Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
4/20/2011		 Time of Accident
06:19 PM 		County
Clarke - 20		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011023793
Literal Description
I35 NB 40.3MM 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
434364.8
Y-Coordinate
4552954.
U
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1 		Driver's Name - Last
RIVIR		 First
MARK		 Middle
R		 Suffix
City
ALBANY		 State
MO - Missouri, US		 Zip
64402
Driver's Age
27		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Male		 State
MO - Missouri, US		 Class
 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:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2005		 Make
Ford - FORD		 Model
F150		 Style
PK		 Approximate Cost to Repair or Replace
13000
Initial Travel Direction
1 - North		 Vehicle Action
06 - Changing lanes		 Speed Limit
55		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 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
04 - Crossed centerline/median		 Second Event
03 - Ran off road, left		 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?
U
N
I
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2 		Driver's Name - Last
MOFFETT		 First
WILLIAM		 Middle
JORDAN		 Suffix
City
CRANE		 State
MO - Missouri, US		 Zip
65633
Driver's Age
48		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
MO - Missouri, 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
1 - None 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:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2003		 Make
 Model
 Style
TT		 Approximate Cost to Repair or Replace
1000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 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
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
 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?
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Y

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A
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E
If Property other than vehicles damaged explain Object Damaged
DOT SIGN		 Estimate of Damage
200
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
DEPT. OF TRANSPORTATION
City
 State
 Zip
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
2 - Between advance warning sign and work area		 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
6 - Sideswipe, same direction		 Roadway
01 - None apparent		 Type
1 - Lane Closure
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
No
D
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A
G
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0
NARRATIVE

BOTH UNITS #1 AND #2 WERE NORTHBOUND ON I-35 WHEN UNIT #1 MERGED INTO THE RIGHT LANE STRIKING THE LEFT REAR TRAILER PULLED BY UNIT #2. THE OPERATOR OF UNIT #1 THEN LOSS CONTROL OF THE VEHICLE AND ENTERED THE MEDIAN AND ROLLED COMING TO REST ON ITS TOP. THE ACCIDENT OCCURRED IN A CONSTRUCTION ZONE. THERE WERE NO INJURIES AND THE DRIVER OF UNIT #1 DECLINED MEDICAL TREATMENT.
Officer
KNEDLER 		Badge No.
443		 Time Officer Notified of Accident
18:19		 Time Officer Arrived At Scene
18:31
Name of Agency
P02		 Date of Report
4/20/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653