Crash Information

L O C A T I O N	Date of Accident 8/15/2011	Time of Accident 01:00 PM	County Adair - 01	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011047563
	Literal Description I80 EB 77.15				Legal Intervention? No	Private Property? No
					X-Coordinate: 364138.9
					Y-Coordinate 4594788.

U N I T 1	Driver's Name - Last PRATT			First ROGER			Middle THOMAS		Suffix
	City JACKSON			State MI - Michigan, US				Zip 492033038
	Driver's Age 62					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	Gender Male	State MI - Michigan, US	Class	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: NA					Transported by: NA
	Insurance Co. Name
	Year 1998		Make General Motors - GMC		Model YUKON		Style SUV		Approximate Cost to Repair or Replace 2000
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 02 - Right Front	Most Damaged Area 02 - Right Front	Extent of Damage 2 - Minor damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 04 - Sport utility vehicle	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 5 - Asleep, fainted, fatigued, etc	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 01 - Ran off road, right	Second Event 12 - Jackknife	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?

P R O P E R T Y D A M A G E	If Property other than vehicles damaged explain	Object Damaged MILEPOST 77.15		Estimate of Damage 100
	Owner's Name - Last	First	Middle	Suffix
	Owner Company Name STATE OF IOWA
	City	State		Zip

ACCIDENT ENVIRONMENT		ROADWAY CHARACTERISTICS Major Contributing Circumstances:	WORKZONE RELATED?	SEQUENCE OF EVENTS
Location of First Harmful Event 2 - Shoulder	Weather Conditions (up to two) 02 - Partly cloudy	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 12 - Jackknife
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 02 - Partly cloudy	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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N

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J
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Name- Last
SEECH

First
MICHAEL

Middle

Suffix

City

State

Zip Code

Age
18

Sex
Male

Unit No.
01

Seating Position
03 - Front: Right Side

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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
NA

Transported by:
NA

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 EB ON I80. THE DRIVER OF UNIT 1 FELL ALSEEP AND LEFT THE ROADWAY TO THE RIGHT. THE DRIVER OVERCORRECTED AND JACKKNIFED THE ATTACHED CAMPER-TRAILER. THE TRAILER THEN SEPERATED FROM UNIT 1 AND ROLLED IN THE DITCH. UNIT 1 LEFT THE ROADWAY TO THE RIGHT. UNIT 1 STRUCK A MILEPOST AND REFLECTOR POLES. UNIT 1 CAME TO REST ON THE SHOULDER. THE TRAILER WAS TOTALED. THE TRAILER AND CONTENTS WERE PRIVATEDLY TOWED. BOTH PARTIES REFUSED TO BE TRANSPORTED BY RESCUE PERSONEL. THE TRAILER INFOMATION IS: B163910 - MICHIGAN TRAILER PLATE.

Officer HILT	Badge No. 277	Time Officer Notified of Accident 13:03	Time Officer Arrived At Scene 13:38
Name of Agency P03	Date of Report 8/15/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504