Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
10/18/2011		 Time of Accident
08:05 PM 		County
Hamilton - 40		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011059145
Literal Description
Interstate 0035 and D025 / 220TH ST 		Legal Intervention?
No		 Private Property?
Yes
X-Coordinate:
453083.7
Y-Coordinate
4702240.
U
N
I
T

1 		Driver's Name - Last
JEPSON		 First
JAMES		 Middle
ANTHONY		 Suffix
City
COON RAPIDS		 State
MN - Minnesota, US		 Zip
55448
Driver's Age
47		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
MN - Minnesota, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 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
2007		 Make
Volvo - VOLV		 Model
SEMI		 Style
SEMI		 Approximate Cost to Repair or Replace
0
Initial Travel Direction
3 - South		 Vehicle Action
03 - Turning right		 Speed Limit
0		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
03 - Right Side		 Extent of Damage
1 - None		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
01 - No controls present		 Vehicle Config.
07 - Truck/trailer		 Cargo Body Type
02 - Van/enclosed box		 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
42 - Other fixed object (explain in narrative)		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
42 - Other fixed object (explain in narrative)
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
 First
 Middle
 Suffix
City
 State
 Zip
Driver's Age
 Citation Charge Code 1
 Citation Charge 1
Gender
 State
 Class
 Endorsements
None		 Restrictions

None		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
 Drug Test Given?
 Citation Charge Code 3
 Citation Charge 3
Citation Charge Code 4
 Citation Charge 4
Seating Position
 Injury Status
 Occupant Protection
 Airbag Deployment
 Airbag Switch Status
 Ejection
 Ejection Path
 Trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2003		 Make
 Model
SEMI		 Style
SEMI		 Approximate Cost to Repair or Replace
2200
Initial Travel Direction
2 - East		 Vehicle Action
12 - Legally Parked		 Speed Limit
0		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
02		 Traffic Controls
01 - No controls present		 Vehicle Config.
07 - Truck/trailer		 Cargo Body Type
02 - Van/enclosed box		 Vehicle Defect
01 - None		 Driver Condition
1 - Apparently normal		 Vision Obscured
07 - Parked vehicles		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
23 - Parked motor vehicle		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
23 - Parked motor vehicle
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
6 - Outside Trafficway		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
23 - Parked motor vehicle
Manner of Crash/Collision
6 - Sideswipe, same direction		 Roadway
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
1		 Type of Roadway Junction/Feature
04 - Business drive		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

VEHICLE #1 WITH TRAILER ILLINOIS TRAILER PLATE 415362 WAS PARKED AT THE FLYING J PARKING LOT FACING SOUTHEAST NEXT TO VEHICLE #2 (THE DRIVER WHO WAS IN THE SLEEPER BIRTH WAS RANDALL SCOTT THOMPSON DOB 10/29/88 SHOWING A MICHIGAN DRIVER'S LICENSE T512730760832)THAT WAS PARKED FACING SOUTHEAST AS WELL. VEHICLE #1 WENT TO LEAVE THE PARKING LOT AND TURNED RIGHT OR SOUTH AND STRUCK VEHICLE #2 WITH VEHICLE #1'S TRAILER. VEHICLE #1 CAME TO REST FACING SOUTH WHILE VEHICLE #2 WAS PARKED FACING SOUTHEAST.
Officer
BROSHAR 		Badge No.
120		 Time Officer Notified of Accident
20:22		 Time Officer Arrived At Scene
20:42
Name of Agency
P07		 Date of Report
10/18/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218