Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
4/16/2011		 Time of Accident
09:40 AM 		County
Jones - 53		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011022969
Literal Description
HIGHWAY 151 N HWY 1 SB 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
640112.2
Y-Coordinate
4659021.
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1 		Driver's Name - Last
HUSEMANN		 First
KRISTA		 Middle
ANN		 Suffix
City
DUBUQUE		 State
IA - Iowa, US		 Zip
520030000
Driver's Age
38		 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
5 - Not deployed		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
 Transported by:
Insurance Co. Name
Year
2010		 Make
Hyundai - HYUN		 Model
SONATA		 Style
SEDAN		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
4 - Disabling 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
01 - Ran off road, right		 Second Event
33 - Ditch/embankment		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
11 - Overturn/rollover
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)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
5		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE #1 WAS SOUTHBOUND ON HIGHWAY 151. THE DRIVER OF VEHICLE #1 LOST CONTROL AND ENTERED THE NORTH DITCH. VEHICLE #1 ROLLED ONTO ITS DRIVER'S SIDE.
Officer
REMLEY 		Badge No.
424		 Time Officer Notified of Accident
09:43		 Time Officer Arrived At Scene
09:48
Name of Agency
P12		 Date of Report
4/16/2011		 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