U
N
I
T
1
|
Driver's Name - Last FOOR |
First CHARLES |
Middle EDWARD JR |
Suffix
|
City HINSDALE |
State NY - New York, US |
Zip 14743 |
Driver's Age 46 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State NY - New York, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements
|
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 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: N/A |
Transported by:
|
Insurance Co. Name
|
Year 2007 |
Make
|
Model 379PETE |
Style SEMI |
Approximate Cost to Repair or Replace 100 |
Initial Travel Direction 1 - North |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 10 - Under Carriage |
Most Damaged Area 10 - Under Carriage |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 09 - Tractor/semi-trailer |
Cargo Body Type 05 - Flatbed |
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 08 - Cargo/equipment loss or shift |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 08 - Cargo/equipment loss or shift |
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 SATTERBERG |
First DANIEL |
Middle ALLAN |
Suffix
|
City MPLS |
State MN - Minnesota, US |
Zip 55417 |
Driver's Age 53 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State MN - Minnesota, US |
Class D - Chauffeur |
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: N/A |
Transported by:
|
Insurance Co. Name
|
Year 2011 |
Make
|
Model LIBERTY |
Style SUV |
Approximate Cost to Repair or Replace 1500 |
Initial Travel Direction 1 - North |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 2 |
Traffic Controls 01 - No controls present |
Vehicle Config. 04 - Sport utility vehicle |
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 26 - Other non-fixed object (explain in narrative) |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 26 - Other non-fixed object (explain in narrative) |
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) 01 - Clear |
Environment 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 26 - Other non-fixed object (explain in narrative) |
Manner of Crash/Collision 1 - Non-collision |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
UNIT 1 WAS TRAVELING NB ON INTERSTATE 35 IN THE RIGHT LANE HAULING TIRES, AND JOHN DEERE PARTS. UNIT 2 WAS TRAVELING NORTHBOUND ON INTERSTATE 35 IN THE LEFT LANE ABOUT TO PASS UNIT 1. A TIRE FROM UNIT 1'S LOAD WAS LOST AND WENT OUT ONTO THE ROADWAY. UNIT 2 TRIED TO BRAKE TO AVOID THE TIRE BUT WAS UNABLE TOO. UNIT 2 STRUCK THE TIRE AND THEN ENTERED THE MEDIAN. UNIT 2 CAME TO FINAL REST IN THE MEDIAN. UNIT 1 PULLED OVER ON TO THE SHOULDER. THE TIRE CAME TO FINAL REST ON THE WEST SIDE OF THE SOUTHBOUND LANES TO I-35. THE DRIVER OF UNIT 1 DID RETRIEVE THE TIRE. |
|
Officer
DUENOW |
Badge No. 080 |
Time Officer Notified of Accident 17:50 |
Time Officer Arrived At Scene 18:05 |
Name of Agency P08 |
Date of Report 4/24/2011 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381