Iowa State Patrol: Department of Public Safety

Crash Information

L
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N 		Date of Accident
6/4/2011		 Time of Accident
08:22 PM 		County
Jasper - 50		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011032542
Literal Description
EB INTERSTATE 80 -1953 FEET WEST OF (MILEPOST 153) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
475422.9
Y-Coordinate
4614627.
U
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1 		Driver's Name - Last
FOWLES		 First
KEYEA		 Middle
ANN		 Suffix
City
URBANDALE		 State
IA - Iowa, US		 Zip
503230000
Driver's Age
32		 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

B - Cor Lenses		 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
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2009		 Make
Lincoln - LINC		 Model
NAV		 Style
SW		 Approximate Cost to Repair or Replace
3500
Initial Travel Direction
2 - East		 Vehicle Action
88 - Other (explain in narrative)		 Speed Limit
70		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
4		 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
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?
U
N
I
T

2 		Driver's Name - Last
MILER		 First
BOGUMIL		 Middle
 Suffix
City
PHOENIX		 State
AZ - Arizona, US		 Zip
850234356
Driver's Age
59		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
AZ - Arizona, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
None		 Restrictions

B - Cor Lenses		 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
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2006		 Make
 Model
TR		 Style
SEMI		 Approximate Cost to Repair or Replace
3500
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
18 - Other trailer type (explain in narrative)		 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
21 - Vehicle in traffic		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
21 - Vehicle in traffic
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
6 - Animal in roadway		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
3 - Rear-end		 Roadway
01 - None apparent		 Type
Light Conditions
2 - Dusk		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
P
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U
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D 		Name- Last
FOWLES		 First
MICHAEL		 Middle
JON		 Suffix
City
 State
 Zip Code
Age
57		 Sex
Male		 Unit No.
1		 Seating Position
03 - Front: Right Side		 Injury Status
5 - Uninjured		 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:
N/A		 Transported by:
N/A
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
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N
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U
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D 		Name- Last
FOWLES		 First
MICHAEL		 Middle
JON		 Suffix
City
 State
 Zip Code
Age
57		 Sex
Male		 Unit No.
1		 Seating Position
07 - Rear: Left Side		 Injury Status
5 - Uninjured		 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:
N/A		 Transported by:
N/A
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
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D 		Name- Last
FOWLES		 First
KATHLEEN		 Middle
MARIE		 Suffix
City
 State
 Zip Code
Age
57		 Sex
Female		 Unit No.
1		 Seating Position
09 - Rear: Right Side		 Injury Status
5 - Uninjured		 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:
N/A		 Transported by:
N/A
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
D
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R
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M

0
NARRATIVE

VEHICLE 1 WAS EASTBOUND ON INTERSTATE 80 FROM THE152 MILE MARKER. VEHICLE 1 WAS SLOWING FOR A DEER IN THE MIDDLE OF THE INTERSTATE. VEHICLE 2 WAS ALSO EASTBOUND ON INTERSTATE 80 FROM THE 152 MILE MARKER. VEHICLE 2 THEN RAN INTO THE REAR OF VEHICLE 1. VEHICLE 2 IS A SEMI TRUCK PULLING A REFER SEMI TRIALER.
Officer
PEARSTON 		Badge No.
168		 Time Officer Notified of Accident
20:22		 Time Officer Arrived At Scene
20:40
Name of Agency
P01		 Date of Report
6/4/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011