Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
6/16/2011		 Time of Accident
04:15 PM 		County
Harrison - 43		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011035109
Literal Description
L020 / LOESS HILLS TRL 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
259081.4
Y-Coordinate
4603120.
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1 		Driver's Name - Last
HAZEN		 First
CURTIS		 Middle
FRANK		 Suffix
City
MAGNOLIA		 State
IA - Iowa, US		 Zip
515500000
Driver's Age
18		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL 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

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
3 - Non-incapacitating		 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:
MISSOURI VALLEY HOSPITAL		 Transported by:
MISSOURI VALLEY AMBULANCE
Insurance Co. Name
Year
1990		 Make
Ford - FORD		 Model
RNG		 Style
PK		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
3 - South		 Vehicle Action
08 - Leaving traffic lane		 Speed Limit
55		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
03 - Right Side		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
02 - Four-tire light truck (pick-up, panel)		 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
21 - Vehicle in traffic		 Second Event
01 - Ran off road, right		 Third Event
 Fourth Event
04 - Crossed centerline/median		 Most Harmful Event (by vehicle)
04 - Crossed centerline/median
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?
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2 		Driver's Name - Last
HANSEN		 First
MARTI		 Middle
ANN		 Suffix
City
MISSOURI VALLEY		 State
IA - Iowa, US		 Zip
515550000
Driver's Age
20		 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
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:
 Transported by:
Insurance Co. Name
Year
1998		 Make
Toyota - TOYT		 Model
CAM		 Style
4D		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
1 - North		 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
1		 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
21 - Vehicle in traffic		 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?
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If Property other than vehicles damaged explain Object Damaged
GUARD RAIL		 Estimate of Damage
600
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
IOWA DOT
City
 State
 Zip
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)
21 - Vehicle in traffic
Manner of Crash/Collision
5 - Broadside		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
02 - Bridge/overpass/underpass		 Workers Present?
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NARRATIVE

DRIVER #1 ADVISED WENT OFF ONTO RIGHT SHOULDER, OVERCORRECTED, AND WENT ACROSS NORTHBOUND LANE. DRIVER #2 WAS NORTHBOUND AND TRIED TO AVOID #1, BUT IMPACTED #1 IN THE PASSENGER SIDE DOOR. VEHICLES CAME TO REST AGAINST THE GUARDRAIL.
Officer
HILT 		Badge No.
221		 Time Officer Notified of Accident
16:22		 Time Officer Arrived At Scene
16:28
Name of Agency
P04		 Date of Report
6/16/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 04 Office
3710 Highway 30 E
Denison,IA 51442-7560
Phone: (712) 263-4621
Fax: (712) 263-2325