Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
4/24/2011		 Time of Accident
04:20 PM 		County
Delaware - 28		 Accident occurred within corporate limits of (city)
Dyersville - 2160		 Law Enforcement Case Number:
2011024623
Literal Description
7TH ST SW AND SB/WB US 0020 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
653379.1
Y-Coordinate
4703777.
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1 		Driver's Name - Last
EMMERSON		 First
CHARLES		 Middle
EDWARD		 Suffix
City
AMES		 State
IA - Iowa, US		 Zip
50010
Driver's Age
18		 Citation Charge Code 1
 Citation Charge 1
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
 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
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
MERCY - DUBUQUE		 Transported by:
BI-COUNTY AMBULANCE
Insurance Co. Name
Year
2005		 Make
Honda - HOND		 Model
ODYSSEY		 Style
VN		 Approximate Cost to Repair or Replace
6000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
3		 Traffic Controls
03 - Flashing traffic control signal		 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
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
21 - Vehicle in traffic		 Third Event
 Fourth Event
33 - Ditch/embankment		 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?
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2 		Driver's Name - Last
BURNELL		 First
MATTHEW		 Middle
TIMOTHY		 Suffix
City
EARLVILLE		 State
IA - Iowa, US		 Zip
520419547
Driver's Age
34		 Citation Charge Code 1
321.321		 Citation Charge 1
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
1 - Deployed front of person		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
3 - Extricated by mechanical means
Transported to:
MERCY - DUBUQUE		 Transported by:
BI-COUNTY AMBULANCE
Insurance Co. Name
Year
2002		 Make
Ford - FORD		 Model
RNG		 Style
PK		 Approximate Cost to Repair or Replace
4000
Initial Travel Direction
3 - South		 Vehicle Action
11 - Stopped for stop sign/signal		 Speed Limit
65		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
05 - Yield signs		 Vehicle Config.
02 - Four-tire light truck (pick-up, panel)		 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
03 - Ran off road, left		 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?
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If Property other than vehicles damaged explain Object Damaged
YIELD/ONE WAY SIGN		 Estimate of Damage
250
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
IA DEPARTMENT OF TRANSPORTATION
City
AMES		 State
IA - Iowa, 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)
02 - Partly cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
5 - Broadside		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
11 - Four-way intersection		 Workers Present?
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D 		Name- Last
HOUSER		 First
SALLY		 Middle
ANN		 Suffix
City
 State
 Zip Code
Age
49		 Sex
Female		 Unit No.
1		 Seating Position
03 - Front: Right Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
2 - Freed by non-mechanical means
Transported to:
MERCY - DUBUQUE		 Transported by:
BI-COUNTY AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
EMMERSON		 First
BRIAN		 Middle
 Suffix
City
 State
 Zip Code
Age
15		 Sex
Male		 Unit No.
1		 Seating Position
09 - Rear: Right Side		 Injury Status
4 - Possible		 Occupant Protection
9 - Unknown		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY - DUBUQUE		 Transported by:
BI-COUNTY AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

UNIT 1 WAS TRAVELING WEST ON HIGHWAY 20 APPROACHING 8TH STREET SW. UNIT 2 WAS TRAVELING SOUTH FROM A STOP SIGN AT 7TH STREET SW AND CROSSING HIGHWAY 20. UNIT 2 PULLED INTO THE PATH OF UNIT 1 AND STOPPED IN THE WESTBOUND LANES OF HIGHWAY 20. UNIT 1 STRUCK UNIT 2 IN THE DRIVERS' SIDE DOOR. BOTH VEHICLES CAME TO REST IN THE MEDIAN. UNIT 1 STRUCK A YIELD/ONE-WAY SIGN.
Officer
JANSSEN 		Badge No.
326		 Time Officer Notified of Accident
16:27		 Time Officer Arrived At Scene
16:39
Name of Agency
P10		 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 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046