Crash Information

L O C A T I O N	Date of Accident 6/14/2011	Time of Accident 12:44 AM	County Cerro Gordo - 17	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011034381
	Literal Description NB INTERSTATE 35 MEASURING 871 FEET SOUTH FROM MILEPOST 196				Legal Intervention? No	Private Property? No
					X-Coordinate: 471080.0
					Y-Coordinate 4779834.

U N I T 1	Driver's Name - Last MOHAMED			First ABDI			Middle N		Suffix
	City GRAND ISLAND			State NE - Nebraska, US				Zip 68801
	Driver's Age 45					Citation Charge Code 1		Citation Charge 1
	Gender Male	State NE - Nebraska, US	Class	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 1 - Deployed front of person	Airbag Switch Status 1 - Switch in ON position		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: NA					Transported by:
	Insurance Co. Name
	Year 2003		Make Chevrolet - CHEV		Model IMPALA		Style 4DR		Approximate Cost to Repair or Replace 6000
	Initial Travel Direction 1 - North	Vehicle Action 88 - Other (explain in narrative)	Speed Limit 70	Point of Initial Impact 02 - Right Front	Most Damaged Area 01 - Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 02	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 06 - Evasive action (swerve, panic braking, etc.)	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?

U N I T 2	Driver's Name - Last WIEGERT			First BROCK			Middle D		Suffix
	City ELKHORN			State NE - Nebraska, US				Zip 68022
	Driver's Age 59					Citation Charge Code 1		Citation Charge 1
	Gender Male	State NE - Nebraska, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements T - Dbl/Trpl Trlr	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 6 - Not applicable	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: NA					Transported by:
	Insurance Co. Name MEL EASTON AND SONS INC
	Year 2009		Make		Model		Style SEMI		Approximate Cost to Repair or Replace 9000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 01	Traffic Controls 01 - No controls present	Vehicle Config. 09 - Tractor/semi-trailer	Cargo Body Type 02 - Van/enclosed box	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 MEL EASTON AND SONS INC			City COUNCIL BLUFFS		State IA - Iowa, US			Zip 513016919
	Number of Axles 5			Gross Vehicle Weight Rating 80000		Placard #			Hazardous Materials Released? 3 - Not applicable

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) 02 - Partly cloudy	Environment 6 - Animal in roadway	Location	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 5 - Broadside	Weather Conditions (up to two) 02 - Partly cloudy	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
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R
S
O
N

I
N
J
U
R
E
D

Name- Last
ELMI

First
MOHAMED

Middle

Suffix

City

State

Zip Code

Age
26

Sex
Male

Unit No.
01

Seating Position
03 - Front: Right Side

Injury Status
5 - Uninjured

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
1 - Deployed front of person

Airbag Switch Status
1 - Switch in ON position

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
NA

Transported by:

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

UNIT #1 WAS NORTHBOUND ON I35 IN THE INSIDE LANE. UNIT #1 STRUCK A DEER IN THE ROADWAY. DRIVER OF UNIT #1 SWERVED AND CAME TO A STOP ACROSS BOTH NORTHBOUND LANES OF INTERSTATE 35. UNIT #2 WAS NORTHBOUND ON INTERSTATE 35 IN THE OUTSIDE LANE. UNIT#2 WAS UNABLE TO AVOID UNIT #1 AND STRUCK UNIT #1 IN THE FRONT PASSENGER SIDE.

Officer McNALLY	Badge No. 477	Time Officer Notified of Accident 00:48	Time Officer Arrived At Scene 01:00
Name of Agency P08	Date of Report 6/14/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381