Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
4/19/2011		 Time of Accident
06:15 AM 		County
Buena Vista - 11		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011023383
Literal Description
US 0071 / 130TH AVE 1/2 NORTH C-29 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
324061.2
Y-Coordinate
4739216.
U
N
I
T

1 		Driver's Name - Last
NEAL		 First
VIOLET		 Middle
CAROL		 Suffix
City
NEWELL		 State
IA - Iowa, US		 Zip
505680000
Driver's Age
21		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL 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

B - Cor Lenses		 Citation Charge Code 2
321.445		 Citation Charge 2
FAIL TO WEAR/MAINTAIN SAFETY BELTS
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
3 - Non-incapacitating		 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:
B.V. COUNTY HOSPITAL		 Transported by:
PRIVATE PARTY
Insurance Co. Name
Year
2001		 Make
Dodge - DODG		 Model
CVN		 Style
VN		 Approximate Cost to Repair or Replace
9000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
03 - Right Side		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
02		 Traffic Controls
01 - No controls present		 Vehicle Config.
03 - Van or mini-van		 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
21 - Vehicle in traffic		 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?
U
N
I
T

2 		Driver's Name - Last
GREENE		 First
JOVAN		 Middle
K		 Suffix
City
STORMLAKE		 State
IA - Iowa, US		 Zip
50588
Driver's Age
32		 Citation Charge Code 1
321.174		 Citation Charge 1
FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR
Gender
Male		 State
IL - Illinois, US		 Class
 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
321.20B-B		 Citation Charge 2
VIOLATION - FINANCIAL LIABILITY - ACCIDENT
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
3 - Non-incapacitating		 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
1 - Not trapped
Transported to:
B.V. MEMORIAL HOSPITAL		 Transported by:
B.V. COUNTY AMBULANCE
Insurance Co. Name
Year
1995		 Make
Chevrolet - CHEV		 Model
MONTE CARLO		 Style
2DR		 Approximate Cost to Repair or Replace
800
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 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
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)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
5 - Broadside		 Roadway
02 - Road surface condition		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
ZELL		 First
DAVID		 Middle
LEE		 Suffix
City
 State
 Zip Code
Age
19		 Sex
Male		 Unit No.
01		 Seating Position
03 - Front: Right Side		 Injury Status
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
B.V. COUNTY HOSPITAL		 Transported by:
PRIVATE PARTY
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
D
I
A
G
R
A
M

0
NARRATIVE

VEHICLE #1 WAS TRAVELING SOUTHBOUND ON HWY 71, WHICH WAS SNOW AND SLUSH COVERED AND SNOWING AT THE TIME. VEHICLE #2 WAS TRAVELING NORTHBOUND ON HWY 71 MEETING VEHICLE#1. THE DRIVER OF VEHICLE #1 LOST CONTROL OF THE VEHICLE CAUSING THE VEHICLE TO CROSS INTO THE OPPOSING NORTHBOUND LANE. WHERE IT WAS STRUCK BY VEHICLE #2 BROADSIDE ON THE PASSENGER SIDE OF THE VEHICLE. VEHICLE #2 HAD NO REGISTRATION PLATES DUE TO RECENT PURCHASE FROM PRIVATE SALE.
Officer
MAIER 		Badge No.
215		 Time Officer Notified of Accident
06:32		 Time Officer Arrived At Scene
07:09
Name of Agency
P06		 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 06 Office
503 W 44th St
Spencer,IA 51301-2089
Phone: (712) 262-1424
Fax: (712) 262-3222