Crash Information
L
O
C
A
T
I
O
N
Date of Accident
5/30/2011
Time of Accident
09:55 PM
County
Plymouth - 75
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011031399
Literal Description
HWY 75 AROUND 270TH
Legal Intervention?
No
Private Property?
No
X-Coordinate:
231853.9
Y-Coordinate
4729768.
U
N
I
T
1
Driver's Name - Last
FRENCHMAN
First
TEDDY
Middle
J
Suffix
City
WINNEBAGO
State
NE - Nebraska, US
Zip
68071
Driver's Age
30
Citation Charge Code 1
Citation Charge 1
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
Injury Status
Occupant Protection
Airbag Deployment
Airbag Switch Status
Ejection
Ejection Path
Trapped
Transported to:
Transported by:
Insurance Co. Name
Year
2005
Make
Pontiac - PONT
Model
BONNEVILLE
Style
4D
Approximate Cost to Repair or Replace
2000
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 ONE WAS SOUTHBOUND ON HIGHWAY 75 AND STRUCK A DEER. THE VEHICLE WAS DISABLED
Officer
WILLIS
Badge No.
316
Time Officer Notified of Accident
21:58
Time Officer Arrived At Scene
21:58
Name of Agency
P06
Date of Report
5/30/2011
Investigation made at scene?
No
T.I. #
Any questions about this report may be directed to the following address:
Iowa State Patrol District 06 Office
503 W 44th St
Spencer,IA 51301-2089
Phone: (712) 262-1424
Fax: (712) 262-3222