Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
5/30/2011		 Time of Accident
12:00 AM 		County
Cedar - 16		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011031213
Literal Description
NB/EB Interstate 0080 (Milepost 274) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
668344.6
Y-Coordinate
4611065.
U
N
I
T

1 		Driver's Name - Last
MINYARD		 First
JOHNNY		 Middle
R		 Suffix
City
MILAN		 State
IL - Illinois, US		 Zip
61264
Driver's Age
58		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IL - Illinois, 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
 Injury Status
 Occupant Protection
 Airbag Deployment
 Airbag Switch Status
 Ejection
 Ejection Path
 Trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
1996		 Make
 Model
 Style
MOTOR HOME		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
 Vehicle Action
 Speed Limit
 Point of Initial Impact
 Most Damaged Area
 Extent of Damage
 Underride/Override
Total Occupants
 Traffic Controls
 Vehicle Config.
 Cargo Body Type
 Vehicle Defect
 Driver Condition
 Vision Obscured
 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
Emergency Vehicle Type
 Emergency Status
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
 Weather Conditions (up to two)
 Environment
 Location
 First Harmful Event of Crash (use codes 11-42 only)
25 - Animal
Manner of Crash/Collision
 Roadway
 Type
Light Conditions
 Surface Conditions
 Type of Roadway Junction/Feature
 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 WAS TRAVELING EASTBOUND ON INTERSTATE 80 AT MILE POST 274 AND STRUCK A DEER.
Officer
NUDD 		Badge No.
034		 Time Officer Notified of Accident
00:05		 Time Officer Arrived At Scene
00:23
Name of Agency
P12		 Date of Report
5/30/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504