U
N
I
T
2
|
Driver's Name - Last MILLER |
First DANA |
Middle SCOTT |
Suffix
|
City ELDRIDGE |
State IA - Iowa, US |
Zip 527480000 |
Driver's Age 45 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State IA - Iowa, US |
Class C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat |
Endorsements
|
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 4 - Other deployment (explain in narrative) |
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
|
Year 2013 |
Make Ford - FORD |
Model F15 |
Style PK |
Approximate Cost to Repair or Replace 20000 |
Initial Travel Direction 4 - West |
Vehicle Action 10 - Slowing/stopping |
Speed Limit 70 |
Point of Initial Impact 06 - Left Rear |
Most Damaged Area 06 - Left Rear |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 88 - Other control (explain in narrative) |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
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 23 - Parked motor vehicle |
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?
|
U
N
I
T
3
|
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 2013 |
Make Dodge - DODG |
Model CHA |
Style 4D |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 4 - West |
Vehicle Action 12 - Legally Parked |
Speed Limit 70 |
Point of Initial Impact 04 - Right Rear |
Most Damaged Area 04 - Right Rear |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 88 - Other control (explain in narrative) |
Vehicle Config. 01 - Passenger car |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 8 - Other (explain in narrative) |
Vision Obscured 88 - Other (explain in narrative) |
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
|
Emergency Status 1 - Yes, in emergency |
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 LINEAR MILE MARKER POST |
Estimate of Damage 1000 |
Owner's Name - Last
|
First
|
Middle
|
Suffix
|
Owner Company Name IOWA DEPT OF TRANSPORTATION |
City WILLIAMSBURG |
State IA - Iowa, US |
Zip 52361 |
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 7 - Previous accident |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 3 - Rear-end |
Roadway 01 - None apparent |
Type
|
Light Conditions 3 - Dawn |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last HERNANDEZ |
First J |
Middle
|
Suffix
|
City
|
State
|
Zip Code
|
Age 49 |
Sex Male |
Unit No. 3 |
Seating Position 01 - Front: Left Side / Motorcycle Driver |
Injury Status 4 - Possible |
Occupant Protection 1 - None used |
Airbag Deployment 4 - Other deployment (explain in narrative) |
Airbag Switch Status 1 - Switch in ON position |
Ejection 1 - Not ejected |
Ejection Path 1 - Not ejected/not applicable |
Trapped 1 - Not trapped |
Transported to: UIHC |
Transported by: ISP |
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 3, AN IOWA STATE PATROL SQUAD CAR, WAS LEGALLY PARKED COMPLETELY ON THE NORTH SHOULDER OF INTERSTATE 80 AT THE 232.25MM. UNIT 3 WAS IN FULL EMERGENCY STATUS WITH ALL EMERGENCY LIGHTS ACTIVATED WHILE INVESTIGATING A PREVIOUS MOTOR VEHICLE COLLISION AT THIS LOCATION. NUMEROUS OTHER EMERGENCY VEHICLES WERE ALSO ON SCENE, ALL WITH EMERGENCY LIGHTS ACTIVATED.
UNIT 1 AND UNIT 2 WERE WEST BOUND ON INTERSTATE 80 APPROACHING THIS SCENE. UNIT 2 MERGED INTO THE LEFT LANE AS REQUIRED BY LAW AND BEGAN TO SLOW AS IT APPROACHED THE SCENE. THE DRIVER OF UNIT 1, DISTRACTED BY THE PREVIOUS CRASH SCENE, FAILED TO SLOW AS HE APPROACHED UNIT 2. UNIT 1 REAR ENDED UNIT 2 IN THE LEFT LANE PUSHING UNIT 2 ACROSS BOTH LANES OF TRAFFIC AND INTO THE REAR OF UNIT 3. UNIT 2 CONTINUED INTO THE NORTH DITCH, STRIKING A LINEAR POST.
UNIT 1 CAME TO REST ON THE INSIDE SHOULDER AND WAS LATER MOVED TO THE NORTH SHOULDER. UNIT 2 CAME TO REST IN THE NORTH DITCH FACING WEST. UNIT 3 REMAINED AT REST ON THE NORTH SHOULDER. |
|
Officer
Payne |
Badge No. 278 |
Time Officer Notified of Accident 06:55 |
Time Officer Arrived At Scene 07:02 |
Name of Agency P11 |
Date of Report 03/14/2014 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327