U
N
I
T
1
|
Driver's Name - Last SMITH |
First DALE |
Middle EDWARD |
Suffix
|
City POCAHONTAS |
State IA - Iowa, US |
Zip 505740000 |
Driver's Age 75 |
Citation Charge Code 1 321.322(1) |
Citation Charge 1 FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY |
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
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 5 - Uninjured |
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:
|
Transported by:
|
Insurance Co. Name
|
Year 2004 |
Make Chevrolet - CHEV |
Model IMP |
Style 4D |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 2 - East |
Vehicle Action 02 - Turning left |
Speed Limit 45 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 02 - Right Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 02 |
Traffic Controls 04 - Stop signs |
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?
|
U
N
I
T
2
|
Driver's Name - Last STOEVER |
First TIMOTHY |
Middle DEAN |
Suffix
|
City SPENCER |
State IA - Iowa, US |
Zip 513010000 |
Driver's Age 52 |
Citation Charge Code 1 321.321 |
Citation Charge 1 FAIL TO YIELD UPON ENTERING THROUGH HIGHWAY |
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 5 - Uninjured |
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:
|
Transported by:
|
Insurance Co. Name
|
Year 2008 |
Make Chevrolet - CHEV |
Model MAL |
Style 4D |
Approximate Cost to Repair or Replace 2000 |
Initial Travel Direction 1 - North |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 04 - Stop signs |
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) 02 - Partly cloudy |
Environment 1 - None apparent |
Location 3 - Within transition area for lane shift |
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 4 - Angle, oncoming left turn |
Roadway 01 - None apparent |
Type 2 - Lane shift/crossover (head-to-head traffic) |
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 11 - Four-way intersection |
Workers Present? Yes |
D I A G R A M
0 |
|
| NARRATIVE |
A MOTOR VEHICLE ACCIDENT OCCURRED AT THE JUNCTION OF HWY 7 AND HWY 169 IN WEBSTER COUNTY. VEHICLE 1 WAS STOPPED BEHIND A EASTBOUND VEHICLE AT A STOP SIGN ON HWY 7. VEHICLE 2 WAS STOPPED AT THE JUNCTION OF HWY 7 AND HWY 169 HEADED IN A NORTHBOUND MANNER. VEHICLE 1 PROCEEDED EASTBOUND FOLLOWING THE VEHICLE IN FRONT OF IT FAILING TO STOP AT THE STOP SIGN ITSELF. THE FRONT VEHICLE TURNED SOUTH ONTO HWY 169 AND VEHICLE 1 CONTINUED STRAIGHT. VEHICLE 2 FAILING TO YIELD TO VEHICLE 1, ALREADY TRAVELING IN THE INTERSECTION, PULLED OUT FROM THE STOP SIGN FAILING TO YIELD AND WAS STRUCK IN THE DRIVER'S SIDE LEFT FRONT. THE VEHICLES CAME TO REST IN THE INTERSECTION. NO INJURIES WERE SUSTAINED, AND VEHICLE 2 WAS TOWED BY MID IOWA TOWING FROM THE SCENE. |
|
Officer
KAMP |
Badge No. 471 |
Time Officer Notified of Accident 11:04 |
Time Officer Arrived At Scene 11:10 |
Name of Agency P07 |
Date of Report 4/28/2011 |
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