Crash Information

L O C A T I O N	Date of Accident 3/13/2011	Time of Accident 10:34 AM	County Hardin - 42	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011016956
	Literal Description SB/WB US 0020 / US 20				Legal Intervention? No	Private Property? No
					X-Coordinate: 469668.7
					Y-Coordinate 4699550.

U N I T 1	Driver's Name - Last BERGMANN			First DUANE			Middle ARNOLD		Suffix
	City WAVERLY			State IA - Iowa, US				Zip 50677
	Driver's Age 68					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IA - Iowa, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	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 3 - Non-incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: ELLSWORTH HOSPITAL IOWA FALLS					Transported by: AMR AMBULANCE SERVICE
	Insurance Co. Name
	Year 1998		Make Chevrolet - CHEV		Model C15		Style PK		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 65	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 02 - Four-tire light truck (pick-up, panel)	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 03 - Ran off road, left	Second Event 36 - Concrete barrier (median or right side)	Third Event	Fourth Event	Most Harmful Event (by vehicle) 36 - Concrete barrier (median or right side)
	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 2 - Shoulder	Weather Conditions (up to two) 02 - Partly cloudy	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 36 - Concrete barrier (median or right side)
Manner of Crash/Collision 1 - Non-collision	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 02 - Bridge/overpass/underpass	Workers Present?

P
E
R
S
O
N

I
N
J
U
R
E
D

Name- Last
BERGMANN

First
KAREN

Middle
LEE

Suffix

City

State

Zip Code

Age
66

Sex
Female

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
3 - Non-incapacitating

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
1 - Deployed front of person

Airbag Switch Status
9 - Unknown

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
ELLSWORTH HOSPITAL IOWA FALLS

Transported by:
AMR AMBULANCE SERVICE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

UNIT ONE WAS WEST BOUND ON HIGHWAY 20 NEAR MILE MARKER 163 WHEN IT'S LEFT SIDE WHEELS LEFT THE TRAVEL PORTION OF THE ROADWAY AND ENTERED THE GRAVEL SHOULDER. UNIT ONE CONTINUED WEST BOUND IN THIS MANNER UNTIL IT REENTERED THE TRAVEL PORTION OF WEST BOUND HIGHWAY 20 WHERE IT LOST CONTROL STRIKING THE CONCRETE GUARDRAIL ON THE BRIDGE. AFTER STRIKING THE CONCRETE GUARDRAIL UNIT ONE CROSSED ACROSS THE TRAVEL LANES OF WEST BOUND HIGHWAY 20 AND ENTERED THE NORTH DITCH AND TRAVELED DOWN THE EMBANKMENT COMING TO REST FACING EAST. BOTH PASSENGERS WERE LATER TRANSPORTED TO ELLSWORTH MUNICIPAL HOSPITAL IN IOWA FALLS. UNIT ONE WAS LATER TOWED TO IOWA FALLS STANDARD IN IOWA FALLS.

Officer SCHAFFER	Badge No. 380	Time Officer Notified of Accident 10:34	Time Officer Arrived At Scene 10:41
Name of Agency P09	Date of Report 3/13/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 09 Office
1510 W 1st St
Cedar Falls,IA 50613-1799
Phone: (319) 266-2677
Fax: (319) 266-2228