Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
6/27/2011		 Time of Accident
09:42 PM 		County
Jasper - 50		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011037439
Literal Description
14491 CO RD F-48 EB 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
472593.5
Y-Coordinate
4611978.
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1 		Driver's Name - Last
MADDISON		 First
CHAD		 Middle
JOSEPH		 Suffix
City
NEWTON		 State
IA - Iowa, US		 Zip
50208
Driver's Age
34		 Citation Charge Code 1
321.20B-A		 Citation Charge 1
OPERATION W/O INSURANCE
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
N - Tank		 Restrictions

N - Non-resident CDL		 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
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
4 - Not applicable (motorcycle, bicycle, etc.)		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
MITCHELVILLE FD
Insurance Co. Name
Year
2001		 Make
 Model
BLAST		 Style
MOTOR		 Approximate Cost to Repair or Replace
500
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
99 - Unknown		 Most Damaged Area
06 - Left Rear		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
14 - Motorcycle		 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)
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?
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)
25 - Animal
Manner of Crash/Collision
1 - Non-collision		 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?
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NARRATIVE

UNIT ONE WAS EB ON CO RD F-48 WHEN UNIT ONE ENCOUNTERED SEVERAL DEER ON ROAD WAY. UNIT ONE APPLIED BRAKES AND LOST CONTROL LAYING THE BIKE ON ITS SIDE AND COMING TO REST ON THE EB SHOULDER.
Officer
CLYDE 		Badge No.
254		 Time Officer Notified of Accident
21:42		 Time Officer Arrived At Scene
21:49
Name of Agency
P16		 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 16 Office
Lucas State Office Bldg
Des Moines,IA 50319-
Phone: (515) 281-3879
Fax: (515) 281-6478