Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
4/19/2011		 Time of Accident
08:20 AM 		County
Greene - 37		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011023404
Literal Description
330TH measuring 1072 Feet West from Iowa 0004 / NEOLA AVE and 330TH 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
386215.1
Y-Coordinate
4637089.
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1 		Driver's Name - Last
FRANZEEN		 First
CYNTHIA		 Middle
LEE		 Suffix
City
SCRANTON		 State
IA - Iowa, US		 Zip
51462
Driver's Age
59		 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
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:
JEFFERSON HOSPITAL		 Transported by:
PANORA EMS
Insurance Co. Name
Year
1998		 Make
Chevrolet - CHEV		 Model
CAV		 Style
2D		 Approximate Cost to Repair or Replace
600
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
3 - Functional 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
04 - Crossed centerline/median		 Second Event
03 - Ran off road, left		 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?
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)
07 - Sleet, hail, freezing rain		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
33 - Ditch/embankment
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT ONE WAS TRAVELING EASTBOUND ON 330TH STREET WEST OF HWY 4. UNIT ONE LOST CONTROL CROSSED THE CENTER LINE AND WENT INTO THE DITCH NORTH DITCH.
Officer
BURNS 		Badge No.
028		 Time Officer Notified of Accident
08:23		 Time Officer Arrived At Scene
08:38
Name of Agency
P07		 Date of Report
4/19/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218