Crash Information

L O C A T I O N	Date of Accident 8/19/2011	Time of Accident 07:00 AM	County Jasper - 50	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011048282
	Literal Description WB INTERSTATE 0080 150. MM				Legal Intervention? No	Private Property? No
					X-Coordinate: 471911.5
					Y-Coordinate 4614427.

U N I T 1	Driver's Name - Last DAILY			First TAMMY			Middle SUE		Suffix
	City IRA			State IA - Iowa, US				Zip 501270000
	Driver's Age 46					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	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 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2003		Make Ford - FORD		Model TAURUS		Style 4D		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 4 - West	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 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 01 - No controls present	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 04 - Crossed centerline/median	Second Event 06 - Evasive action (swerve, panic braking, etc.)	Third Event	Fourth Event	Most Harmful Event (by vehicle) 06 - Evasive action (swerve, panic braking, etc.)
	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) 13 - Other non-collision
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE #1 WAS TRAVELING WESTBOUND ON INTERSTATE 80 IN THE LEFT LANE. THE DRIVER DRIFTED INTO THE RIGHT LANE, OVER-CORRECTED BACK TO THE LEFT LANE, LOST CONTROL AND HIT THE GUARD WIRES. THE VEHICLE CAME TO REST ON THE LEFT SHOULDER FACING EAST.

Officer LARSON	Badge No. 350	Time Officer Notified of Accident 07:05	Time Officer Arrived At Scene 07:35
Name of Agency P01	Date of Report 8/19/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011