U
N
I
T
1
|
Driver's Name - Last REXFORD |
First KYLIE |
Middle ELIZABETH |
Suffix
|
City MENASHA |
State WI - Wisconsin, US |
Zip 549520000 |
Driver's Age 19 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Female |
State WI - Wisconsin, US |
Class D - Chauffeur |
Endorsements None |
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 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: MERCY MEDICAL CENTER |
Transported by: ISP #339 |
Insurance Co. Name
|
Year 2008 |
Make Mazda - MAZD |
Model 3S |
Style 4D |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 06 - Left Rear |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
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 03 - Ran off road, left |
Third Event
|
Fourth Event 23 - Parked motor vehicle |
Most Harmful Event (by vehicle) 03 - Ran off road, left |
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 ARMSTRONG |
First ASHLEY |
Middle MARIE |
Suffix
|
City BONDURANT |
State IA - Iowa, US |
Zip 50035 |
Driver's Age 18 |
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 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: N/A REFUSED |
Transported by:
|
Insurance Co. Name
|
Year 1995 |
Make Dodge - DODG |
Model INTREPID |
Style 4D |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 04 - Right Rear |
Most Damaged Area 02 - Right Front |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
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 03 - Ran off road, left |
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 1 - On Roadway |
Weather Conditions (up to two) 06 - Rain |
Environment 7 - Previous accident |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 2 - Head-on |
Roadway 02 - Road surface condition |
Type
|
Light Conditions 4 - Dark, roadway lighted |
Surface Conditions 2 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
UNIT #2 WAS WESTBOUND ON I80 NEAR THE 141 MILE MARKER. UNIT #2 HYDROPLANED, LOST CONTROL AND LEFT THE ROADWAY TO THE LEFT. UNIT #2 COLLIDED WITH THE CONCRETE MEDIAN BARRIER CAUSING DAMAGE TO THE REAR OF THE VEHICLE. SECONDS TO MINUTES LATER, UNIT #1 WAS WESTBOUND ON I80 NEAR THE 141 MILE MARKER. UNIT #1 HYDROPLANED AND LOST CONTROL IN THE SAME SPOT. UNIT #1 GRAZED THE CONCRETE BARRIER ON ITS FRONT, BEFORE COLLIDING WITH UNIT #2. UNIT #1'S REAR END COLLIDED WITH UNIT #1'S FRONT END. |
|
Officer
MOSES |
Badge No. 167 |
Time Officer Notified of Accident 19:35 |
Time Officer Arrived At Scene 19:45 |
Name of Agency P01 |
Date of Report 4/7/2011 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011