U
N
I
T
1
|
Driver's Name - Last LEDBETTER |
First MICHAEL |
Middle WALTER |
Suffix
|
City MOUNT PLEASANT |
State IA - Iowa, US |
Zip 526410000 |
Driver's Age 56 |
Citation Charge Code 1
|
Citation Charge 1
|
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
|
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 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
|
Year 1987 |
Make
|
Model
|
Style MOTOR HOME |
Approximate Cost to Repair or Replace 3000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 07 - Left Side |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 05 |
Traffic Controls 01 - No controls present |
Vehicle Config. 13 - Motor home/recreational 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 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?
|
U
N
I
T
2
|
Driver's Name - Last MILLER |
First MARIE |
Middle MELANIE |
Suffix
|
City FT MADISON |
State IA - Iowa, US |
Zip 526270000 |
Driver's Age 35 |
Citation Charge Code 1 321.321 |
Citation Charge 1 FAILURE TO YIELD UPON ENTERING THROUGH HIGHWAY |
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 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: -NA- |
Transported by:
|
Insurance Co. Name
|
Year 2004 |
Make Chevrolet - CHEV |
Model CAV |
Style 4D |
Approximate Cost to Repair or Replace 3500 |
Initial Travel Direction 3 - South |
Vehicle Action 02 - Turning left |
Speed Limit 55 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 03 - Right Side |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 02 |
Traffic Controls 04 - Stop signs |
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
|
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 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 6 - Sideswipe, same direction |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 11 - Four-way intersection |
Workers Present?
|
D I A G R A M
0 |
|
| NARRATIVE |
UNIT 01 WAS EASTBOUND ON HWY 16. UNIT 02 WAS SOUTHBOUND ON 280TH AVE. UNIT 02 WAS TURNING LEFT ONTO HWY 16. UNIT 02 FAILED TO YIELD THE RIGHT OF WAY FROM A STOP SIGN AND PULLED INTO THE PATH OF UNIT 01. THE PASSENGER SIDE FRONT OF UNIT 02 STRUCK THE DRIVERS SIDE FRONT OF UNIT 01. IMPACT OCCURRED IN THE EASTBOUND LANE OF HWY 16. AFTER IMPACT UNIT 01 CAME TO REST PARTIALLY ON THE ROADWAY AND PARTIALLY ON THE SOUTH SHOULDER. UNIT 02 CAME TO REST ON THE NORTH SHOULDER. |
|
Officer
WESTER |
Badge No. 105 |
Time Officer Notified of Accident 17:32 |
Time Officer Arrived At Scene 17:33 |
Name of Agency P13 |
Date of Report 6/28/2011 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743