Crash Information

L O C A T I O N	Date of Accident 5/22/2011	Time of Accident 04:10 AM	County Fremont - 36	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011029651
	Literal Description I-29 SB 6.95MM				Legal Intervention? No	Private Property? No
					X-Coordinate: 267615.0
					Y-Coordinate 4503625.

U N I T 1	Driver's Name - Last BOONE			First NICHOLAS			Middle JAMES		Suffix
	City SIDNEY			State IA - Iowa, US				Zip 51652
	Driver's Age 21					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 None	Restrictions S - SR Required	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 2 - Blood			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 5 - Not deployed	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: GRAPE MEMORIAL HOSP.					Transported by: HAMBURG RESCUE
	Insurance Co. Name
	Year 2001		Make Chevrolet - CHEV		Model SILVERADO		Style PICKUP		Approximate Cost to Repair or Replace 10000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 08 - Left Front	Most Damaged Area 08 - Left Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 01 - No controls present	Vehicle Config. 02 - Four-tire light truck (pick-up, panel)	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 6 - Under the influence of alcohol/drugs/medications	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 MCCLINTON			First KEVIN			Middle MICHAEL		Suffix
	City CINCINNATI			State OH - Ohio, US				Zip 45223
	Driver's Age 28					Citation Charge Code 1		Citation Charge 1
	Gender Male	State OH - Ohio, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements X - Hazmat & Tank	Restrictions	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 SWIFT TRANSPORTATION CO
	Year 2008		Make Volvo - VOLV		Model TRUCK		Style SEMI		Approximate Cost to Repair or Replace 15000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 08 - Left Front	Most Damaged Area 08 - Left Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 02	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 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 SWIFT TRANSPORTATION CO			City GARY		State IN - Indiana, US			Zip 46406
	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 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 7 - Sideswipe, opposite direction	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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Name- Last
MINNER

First
BRADY

Middle
S

Suffix

City

State

Zip Code

Age
19

Sex
Male

Unit No.
01

Seating Position
03 - Front: Right Side

Injury Status
3 - Non-incapacitating

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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
GRAPE MEMORIAL HOSP.

Transported by:
HAMBURG RESCUE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
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0

NARRATIVE

Vehicle #1 was traveling NB on I-29 in the SB lane at the 6.95 mile marker. Vehicle #2 was traveling SB on I-29 at the 6.95 mile marker. The driver of vehicle #2 noticed vehicle #1 in the wrong lane and attempted to pull onto the right shoulder. Vehicle #1 then collided into the left side of vehicle #2. After this collision, vehicle #1 entered into the west ditch and came to a rest facing in the northwesterly direction. Vehicle #2 came to a rest on the shoulder. No charges have been filed against the driver of vehicle #1, awaiting blood test results.

Officer BEENEN	Badge No. 066	Time Officer Notified of Accident 04:17	Time Officer Arrived At Scene 04:44
Name of Agency P03	Date of Report 5/22/2011	Investigation made at scene?	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