Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
4/19/2011		 Time of Accident
09:15 AM 		County
Hamilton - 40		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011023488
Literal Description
SB/WB Interstate 0035 measuring 612 Feet South from Interstate 0035 (Milepost 147) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
453346.1
Y-Coordinate
4706710.
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1 		Driver's Name - Last
LAWRENCE		 First
DAVID		 Middle
A		 Suffix
City
CAMP DOUGLAS		 State
WI - Wisconsin, US		 Zip
546180000
Driver's Age
50		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
WI - Wisconsin, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
None		 Restrictions

B - Cor Lenses		 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
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
NA		 Transported by:
NA
Insurance Co. Name
CELEDON TRUCKING SERVICES INC
Year
2009		 Make
International - INTL		 Model
TT		 Style
TT/ST		 Approximate Cost to Repair or Replace
20000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
03 - Right Side		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
02 - Van/enclosed box		 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
11 - Overturn/rollover		 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
CELEDON TRUCKING SERVICES INC		 City
COLUMBUS		 State
IN - Indiana, US		 Zip
47201
Number of Axles
5		 Gross Vehicle Weight Rating
80000		 Placard #
 Hazardous Materials Released?
2 - No
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If Property other than vehicles damaged explain Object Damaged
STATE OF IOWA ROAD DITCH		 Estimate of Damage
500
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
STATE OF IOWA
City
DSM		 State
IA - Iowa, US		 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)
03 - Cloudy		 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
19 - On-ramp		 Workers Present?
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NARRATIVE

UNIT 1 WAS SOUTHBOUND ON INTERSTATE 35 NORTH OF THE 147 MILE-MARKER WHEN THE DRIVER OF UNIT 1: OPERATED IN HAZARDOUS CONDITIONS(392.14), BOTH SURFACE AND WEATHER, LOST CONTROL OF THE VEHICLE, LEFT THE ROADWAY TO THE RIGHT, ENTERED THE SOUTHBOUND DITCH, AND ROLLED ONTO ITS SIDE. THE DRIVER OF UNIT 1 WAS EXTRICATED BY NON-MECHANICAL MEANS. THE DRIVER OF UNIT 1 DID NOT COMPLAIN OF INJURY BUT ADVISED HE COULD NOT REFUSE MEDICAL ASSISTANCE PER THE COMPANY. THE DRIVER WAS TRANSPORTED TO THE WILLIAMS FIRE DEPARTMENT AND MET WITH AMBULANCE PERSONEL AND WAS ASSESSED BY EMS PERSONEL. SEATBELT USAGE PREVENTED SERIOUS INJURY OR DEATH. I MET WITH THE DRIVER THE SAME DATE AT A PREDETERMINED LOCATION AND ISSUED A COPY OF THIS REPORT AND HE STILL HAD NO COMPLAINT OF INJURY.
Officer
ADES 		Badge No.
098		 Time Officer Notified of Accident
09:30		 Time Officer Arrived At Scene
09:40
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