Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
6/2/2011		 Time of Accident
08:50 AM 		County
Monroe - 68		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011032027
Literal Description
US 0034 / US 34 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
524981.7
Y-Coordinate
4540569.
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1 		Driver's Name - Last
NEBEL		 First
MARK		 Middle
THOMAS		 Suffix
City
FAIRFIELD		 State
IA - Iowa, US		 Zip
52556
Driver's Age
27		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE TO MAINTAIN CONTROL
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

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
2002		 Make
Chevrolet - CHEV		 Model
TAHOE		 Style
K1500		 Approximate Cost to Repair or Replace
4500
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
99 - Unknown		 Most Damaged Area
05 - Rear		 Extent of Damage
4 - Disabling 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
88 - Other (explain in narrative)		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
04 - Crossed centerline/median		 Third Event
 Fourth Event
33 - Ditch/embankment		 Most Harmful Event (by vehicle)
33 - Ditch/embankment
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?
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
4 - Roadside		 Weather Conditions (up to two)
06 - Rain		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
33 - Ditch/embankment
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE #1 WAS WESTBOUND ON HIGHWAY 34. DRIVER #1 SAID HE MET TWO SEMI'S THAT WERE EASTBOUND THAT CAUSED HIS WINDSHIELD TO BE SPRAYED WITH RAIN WATER. DRIVER #1 APPLIED HIS BRAKES ON THE WET ROADWAY CAUSING HIM TO FAIL TO MAINTAIN CONTROL OF HIS VEHICLE. VEHICLE #1 CROSSED THE CENTERLINE AND CAME TO REST IN THE SOUTH DITCH.
Officer
KARP 		Badge No.
192		 Time Officer Notified of Accident
08:53		 Time Officer Arrived At Scene
08:53
Name of Agency
P13		 Date of Report
6/2/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743