Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/15/2011		 Time of Accident
01:10 PM 		County
Johnson - 52		 Accident occurred within corporate limits of (city)
Iowa City - 3715		 Law Enforcement Case Number:
2011017289
Literal Description
SB/WB US 0218 / US 218 measuring 969 Meters Northwest from Iowa 0001 / IOWA 1 and US 0218 / US 218 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
618686.4
Y-Coordinate
4610866.
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1 		Driver's Name - Last
WILHELM		 First
CHRISTOPHER		 Middle
WAYNE		 Suffix
City
DES MOINES		 State
IA - Iowa, US		 Zip
503170000
Driver's Age
31		 Citation Charge Code 1
 Citation Charge 1
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

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
1 - None used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
1999		 Make
Chrysler - CHRY		 Model
TOW		 Style
VN		 Approximate Cost to Repair or Replace
4000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
02 - Right Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
5		 Traffic Controls
01 - No controls present		 Vehicle Config.
03 - Van or mini-van		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
3 - Emotional (e.g., depressed, angry, disturbed)		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
01 - Ran off road, right		 Second Event
39 - Sign post		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
39 - Sign post
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?
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Y

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If Property other than vehicles damaged explain Object Damaged
SIGN POST		 Estimate of Damage
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
DEPT OF TRANSPORTATION
City
AMES		 State
IA - Iowa, US		 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
2 - Shoulder		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
39 - Sign post
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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0
NARRATIVE

UNIT 01 WAS TRAVELING SB ON HWY 218 AT APPROXIMATELY THE 92 MM UNIT 01 WAS DISTRACTED BY PASSENGER UNIT 01 WENT ON TO WB SHOULDER AND STRUCK EXIT SIGN
Officer
OROURKE 		Badge No.
368		 Time Officer Notified of Accident
13:20		 Time Officer Arrived At Scene
13:35
Name of Agency
P13		 Date of Report
3/15/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743