U
N
I
T
1
|
Driver's Name - Last RIESE |
First KATIE |
Middle MARIE |
Suffix
|
City WAUKON |
State IA - Iowa, US |
Zip 521720000 |
Driver's Age 16 |
Citation Charge Code 1 321.321 |
Citation Charge 1 FAIL TO YIELD UPON ENTERING HIGHWAY |
Gender Female |
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
Y - Intermediate License |
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
|
Year 1999 |
Make General Motors - GMC |
Model SUB |
Style SW |
Approximate Cost to Repair or Replace 0 |
Initial Travel Direction 3 - South |
Vehicle Action 88 - Other (explain in narrative) |
Speed Limit 55 |
Point of Initial Impact 99 - Unknown |
Most Damaged Area
|
Extent of Damage 1 - None |
Underride/Override 1 - None |
Total Occupants 02 |
Traffic Controls 01 - No controls present |
Vehicle Config. 04 - Sport utility vehicle |
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 04 - Crossed centerline/median |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 04 - Crossed centerline/median |
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 SCHULTE |
First CYNTHIA |
Middle ANN |
Suffix
|
City WAUKON |
State IA - Iowa, US |
Zip 521720000 |
Driver's Age 44 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Female |
State IA - Iowa, US |
Class D - Chauffeur |
Endorsements 3 - Pass Veh less than 16 Pass Design |
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
|
Year 2004 |
Make Mercury - MERC |
Model MTN |
Style SW |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 04 - Sport utility vehicle |
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 01 - Ran off road, right |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 38 - Poles (utility, light, etc.) |
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?
|
|
P
R
O
P
E
R
T
Y
D
A
M
A
G
E
|
If Property other than vehicles damaged explain |
Object Damaged UTILITY POLE AND TRANSFORMER |
Estimate of Damage 1500 |
Owner's Name - Last
|
First
|
Middle
|
Suffix
|
Owner Company Name ALLAMAKEE CLAYTON REC |
City POSTVILLE |
State IA - Iowa, US |
Zip
|
| ACCIDENT ENVIRONMENT |
ROADWAY CHARACTERISTICS Major Contributing Circumstances: |
WORKZONE RELATED? |
SEQUENCE OF EVENTS |
Location of First Harmful Event 4 - Roadside |
Weather Conditions (up to two) 01 - Clear |
Environment 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 38 - Poles (utility, light, etc.) |
Manner of Crash/Collision 2 - Head-on |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 6 |
Type of Roadway Junction/Feature 05 - Farm/residential drive |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
VEHICLE ONE WAS ENTERING PRAIRIE DRIVE FROM HER RESIDENCE. VEHICLE 2 WAS TRAVELING WEST ON PRAIRIE DRIVE. DRIVER OF VEHICLE 1 DID NOT SEE VEHICLE 2 AND PULLED OUT ONTO THE ROAD TO TURN EAST. DRIVER OF VEHICLE 2 SWERVED TO AVOID COLLISION WITH VEHICLE 1 AND STRUCK THE GUY WIRE ON A UTILITY POLE. THE UTILITY POLE WAS SNAPPED OFF. |
|
Officer
MOMMER |
Badge No. 189 |
Time Officer Notified of Accident
|
Time Officer Arrived At Scene
|
Name of Agency P10 |
Date of Report 5/23/2011 |
Investigation made at scene?
|
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046