Crash Information

L O C A T I O N	Date of Accident 3/21/2011	Time of Accident 02:40 PM	County Dubuque - 31	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011018458
	Literal Description OLD HIGHWAY RD and THIRD AVE NE				Legal Intervention? No	Private Property? No
					X-Coordinate: 665074.0
					Y-Coordinate 4701059.

U N I T 1	Driver's Name - Last SIMON			First JOSEPH			Middle JAMES		Suffix JR
	City EPWORTH			State IA - Iowa, US				Zip 520450000
	Driver's Age 52					Citation Charge Code 1 321.322(1)		Citation Charge 1 FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY
	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 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 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 1996		Make Chevrolet - CHEV		Model CAV		Style 2D		Approximate Cost to Repair or Replace 1000
	Initial Travel Direction 2 - East	Vehicle Action 02 - Turning left	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 01	Traffic Controls 04 - Stop signs	Vehicle Config. 01 - Passenger car	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 CONNOLLY			First DEBRA			Middle MARIE		Suffix
	City FARLEY			State IA - Iowa, US				Zip 520460000
	Driver's Age 51					Citation Charge Code 1		Citation Charge 1
	Gender Female	State IA - Iowa, US	Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat	Endorsements None	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 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2005		Make		Model AMA		Style 4D		Approximate Cost to Repair or Replace 3500
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 45	Point of Initial Impact 03 - Right Side	Most Damaged Area 03 - Right Side	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 06 - No Passing Zone (marked)	Vehicle Config. 01 - Passenger car	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 04 - Crossed centerline/median	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) 02 - Partly cloudy	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 4 - Angle, oncoming left turn	Weather Conditions (up to two) 02 - Partly cloudy	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 12 - T - intersection	Workers Present?

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NARRATIVE

Vehicle 1 was attempting to turn left onto Old Highway Road from Third Ave NE when it failed to yield the right away and struck vehicle 2 that was traveling west on Old Highway Road.

Officer JONES	Badge No. 389	Time Officer Notified of Accident 15:00	Time Officer Arrived At Scene 15:05
Name of Agency P10	Date of Report 3/21/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046