U
N
I
T
2
|
Driver's Name - Last FEUERBACH |
First KATIE |
Middle J |
Suffix
|
City TAYLOR RIDGE |
State IL - Illinois, US |
Zip 61284 |
Driver's Age 24 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Female |
State IL - Illinois, US |
Class D - Chauffeur |
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 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: DECLINED |
Transported by: DECLINED |
Insurance Co. Name
|
Year 2006 |
Make Toyota - TOYT |
Model C |
Style 4DR |
Approximate Cost to Repair or Replace 1500 |
Initial Travel Direction 4 - West |
Vehicle Action 10 - Slowing/stopping |
Speed Limit 65 |
Point of Initial Impact 05 - Rear |
Most Damaged Area 05 - Rear |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 01 |
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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 21 - Vehicle in traffic |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
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
3
|
Driver's Name - Last ALLAN |
First DANIELLE |
Middle LYNN |
Suffix
|
City BAXTER |
State IA - Iowa, US |
Zip 500280000 |
Driver's Age 26 |
Citation Charge Code 1 321.288 |
Citation Charge 1 FAILURE TO MAINTAIN CONTROL |
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 4 - Possible |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 1 - Deployed front of person |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: DECLINED |
Transported by: DECLINED |
Insurance Co. Name
|
Year 2003 |
Make Pontiac - PONT |
Model SNF |
Style 2D |
Approximate Cost to Repair or Replace 2000 |
Initial Travel Direction 4 - West |
Vehicle Action 10 - Slowing/stopping |
Speed Limit 65 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 01 |
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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 21 - Vehicle in traffic |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
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) 01 - Clear |
Environment 1 - None apparent |
Location 1 - Before work zone warning sign |
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 3 - Rear-end |
Roadway 05 - Work Zone (construction, maintenance, utility) |
Type 3 - Work on shoulder or median |
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present? Yes |
D I A G R A M
0 |
|
| NARRATIVE |
VEHICLES #1,#2, AND #3 WERE ALL WESTBOUND ON I-80 TRAVELING IN THE FAR LEFT LANE WITH VEH #1 IN THE LEAD, FOLLOWED BY VEH #2, THEN VEH #3. AT THE 134.1MILE MARKER, THE VEHICLES ENCOUNTERED STOPPED/SLOWING TRAFFIC DUE TO A CONSTRUCTION ZONE AHEAD. VEH #1 WAS ABLE TO COME TO A STOP BEHIND THE STOPPED TRAFFIC. VEH #2 BEGAN TO COME TO A STOP BEHIND VEHICLE #1 AND WAS REAR ENDED BY VEH #3. THE REAR-END IMPACT THEN PUSHED VEH #2 FORWARD INTO VEH #1. ALL 3 VEHICLES THEN CAME TO REST IN THE FAR LEFT LANE. THE DRIVER OF VEH #3 ADVISED THAT HER VEHICLE HAD RECENTLY BEEN SERVICED AND BELIEVED THAT THE BRAKES HAD BEEN AFFECTED BY SUCH. |
|
Officer
CLARK |
Badge No. 395 |
Time Officer Notified of Accident 07:50 |
Time Officer Arrived At Scene 07:55 |
Name of Agency P01 |
Date of Report 4/12/2011 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011