Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
4/9/2011
Time of Accident
05:32 PM
County
Cedar - 16
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011021826
Literal Description
I-80 WB 274 MM
Legal Intervention?
No
Private Property?
No
X-Coordinate:
668961.9
Y-Coordinate
4611080.
U
N
I
T

1
Driver's Name - Last
BERNER
First
BRANDON
Middle
MICHAEL
Suffix
City
DAVENPORT
State
IA - Iowa, US
Zip
528060000
Driver's Age
28
Citation Charge Code 1
321.20B-A
Citation Charge 1
VIOLATION - FINANCIAL LIABILITY COVERAGE
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
321J.2(2)(a)
Citation Charge 2
OPER VEH WH INT (OWI) / 1ST OFF
Alcohol Test Given?
4 - Breath
Drug Test Given?
9 - Refused
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:
Transported by:
Insurance Co. Name
Year
2008
Make
Ford - FORD
Model
FUSION
Style
4D
Approximate Cost to Repair or Replace
2500
Initial Travel Direction
4 - West
Vehicle Action
01 - Movement essentially straight
Speed Limit
70
Point of Initial Impact
02 - Right Front
Most Damaged Area
02 - Right Front
Extent of Damage
4 - Disabling damage
Underride/Override
1 - None
Total Occupants
2
Traffic Controls
01 - No controls present
Vehicle Config.
01 - Passenger car
Cargo Body Type
01 - Not applicable
Vehicle Defect
01 - None
Driver Condition
6 - Under the influence of alcohol/drugs/medications
Vision Obscured
01 - Not obscured
Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
21 - Vehicle in traffic
Second Event
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

2
Driver's Name - Last
PRINCE
First
JERRY
Middle
T
Suffix
City
MARYVILLE
State
TN - Tennessee, US
Zip
37801
Driver's Age
48
Citation Charge Code 1
Citation Charge 1
Gender
Male
State
TN - Tennessee, 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
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:
Transported by:
Insurance Co. Name
PASCHALL TRUCK LINES
Year
2007
Make
International - INTL
Model
TRACTOR
Style
TT
Approximate Cost to Repair or Replace
250
Initial Travel Direction
4 - West
Vehicle Action
01 - Movement essentially straight
Speed Limit
70
Point of Initial Impact
06 - Left Rear
Most Damaged Area
06 - Left Rear
Extent of Damage
2 - Minor damage
Underride/Override
1 - None
Total Occupants
1
Traffic Controls
01 - No controls present
Vehicle Config.
09 - Tractor/semi-trailer
Cargo Body Type
02 - Van/enclosed box
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
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
PASCHALL TRUCK LINES
City
MURRAY
State
KY - Kentucky, US
Zip
420711889
Number of Axles
5
Gross Vehicle Weight Rating
54000
Placard #
Hazardous Materials Released?
3 - Not applicable
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
First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
6 - Sideswipe, same direction
Roadway
01 - None apparent
Type
Light Conditions
1 - Daylight
Surface Conditions
1
Type of Roadway Junction/Feature
01 - No special feature
Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 AND UNIT 2 WERE WESTBOUND ON INTERSTATE 80 AT MILE MARKER 274. UNIT 1 WAS APPROACHING UNIT 2 FROM BEHIND AS UNIT 2 WAS IN THE RIGHT LANE, WHEN THE RIGHT SIDE OF UNIT 1 COLLIDED WITH THE BACK OF UNIT 2 ON THE LEFT SIDE OF THE SEMI-TRAILER. UNIT 1 WENT INTO THE MEDIAN AFTER IMPACT. UNIT 1 CONTINUED WEST THROUGH THE MEDIAN AND CAME OUT OF THE MEDIAN HEADING WESTBOUND. UNIT 1 STOPPED ON THE RIGHT SHOULDER OF WESTBOUND INTERSTATE 80. UNIT 2 PULLED OVER BEHIND UNIT 1.
Officer
PEDERSEN
Badge No.
173
Time Officer Notified of Accident
17:32
Time Officer Arrived At Scene
17:32
Name of Agency
P12
Date of Report
4/9/2011
Investigation made at scene?
Yes
T.I. #



Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504