Crash Information

L O C A T I O N	Date of Accident 5/29/2011	Time of Accident 11:40 PM	County Van Buren - 89	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011031200
	Literal Description Iowa 0001 / IOWA 1 (Milepost 9)				Legal Intervention? No	Private Property? No
					X-Coordinate: 590244.0
					Y-Coordinate 4515962.

U N I T 1	Driver's Name - Last SNELLING			First SARAH			Middle LYNN		Suffix
	City KEOSAUQUA			State IA - Iowa, US				Zip 525657700
	Driver's Age 39					Citation Charge Code 1		Citation Charge 1
	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 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 4 - Possible	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: VAN BUREN COUNTY HOSPITAL					Transported by: VAN BUREN COUNTY AMBULANCE
	Insurance Co. Name
	Year 2007		Make Dodge - DODG		Model CLB		Style 4D		Approximate Cost to Repair or Replace 2000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	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 05 - Animal or object in roadway	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 05 - Animal or object in roadway
	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 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) 25 - Animal
Manner of Crash/Collision 1 - Non-collision	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
E
R
S
O
N

I
N
J
U
R
E
D

Name- Last
GRIMM

First
CHRYSTAL

Middle
M

Suffix

City

State

Zip Code

Age
14

Sex
Female

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
4 - Possible

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
5 - Not deployed

Airbag Switch Status
9 - Unknown

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
VAN BUREN COUNTY HOSPITAL

Transported by:
VAN BUREN COUNTY AMBULANCE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEH#1 WAS TRAVELING HWY1SB NEAR MT.ZION. A DEER CROSS IN FRONT OF VEH#1. VEH#1 STRUCK THE DEER. BOTH DRIVER AND PASSENGER WERE WEARING SEATBELTS. BOTH DRIVER AND PASSENGER WERE TRANSPORTED TO VAN BUREN COUNTY HOSPITAL FOR POSSIBLE INJURY.

Officer DIEPHUIS	Badge No. 252	Time Officer Notified of Accident 23:40	Time Officer Arrived At Scene 23:40
Name of Agency P13	Date of Report 5/29/2011	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