Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
6/25/2011		 Time of Accident
06:45 AM 		County
Warren - 91		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011036942
Literal Description
G050 / HWY G50 and NIXON ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
437073.3
Y-Coordinate
4571663.
U
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1 		Driver's Name - Last
CROUSE		 First
NATHANIAL		 Middle
RYAN		 Suffix
City
DES MOINES		 State
IA - Iowa, US		 Zip
503150000
Driver's Age
21		 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
321J.2(2)(a)		 Citation Charge 2
OPER VEH WH INT (OWI) / 1ST OFF
Alcohol Test Given?
4 - Breath		 Drug Test Given?
1 - None		 Citation Charge Code 3
321.20B-B		 Citation Charge 3
VIOLATION - FINANCIAL LIABILITY - ACCIDENT
Citation Charge Code 4
321.32		 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
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2003		 Make
 Model
GCH		 Style
SW		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
6 - Under the influence of alcohol/drugs/medications		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
01 - Ran off road, right		 Second Event
33 - Ditch/embankment		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
11 - Overturn/rollover
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
4 - Roadside		 Weather Conditions (up to two)
03 - Cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
33 - Ditch/embankment
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
3 - Dawn		 Surface Conditions
2		 Type of Roadway Junction/Feature
12 - T - intersection		 Workers Present?
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G
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0
NARRATIVE

VEH. 1 WAS WESTBOUND ON G-50, WHEN IT LOST CONTROL, ENTERED THE NORTH DITCH, ROLLED ONCE AND LANDED ON ITS WHEELS.
Officer
TUCKER 		Badge No.
487		 Time Officer Notified of Accident
06:49		 Time Officer Arrived At Scene
07:07
Name of Agency
P02		 Date of Report
6/25/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653