Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/20/2011		 Time of Accident
02:34 PM 		County
Warren - 91		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011018186
Literal Description
I-35 NB MM 47 OFFRAMP 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
434617.5
Y-Coordinate
4564365.
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1 		Driver's Name - Last
THEODORSON		 First
ARIC		 Middle
ALLEN		 Suffix
City
DAYTON		 State
MN - Minnesota, US		 Zip
55327
Driver's Age
41		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Male		 State
MN - Minnesota, US		 Class
D - Chauffeur		 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
4 - Breath		 Drug Test Given?
 Citation Charge Code 3
 Citation Charge 3
Citation Charge Code 4
 Citation Charge 4
Seating Position
01 - Front: Left Side / Motorcycle Driver		 Injury Status
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
CLARKE CO HOSPITAL		 Transported by:
AMBULANCE
Insurance Co. Name
Year
2002		 Make
Ford - FORD		 Model
EXPLORER		 Style
SUV		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
45		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
04 - Stop signs		 Vehicle Config.
04 - Sport utility vehicle		 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
33 - Ditch/embankment		 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
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P
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Y

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If Property other than vehicles damaged explain Object Damaged
FENCE		 Estimate of Damage
400
Owner's Name - Last
DONAGHY		 First
BRIAN		 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
5 - Gore		 Weather Conditions (up to two)
03 - Cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
33 - Ditch/embankment
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
20 - Off-ramp		 Workers Present?
D
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A
G
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M

0
NARRATIVE

UNIT ONE WAS TRAVELING NORTHBOUND ON INTERSTATE 35 AND EXITED AT THE 47 MILE MARKER. UNIT ONE TRAVELED ACROSS THE INTERSECTION OF G-64 AND ENTERED THE NORTHEAST DITCH. UNIT ONE CONTACTED A FENCE AND POST AND INTO A YARD.
Officer
FRANK 		Badge No.
484		 Time Officer Notified of Accident
14:34		 Time Officer Arrived At Scene
14:42
Name of Agency
P02		 Date of Report
3/20/2011		 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