

UNIT 1 LOST CONTROL WHILE HEADING NORTHBOUND ON HWY 5 AND STRUCK A UTILITY POLE.

Officer SCHMIDT	Badge No. 336	Time Officer Notified of Accident 00:13	Time Officer Arrived At Scene 00:44
Name of Agency P02	Date of Report 3/12/2011	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