U
N
I
T
2
|
Driver's Name - Last
KRAPFL |
First
ROSE |
Middle
ANN |
Suffix
|
City
RYAN |
State
IA - Iowa, US |
Zip
523300000 |
Driver's Age
27 |
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
1 - Fatal |
Occupant Protection
2 - Shoulder and lap belt used |
Airbag Deployment
9 - Unknown |
Airbag Switch Status
9 - Unknown |
Ejection
3 - Totally ejected |
Ejection Path
|
Trapped
1 - Not trapped |
Transported to:
ST LUKES HOSPITAL |
Transported by:
GOETCHES FUNERAL HOME |
Insurance Co. Name
|
Year
1995 |
Make
Chevrolet - CHEV |
Model
BLAZER |
Style
SUV |
Approximate Cost to Repair or Replace
10000 |
Initial Travel Direction
4 - West |
Vehicle Action
01 - Movement essentially straight |
Speed Limit
55 |
Point of Initial Impact
01 - Front |
Most Damaged Area
07 - Left Side |
Extent of Damage
5 - Severe, vehicle totaled |
Underride/Override
1 - None |
Total Occupants
03 |
Traffic Controls
06 - No Passing Zone (marked) |
Vehicle Config.
04 - Sport utility vehicle |
Cargo Body Type
01 - Not applicable |
Vehicle Defect
99 - Unknown |
Driver Condition
9 - Unknown |
Vision Obscured
99 - Unknown |
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
|
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
3
|
Driver's Name - Last
OBRIEN |
First
SHAWN |
Middle
THOMAS |
Suffix
|
City
SPRINGVILLE |
State
IA - Iowa, US |
Zip
52336 |
Driver's Age
53 |
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
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
3 - Deployed both front/side |
Airbag Switch Status
9 - Unknown |
Ejection
1 - Not ejected |
Ejection Path
|
Trapped
1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year
2010 |
Make
Toyota - TOYT |
Model
HIG |
Style
SW |
Approximate Cost to Repair or Replace
8000 |
Initial Travel Direction
4 - West |
Vehicle Action
01 - Movement essentially straight |
Speed Limit
55 |
Point of Initial Impact
03 - Right Side |
Most Damaged Area
03 - Right Side |
Extent of Damage
4 - Disabling damage |
Underride/Override
1 - None |
Total Occupants
01 |
Traffic Controls
06 - No Passing Zone (marked) |
Vehicle Config.
04 - Sport utility 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
06 - Evasive action (swerve, panic braking, etc.) |
Second Event
01 - Ran off road, right |
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
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
2 - Head-on |
Roadway
01 - None apparent |
Type
|
Light Conditions
1 - Daylight |
Surface Conditions
1 |
Type of Roadway Junction/Feature
01 - No special feature |
Workers Present?
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last
CRANDALL |
First
MACKENZIE |
Middle
J |
Suffix
|
City
|
State
|
Zip Code
|
Age
4 |
Sex
Female |
Unit No.
02 |
Seating Position
04 - Center: Left Side / Motorcycle Passenger |
Injury Status
1 - Fatal |
Occupant Protection
5 - Child safety seat used |
Airbag Deployment
9 - Unknown |
Airbag Switch Status
9 - Unknown |
Ejection
2 - Partially ejected |
Ejection Path
3 - Through side window/door |
Trapped
2 - Freed by non-mechanical means |
Transported to:
ST LUKES HOSPITAL |
Transported by:
GOETCHES FUNERAL HOME |
| NON-MOTORIST |
Type
|
Location
|
Action
|
Condition
|
Safety Equipment
|
Contributing Circumstances
|
Unit No. of Vehicle Striking
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last
CRANDALL |
First
PEYTON |
Middle
A |
Suffix
|
City
|
State
|
Zip Code
|
Age
6 |
Sex
Female |
Unit No.
02 |
Seating Position
06 - Center: Right Side |
Injury Status
4 - Possible |
Occupant Protection
5 - Child safety seat used |
Airbag Deployment
6 - Not applicable |
Airbag Switch Status
3 - No ON/OFF switch present |
Ejection
1 - Not ejected |
Ejection Path
1 - Not ejected/not applicable |
Trapped
1 - Not trapped |
Transported to:
U OF I HOSPITAL |
Transported by:
LIFE GUARD |
| 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 EASTBOUND ON E-28 AND WAS NEGOTIATING THROUGH A LEFT HAND CURVE. UNIT #1 CROSSED THE CENTER LINE AND STRUCK WESTBOUND UNIT #2 ALMOST HEAD ON. AFTER IMPACT UNIT #1 CAME TO REST PARTIALLY ON THE TRAVELED PORTION OF THE ROADWAY. AFTER IMPACT UNIT #2 ENTERED THE NORTH DITCH AND CAME TO REST FACING IN A SOUTHERLY DIRECTION. UNIT #3 WAS FOLLOWING UNIT #2. AFTER SEEING THE IMPACT HAPPEN THE DRIVER OF UNIT #3 WENT BETWEEN VEH. #1 & #2 AFTER THEY SEPARATED AND ENTERED THE DITCH AT WHICH TIME IT STARTED ROLLING OVER. UNIT #3 CAME TO REST IN THE NORTH DITCH ON IT'S SIDE. |
|
Officer
JAMES |
Badge No.
376 |
Time Officer Notified of Accident
14:22 |
Time Officer Arrived At Scene
14:56 |
Name of Agency
P12 |
Date of Report
7/15/2011 |
Investigation made at scene?
Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504