Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
3/22/2011		 Time of Accident
02:15 PM 		County
Allamakee - 03		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011018615
Literal Description
X16 / NORTH OF SHINING DR 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
625328.0
Y-Coordinate
4782623.
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1 		Driver's Name - Last
LESLIE		 First
MICHAEL		 Middle
JAN		 Suffix
III
City
OXFORD JUNCTION		 State
IA - Iowa, US		 Zip
52323
Driver's Age
14		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IA - Iowa, US		 Class
0 - ID		 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
 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
2 - Incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
9 - Unknown		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
VETERANS HOSPITAL - WAUKON		 Transported by:
WAUKON AMBULANCE
Insurance Co. Name
Year
1995		 Make
 Model
CHEROKEE		 Style
SUV		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
4		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
9 - Unknown		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
04 - Crossed centerline/median		 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?
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Y

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If Property other than vehicles damaged explain Object Damaged
BARBED WIRE FENCE		 Estimate of Damage
1000
Owner's Name - Last
RUBENDAHL		 First
ROGER		 Middle
 Suffix
Owner Company Name
City
WAUKON		 State
IA - Iowa, US		 Zip
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
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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D 		Name- Last
TIMMERMAN		 First
JORDAN		 Middle
MICHAEL		 Suffix
City
 State
 Zip Code
Age
18		 Sex
Male		 Unit No.
1		 Seating Position
03 - Front: Right Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
9 - Unknown		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
2 - Freed by non-mechanical means
Transported to:
VETERANS HOSPITAL - WAUKON		 Transported by:
WAUKON AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
COLSCH		 First
TIFFANY		 Middle
LYNN		 Suffix
City
 State
 Zip Code
Age
16		 Sex
Female		 Unit No.
1		 Seating Position
07 - Rear: Left Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt 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
2 - Freed by non-mechanical means
Transported to:
VETERANS HOSPITAL - WAUKON		 Transported by:
WAUKON AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
SPARK		 First
TYLER		 Middle
 Suffix
City
 State
 Zip Code
Age
16		 Sex
Male		 Unit No.
1		 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
3 - Totally ejected		 Ejection Path
9 - Unknown		 Trapped
1 - Not trapped
Transported to:
VETERANS HOSPITAL - WAUKON		 Transported by:
WAUKON AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

UNIT ONE WAS TRAVELING SOUTH ON COUNTY ROAD X16 IN AN ATTEMPT TO ELUDE LAW ENFORCEMENT. UNIT ONE LOST CONTROL, ENTERED THE EAST DITCH, ROLLED AND CAME TO REST ON IT'S TOP.
Officer
TRIMBLE 		Badge No.
312		 Time Officer Notified of Accident
14:41		 Time Officer Arrived At Scene
15:07
Name of Agency
P10		 Date of Report
3/22/2011		 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