U
N
I
T
1
|
Driver's Name - Last MUCIA |
First RACHEL |
Middle DAWN |
Suffix
|
City RED OAK |
State IA - Iowa, US |
Zip 51566 |
Driver's Age 21 |
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 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: NA |
Insurance Co. Name
|
Year 2001 |
Make Chevrolet - CHEV |
Model CAV |
Style 2D |
Approximate Cost to Repair or Replace 2000 |
Initial Travel Direction 1 - North |
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 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 11 - Workzone 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?
|
U
N
I
T
2
|
Driver's Name - Last WEST |
First KRYSTAL |
Middle LEANN |
Suffix
|
City MALVERN |
State IA - Iowa, US |
Zip 515510000 |
Driver's Age 36 |
Citation Charge Code 1 321.321 |
Citation Charge 1 FAIL 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
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 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: NA |
Insurance Co. Name
|
Year 2011 |
Make Subaru - SUBA |
Model FOR |
Style SW |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 1 - North |
Vehicle Action 07 - Entering traffic lane (merging) |
Speed Limit 55 |
Point of Initial Impact 07 - Left Side |
Most Damaged Area 07 - Left Side |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 05 - Yield signs |
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 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 4 - Within or adjacent to work activity |
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 2 - Lane shift/crossover (head-to-head traffic) |
Light Conditions 3 - Dawn |
Surface Conditions 1 |
Type of Roadway Junction/Feature 17 - On-ramp merge area |
Workers Present? Yes |
D I A G R A M
0 |
|
| NARRATIVE |
UNIT 1 WAS NB ON I29. UNIT 2 WAS ENTERING I29 NB FROM US 34. THERE ARE YIELD SIGNS POSTED FOR MERGING VEHICLES TO YIELD TO TRAFFIC ON I29. THE DRIVER OF UNIT 2 STATED THAT UNIT 1 WAS IN HER BLIND SPOT. UNIT 2 BEGAN TO MERGE ONTO I29 AND SIDESWIPED UNIT 1. NO INJURIES WERE REPORTED TO OFFICERS. UNIT 1 HAD SOME PRIOR DAMAGE TO THE HOOD AND FRONT OF THE VEHICLE. I29 WAS HEAD TO HEAD TRAFFIC ON THE SB LANES FOR ROAD CONSTRUCTION AT THAT LOCATION. |
|
Officer
HILT |
Badge No. 277 |
Time Officer Notified of Accident 07:17 |
Time Officer Arrived At Scene 07:17 |
Name of Agency P03 |
Date of Report 8/24/2011 |
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