Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/18/2011		 Time of Accident
08:15 PM 		County
Monroe - 68		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010017940
Literal Description
IOWA 0005 / IOWA 5, 2 MILES SOUTH OF ALBIA ON HWY 5 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
514983.9
Y-Coordinate
4535003.
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1 		Driver's Name - Last
DAVIS		 First
DONALD		 Middle
EUGENE		 Suffix
City
MELROSE		 State
IA - Iowa, US		 Zip
525690000
Driver's Age
58		 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
 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
 Injury Status
 Occupant Protection
 Airbag Deployment
 Airbag Switch Status
 Ejection
 Ejection Path
 Trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
1999		 Make
Dodge - DODG		 Model
CARAVAN		 Style
VN		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
 Vehicle Action
 Speed Limit
 Point of Initial Impact
 Most Damaged Area
 Extent of Damage
 Underride/Override
Total Occupants
 Traffic Controls
 Vehicle Config.
 Cargo Body Type
 Vehicle Defect
 Driver Condition
 Vision Obscured
 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
Emergency Vehicle Type
 Emergency Status
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
 Weather Conditions (up to two)
 Environment
 Location
 First Harmful Event of Crash (use codes 11-42 only)
25 - Animal
Manner of Crash/Collision
 Roadway
 Type
Light Conditions
 Surface Conditions
 Type of Roadway Junction/Feature
 Workers Present?
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0
NARRATIVE

UNIT ONE WAS SOUTHBOUND ON HIGHWAY 5 WHEN A DEER CAME FROM THE WEST RUNNING EAST DIRECTLY INTO THE PATH OF THE VEHICLE
Officer
WEIDMAN 		Badge No.
405		 Time Officer Notified of Accident
20:17		 Time Officer Arrived At Scene
20:17
Name of Agency
P02		 Date of Report
3/18/2011		 Investigation made at scene?
 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