Crash Information
L
O
C
A
T
I
O
N
Date of Accident
4/24/2011
Time of Accident
08:25 AM
County
Story - 85
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011024590
Literal Description
NB/EB Interstate 0035 (Milepost 102)
Legal Intervention?
No
Private Property?
No
X-Coordinate:
452587.2
Y-Coordinate
4635090.
U
N
I
T
1
Driver's Name - Last
FEES
First
JESSICA
Middle
KAY
Suffix
City
DES MOINES
State
IA - Iowa, US
Zip
50317
Driver's Age
24
Citation Charge Code 1
Citation Charge 1
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
Injury Status
Occupant Protection
Airbag Deployment
Airbag Switch Status
Ejection
Ejection Path
Trapped
Transported to:
Transported by:
Insurance Co. Name
Year
2009
Make
Dodge - DODG
Model
AVN
Style
4D
Approximate Cost to Repair or Replace
1500
Initial Travel Direction
Vehicle Action
Speed Limit
Point of Initial Impact
Most Damaged Area
Extent of Damage
Underride/Override
Total Occupants
Traffic Controls
Vehicle Config.
Cargo Body Type
Vehicle Defect
Driver Condition
Vision Obscured
Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS
First Event
Second Event
Third Event
Fourth Event
Most Harmful Event (by vehicle)
Emergency Vehicle Type
Emergency Status
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
Weather Conditions (up to two)
Environment
Location
First Harmful Event of Crash (use codes 11-42 only)
25 - Animal
Manner of Crash/Collision
Roadway
Type
Light Conditions
Surface Conditions
Type of Roadway Junction/Feature
Workers Present?
D
I
A
G
R
A
M
0
NARRATIVE
UNIT 1 WHILE TRAVELING NB IN RIGHT LANE STRUCK DEER THAT ENTERED ROAD FROM EAST.
Officer
BOGDANSKI
Badge No.
061
Time Officer Notified of Accident
Time Officer Arrived At Scene
Name of Agency
P16
Date of Report
4/24/2011
Investigation made at scene?
T.I. #
Any questions about this report may be directed to the following address:
Iowa State Patrol District 16 Office
Lucas State Office Bldg
Des Moines,IA 50319-
Phone: (515) 281-3879
Fax: (515) 281-6478