U
N
I
T
1
|
Driver's Name - Last ALLOWAY |
First MICHELLE |
Middle M |
Suffix
|
City OMAHA |
State NE - Nebraska, US |
Zip 68107 |
Driver's Age 27 |
Citation Charge Code 1 321.297 |
Citation Charge 1 DRIVING ON WRONG SIDE OF TWO WAY HIGHWAY |
Gender Female |
State NE - Nebraska, US |
Class
|
Endorsements None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given? 4 - Breath |
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: REFUSED |
Transported by:
|
Insurance Co. Name
|
Year 2006 |
Make Chrysler - CHRY |
Model PACIFICIA |
Style VAN |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 1 - North |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 5 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 07 - Left Side |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 11 - Workzone signs |
Vehicle Config. 03 - Van or mini-van |
Cargo Body Type 01 - Not applicable |
Vehicle Defect 01 - None |
Driver Condition 6 - Under the influence of alcohol/drugs/medications |
Vision Obscured 01 - Not obscured |
Contributing Circumstances, Driver (up to 2)
|
SEQUENCE OF EVENTS |
First Event 04 - Crossed centerline/median |
Second Event 21 - Vehicle in traffic |
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
|
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
|
Make
|
Model
|
Style
|
Approximate Cost to Repair or Replace
|
Initial Travel Direction
|
Vehicle Action
|
Speed Limit
|
Point of Initial Impact 07 - Left Side |
Most Damaged Area 99 - Unknown |
Extent of Damage 9 - Unknown |
Underride/Override 9 - Unknown |
Total Occupants
|
Traffic Controls 11 - Workzone signs |
Vehicle Config. 07 - Truck/trailer |
Cargo Body Type 99 - Unknown |
Vehicle Defect 01 - None |
Driver Condition
|
Vision Obscured
|
Contributing Circumstances, Driver (up to 2)
|
SEQUENCE OF EVENTS |
First Event 52 - Hit and run |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 52 - Hit and run |
Emergency Vehicle Type
|
Emergency Status
|
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 7 - Sideswipe, opposite direction |
Roadway 05 - Work Zone (construction, maintenance, utility) |
Type 2 - Lane shift/crossover (head-to-head traffic) |
Light Conditions 5 - Dark, roadway not lighted |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present? No |
D I A G R A M
0 |
|
NARRATIVE |
Vehicle #1 was NB on I-29. Vehicle #1 crossed the centerline and side-swiped a semi. Vehicle #2 was SB I-29. Vehicle #2 did not stop. Believe vehicle #2 did not know that they struck Vehicle #1. Vehicle #1 came to rest on the shoulder on NB I-29. |
|
Officer
BARDSLEY |
Badge No. 037 |
Time Officer Notified of Accident 23:55 |
Time Officer Arrived At Scene 23:57 |
Name of Agency P03 |
Date of Report 7/25/2010 |
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