Crash Information

L O C A T I O N	Date of Accident 10/19/2011	Time of Accident 03:32 AM	County Cedar - 16	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011059167
	Literal Description I-80 WB 272 MM				Legal Intervention? No	Private Property? No
					X-Coordinate: 666211.3
					Y-Coordinate 4610998.

U N I T 1	Driver's Name - Last SINGH			First RANJIT			Middle		Suffix
	City DELHI			State CA - California, US				Zip 953150000
	Driver's Age 46					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	Gender Male	State CA - California, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements None	Restrictions None	Citation Charge Code 2 321.449-A		Citation Charge 2 FAILURE TO COMPLY WITH SAFETY REG. RULES
	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:					Transported by:
	Insurance Co. Name AVON TRUCK LINES LLC
	Year 2007		Make		Model		Style TT		Approximate Cost to Repair or Replace 1500
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 10 - Under Carriage	Most Damaged Area 10 - Under Carriage	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 09 - Tractor/semi-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 01 - Ran off road, right	Second Event 33 - Ditch/embankment	Third Event	Fourth Event	Most Harmful Event (by vehicle) 33 - Ditch/embankment
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name AVON TRUCK LINES LLC			City CERES		State CA - California, US			Zip 95307
	Number of Axles 5			Gross Vehicle Weight Rating 50000		Placard #			Hazardous Materials Released? 3 - Not applicable

P R O P E R T Y D A M A G E	If Property other than vehicles damaged explain	Object Damaged FENCE		Estimate of Damage 500
	Owner's Name - Last	First	Middle	Suffix
	Owner Company Name
	City	State		Zip

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) 03 - Cloudy	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 33 - Ditch/embankment
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 03 - Cloudy	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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R
S
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N

I
N
J
U
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E
D

Name- Last
SINGH

First
JANG

Middle
BAHADUR

Suffix

City

State

Zip Code

Age
46

Sex
Male

Unit No.
1

Seating Position
10 - Sleeper Section

Injury Status
3 - Non-incapacitating

Occupant Protection
1 - None used

Airbag Deployment
5 - Not deployed

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:
MUSCATINE HOSPITAL

Transported by:
DURANT AMBULANCE

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 WESTBOUND ON INTERSTATE 80 AT MILE MARKER 272. UNIT 1 DROVE OFF THE RIGHT SIDE OF THE ROAD FOR NO APPARENT REASON. UNIT 1 CONTINUED THROUGH THE DITCH INTO A LINE OF TREES. UNIT 1 CAME OUT OF THE TREES AND WENT OVER A FENCE BEFORE COMING TO REST IN A PASTURE.

Officer PEDERSEN	Badge No. 173	Time Officer Notified of Accident 03:38	Time Officer Arrived At Scene 03:46
Name of Agency P12	Date of Report 10/19/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504