U
N
I
T
2
|
Driver's Name - Last CROWN |
First JORDAN |
Middle
|
Suffix
|
City LOS LUNAS |
State NM - New Mexico, US |
Zip 870310000 |
Driver's Age 30 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State NM - New Mexico, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements T - Dbl/Trpl Trlr |
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 CRETE CARRIER CORP |
Year 2007 |
Make
|
Model CENTURY |
Style TT |
Approximate Cost to Repair or Replace 0 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 1 - None |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 09 - Tractor/semi-trailer |
Cargo Body Type 02 - Van/enclosed box |
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 21 - Vehicle in traffic |
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name CRETE CARRIER CORP |
City LINCOLN |
State NE - Nebraska, US |
Zip 68528 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard #
|
Hazardous Materials Released? 2 - No |
U
N
I
T
3
|
Driver's Name - Last MULLIGAN |
First STEVEN |
Middle JOEL |
Suffix
|
City LINCOLN |
State NE - Nebraska, US |
Zip 685030000 |
Driver's Age 28 |
Citation Charge Code 1 321.307 |
Citation Charge 1 FOLLOWING TOO CLOSE |
Gender Male |
State NE - Nebraska, 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 4 - Possible |
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 2003 |
Make Chevrolet - CHEV |
Model IMPALA |
Style 4DR |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 4 - West |
Vehicle Action 06 - Changing lanes |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
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 06 - Evasive action (swerve, panic braking, etc.) |
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?
|
| 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 3 - Rear-end |
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, UNIT #2, AND UNIT #3 WERE ALL TRAVELING WESTBOUND ON INTERSTATE 80. UNIT #1 WAS PASSING UNIT #2. WHEN UNIT #1 HAD ALMOST COMPLETED THE PASS ON UNIT #2, THE DRIVER OF UNIT #1 LOOKED IN HIS REAR VIEW MIRROR AND SAW UNIT #3 THAT APPEARED TO BE TAILGATING HIM. UNIT #1 TAPPED HIS BRAKES, UNIT #3 THEN TRIED TO SWITCH LANES AND PASS ON THE RIGHT BETWEEN UNIT #1 AND UNIT #2. UNIT #3 RAN INTO THE BACK OF UNIT #1. UNIT #3 THEN LOST CONTROL SLIDING IN FRONT OF UNIT #2. UNIT #3 SLID ACROSS THE FRONT OF UNIT #2 AND ACROSS THE LANES INTO THE NORTH DITCH. UNIT #3 STRUCK THE DITCH AND CAME TO REST OVER TOP OF A SMALL CREEK. NO INJURIES WERE REPORTED. |
|
Officer
DEVAULT |
Badge No. 360 |
Time Officer Notified of Accident 10:54 |
Time Officer Arrived At Scene 11:06 |
Name of Agency P03 |
Date of Report 4/30/2011 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504