U
N
I
T
1
|
Driver's Name - Last BORCHERS |
First DANIEL |
Middle JOSEPH |
Suffix
|
City SIOUX CITY |
State IA - Iowa, US |
Zip 511050000 |
Driver's Age 23 |
Citation Charge Code 1 321.288 |
Citation Charge 1 FAIL TO MAINTAIN CONTROL |
Gender Male |
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 3 - Non-incapacitating |
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:
|
Transported by:
|
Insurance Co. Name
|
Year 1995 |
Make Honda - HOND |
Model CIVIC |
Style SI/EX |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 1 - North |
Vehicle Action 05 - Overtaking/passing |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 3 - Functional 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 03 - Ran off road, left |
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 CHABANE |
First JAMES |
Middle MATTHEW |
Suffix
|
City BRIDGEWATER |
State SD - South Dakota, US |
Zip 573196325 |
Driver's Age 54 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State SD - South Dakota, 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:
|
Transported by:
|
Insurance Co. Name
|
Year 2007 |
Make
|
Model LOAD TRAILER |
Style TRAILER |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 1 - North |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 06 - Left Rear |
Most Damaged Area 06 - Left Rear |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 2 |
Traffic Controls 01 - No controls present |
Vehicle Config. 88 - Other (explain in narrative) |
Cargo Body Type 11 - Large utility (2+ axles) |
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?
|
|
P
R
O
P
E
R
T
Y
D
A
M
A
G
E
|
If Property other than vehicles damaged explain |
Object Damaged MILKWEED PROCESSOR |
Estimate of Damage 500 |
Owner's Name - Last MCCOY |
First DEBRA |
Middle KAY |
Suffix
|
Owner Company Name
|
City BRIDGEWATER |
State SD - South Dakota, 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) 01 - Clear |
Environment 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 6 - Sideswipe, same direction |
Roadway 04 - Ruts, holes, bumps |
Type
|
Light Conditions 5 - Dark, roadway not lighted |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
VEHICLE #2 IS A LARGE UTILITY TRAILER BEING PULLED NORTHBOUND ON I29 IN THE RIGHT LANE. V2 IS BEING PULLED BY 1998 GMC PICKUP SD PLATE 46W807. V2 IS TRANSPORTING A LARGE SPECIALTY MACHINE USED TO PROCESS MILKWEEDS. V1 IS NORTHBOUND ON I29 IN THE LEFT LANE AND WAS PASSING V2. V1 DROPPED OFF THE LEFT SIDE OF THE ROAD ONTO THE SHOULDER. THE DRIVER STEERED HARD BACK ONTO THE ROADWAY. V1 ENTERED INTO A CLOCKWISE YAW. THE FRONT END OF V1 STRUCK THE DRIVER SIDE AXLES OF V2. THE DRIVER OF V1 STATED HIS STEERING WHEEL LOCKED UP PRIOR TO LOSS OF CONTROL. THE STEERING WHEEL FUNCTIONED NORMALLY UPON MY ARRIVAL. THE SENSATION OF WHEEL LOCK UP MAY HAVE BEEN FROM THE STEERING WHEEL CATCHING THE PAVEMENT EDGE WHEN THE VEHICLE DROPPED OFF THE ROADWAY. V1'S PATH OFF THE ROADWAY, TO IMPACT, AND AFTER IMPACT WAS INDICATED BY TIRE SCRUBS VISIBLE ON THE ROADWAY. PHOTOGRAPHS TAKEN BY ISP 486. |
|
Officer
OLESEN |
Badge No. 486 |
Time Officer Notified of Accident 21:21 |
Time Officer Arrived At Scene 21:34 |
Name of Agency P04 |
Date of Report 4/23/2011 |
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