Crash Information

L O C A T I O N	Date of Accident 4/21/2011	Time of Accident 04:30 AM	County Harrison - 43	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011023820
	Literal Description SB/WB INTERSTATE 0029 84SB 2 N MODALE				Legal Intervention? No	Private Property? No
					X-Coordinate: 249047.3
					Y-Coordinate 4614169.

U N I T 1	Driver's Name - Last BERTEN			First PHILLIP			Middle G		Suffix
	City OMAHA			State NE - Nebraska, US				Zip 68106
	Driver's Age 49					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	Gender Male	State NE - Nebraska, US	Class	Endorsements None	Restrictions F - Outside Mirror	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: COMMUNITY MEMORIAL					Transported by: MONDAMIN RESCUE
	Insurance Co. Name
	Year 2006		Make Hyundai - HYUN		Model SONATA		Style 4DR		Approximate Cost to Repair or Replace 8000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 5 - Asleep, fainted, fatigued, etc	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 30 - Bridge/bridge rail/overpass	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 30 - Bridge/bridge rail/overpass
	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	First Harmful Event of Crash (use codes 11-42 only) 30 - Bridge/bridge rail/overpass
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 02 - Bridge/overpass/underpass	Workers Present?

P
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Name- Last
BEADLE

First
DAKOTA

Middle
J

Suffix

City

State

Zip Code

Age
21

Sex
Male

Unit No.
1

Seating Position
03 - Front: Right Side

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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
COMMUNITY MEMORIAL MVA

Transported by:
MONDAMIN RESCUE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
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M

0

NARRATIVE

Vehicle #1 was south bound on I-29. As Vehicle #1 approached the bridge over K45 the driver lost control and struck the bridge rail. The vehicle slid down the bridge making contact with the bridge rail several times. The vehicle was disabled by the collision and had to be towed. The driver and passenger were transported to Community Memorial Hospital in Missouri Valley by Mondamin Rescue for minor injuries.

Officer MELBY	Badge No. 481	Time Officer Notified of Accident 04:34	Time Officer Arrived At Scene 04:45
Name of Agency P04	Date of Report 4/21/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 04 Office
3710 Highway 30 E
Denison,IA 51442-7560
Phone: (712) 263-4621
Fax: (712) 263-2325