Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/12/2011		 Time of Accident
10:50 AM 		County
Fayette - 33		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011016834
Literal Description
V068 / W AVE 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
578210.6
Y-Coordinate
4744022.
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1 		Driver's Name - Last
KELDERMAN		 First
AUSTIN		 Middle
MICHAEL		 Suffix
City
SUMNER		 State
IA - Iowa, US		 Zip
506740000
Driver's Age
16		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE TO MAINTAIN CONTROL
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
None		 Restrictions

Y - Intermediate License		 Citation Charge Code 2
321.20B		 Citation Charge 2
FAIL TO HAVE PROOF OF FINANICAL LIABILITY (ACCIDENT)
Alcohol Test Given?
2 - Blood		 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
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
SUMNER HOSPITAL		 Transported by:
POLICE VEHICLE
Insurance Co. Name
Year
1999		 Make
Toyota - TOYT		 Model
AVA		 Style
4D		 Approximate Cost to Repair or Replace
8000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
07		 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
04 - Crossed centerline/median		 Second Event
03 - Ran off road, left		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
33 - Ditch/embankment
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)
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
01 - No special feature		 Workers Present?
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D 		Name- Last
BUCK		 First
ERICA		 Middle
M		 Suffix
City
 State
 Zip Code
Age
16		 Sex
Female		 Unit No.
01		 Seating Position
11 - Enclosed Cargo Area		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 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:
SUMNER HOSPITAL		 Transported by:
SUMNER AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
ABRAHAMSON		 First
JOSEPH		 Middle
D		 Suffix
City
 State
 Zip Code
Age
16		 Sex
Male		 Unit No.
01		 Seating Position
11 - Enclosed Cargo Area		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 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:
SUMNER HOSPITAL		 Transported by:
SUMNER AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
WOSTER		 First
NICHOLAS		 Middle
S		 Suffix
City
 State
 Zip Code
Age
19		 Sex
Male		 Unit No.
01		 Seating Position
07 - Rear: Left Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
SUMNER HOSPITAL		 Transported by:
SUMNER AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
VANBRUNNING		 First
JOSEPH		 Middle
S		 Suffix
City
 State
 Zip Code
Age
17		 Sex
Male		 Unit No.
01		 Seating Position
08 - Rear: Center		 Injury Status
3 - Non-incapacitating		 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
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
SUMNER HOSPITAL		 Transported by:
SUMNER AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
VANBRUNNING		 First
ZACH		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Male		 Unit No.
01		 Seating Position
09 - Rear: Right Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
SUMNER HOSPITAL		 Transported by:
SUMNER AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
WINTERS		 First
KOLE		 Middle
M		 Suffix
City
 State
 Zip Code
Age
16		 Sex
Male		 Unit No.
01		 Seating Position
08 - Rear: Center		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 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:
SUMNER HOSPITAL		 Transported by:
SUMNER AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

VEHICLE ONE WAS TRAVELING SOUTHBOUND ON V68 WHEN THE DRIVER LOST CONTROL CAUSING THE VEHICLE TO ENTER THE EAST SIDE DITCH.
Officer
YAUK 		Badge No.
494		 Time Officer Notified of Accident
10:57		 Time Officer Arrived At Scene
11:21
Name of Agency
P10		 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 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046