Crash Information
L
O
C
A
T
I
O
N
Date of Accident
6/1/2011
Time of Accident
09:25 PM
County
Cass - 15
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011031921
Literal Description
SB/WB Interstate 0080 (Milepost 62)
Legal Intervention?
No
Private Property?
No
X-Coordinate:
339894.5
Y-Coordinate
4595722.
U
N
I
T
1
Driver's Name - Last
JOSHUA
First
MELANIE
Middle
ANNE
Suffix
City
BURNSVILLE
State
MN - Minnesota, US
Zip
55337
Driver's Age
55
Citation Charge Code 1
Citation Charge 1
Gender
Female
State
MN - Minnesota, 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
2010
Make
Honda - HOND
Model
CRV
Style
SUV
Approximate Cost to Repair or Replace
8000
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
VEHICLE 1 WAS WESTBOUND AND STRUCK A DEER ON THE ROADWAY. VEHICLE 1 CAME TO REST IN THE MEDIAN.
Officer
GRANNER
Badge No.
352
Time Officer Notified of Accident
21:29
Time Officer Arrived At Scene
21:36
Name of Agency
P03
Date of Report
6/1/2011
Investigation made at scene?
Yes
T.I. #
Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504