U
N
I
T
1
|
Driver's Name - Last DICE |
First CATHY |
Middle MARIE |
Suffix
|
City MCCOOK LAKE |
State SD - South Dakota, US |
Zip 570494047 |
Driver's Age 42 |
Citation Charge Code 1 321.307 |
Citation Charge 1 FOLLOWING TO CLOSE |
Gender Female |
State SD - South Dakota, US |
Class
|
Endorsements None |
Restrictions
|
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:
|
Transported by:
|
Insurance Co. Name
|
Year 2006 |
Make Ford - FORD |
Model F150 |
Style PK |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 11 - Workzone signs |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
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 06 - Evasive action (swerve, panic braking, etc.) |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 06 - Evasive action (swerve, panic braking, etc.) |
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 WALDNER |
First CORNELIUS |
Middle S |
Suffix
|
City DALLAS |
State SD - South Dakota, US |
Zip 575292372 |
Driver's Age 37 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State SD - South Dakota, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements T - Dbl/Trpl Trlr |
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:
|
Transported by:
|
Insurance Co. Name
|
Year 2010 |
Make
|
Model 389 |
Style TRACTOR |
Approximate Cost to Repair or Replace 1500 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 05 - Rear |
Most Damaged Area 05 - Rear |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 11 - Workzone signs |
Vehicle Config. 07 - Truck/trailer |
Cargo Body Type 05 - Flatbed |
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
|
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) 03 - Cloudy |
Environment 1 - None apparent |
Location 2 - Between advance warning sign and work area |
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 3 - Rear-end |
Roadway 01 - None apparent |
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 |
ON 04-14-2011 VEHICLE ONE AND VEHICLE TWO WERE TRAVELING SOUTH BOUND ON I29 AT MM 147. VEHICLE TWO WAS MERGING TO THE LEFT LANE DUE TO CONSTRUCTION. VEHICLE ONE WAS FOLLOWING TO CLOSE AND REAR ENDED VEHICLE TWO. VEHICLE ONE HAD SEVERE FRONT END DAMAGE AND CITED FOR FOLLOWING TO CLOSE. VEHICLE TWO HAD MINOR DAMAGE TO THE FLAT BED TRAILER. NO INJURIES. |
|
Officer
YANEFF |
Badge No. 177 |
Time Officer Notified of Accident 14:50 |
Time Officer Arrived At Scene 15:03 |
Name of Agency P04 |
Date of Report 4/14/2011 |
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