Crash Information

L O C A T I O N	Date of Accident 5/3/2011	Time of Accident 11:24 PM	County Johnson - 52	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011026232
	Literal Description SB/WB Interstate 0080 measuring 963 Feet East from Interstate 0080 (Milepost 247)				Legal Intervention? No	Private Property? No
					X-Coordinate: 626130.6
					Y-Coordinate 4615997.

U N I T 1	Driver's Name - Last CALL			First LISA			Middle DAWN		Suffix
	City HAVRE DE GRACE			State MD - Maryland, US				Zip 21078
	Driver's Age 44					Citation Charge Code 1 321.288		Citation Charge 1 CONTROL
	Gender Female	State MD - Maryland, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements N - Tank	Restrictions None	Citation Charge Code 2 321.449		Citation Charge 2 LOG BOOK VIOL
	Alcohol Test Given?			Drug Test Given?		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 6 - Not applicable	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 2 - Freed by non-mechanical means
	Transported to: UNIVERSITY HOSPITAL					Transported by: JOHNSON CO AMBULANCE
	Insurance Co. Name LEASING SERVICES II INC
	Year 2005		Make		Model TT		Style SEMI		Approximate Cost to Repair or Replace 20000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 02 - Right Front	Most Damaged Area 02 - Right Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 11 - Workzone signs	Vehicle Config. 07 - Truck/trailer	Cargo Body Type 02 - Van/enclosed box	Vehicle Defect 01 - None	Driver Condition 5 - Asleep, fainted, fatigued, etc	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 01 - Ran off road, right	Second Event 11 - Overturn/rollover	Third Event	Fourth Event	Most Harmful Event (by vehicle) 11 - Overturn/rollover
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name LEASING SERVICES II INC			City SHELBY		State NC - North Carolina, US			Zip 28152
	Number of Axles 5			Gross Vehicle Weight Rating 80000		Placard #			Hazardous Materials Released? 2 - No

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 2 - Shoulder	Weather Conditions (up to two) 01 - Clear	Environment 1 - None apparent	Location 4 - Within or adjacent to work activity	First Harmful Event of Crash (use codes 11-42 only) 11 - Overturn/rollover
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type 2 - Lane shift/crossover (head-to-head traffic)
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present? No

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Name- Last
BROYLES

First
JOHN

Middle
C

Suffix

City

State

Zip Code

Age
61

Sex
Male

Unit No.
1

Seating Position
10 - Sleeper Section

Injury Status
4 - Possible

Occupant Protection
1 - None used

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
2 - Freed by non-mechanical means

Transported to:
UNIVERSITY HOSPITAL

Transported by:
JOHNSON CO AMBULANCE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
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A
G
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0

NARRATIVE

VEHICLE 1 WAS WESTBOUND ON I-80 WHEN IT DROVE OFF ONTO THE GRASS SHOULDER AND ROLLED OVER ONTO ITS SIDE. THIS WOULD BE IN THE WORK ZONE AFTER THE LANE SHIFT STARTED, WITH HEAD TO HEAD TRAFFIC.

Officer KINSEY	Badge No. 056	Time Officer Notified of Accident 23:43	Time Officer Arrived At Scene 00:01
Name of Agency P11	Date of Report 5/4/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327