Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
7/29/2010		 Time of Accident
04:01 PM 		County
Warren - 91		 Accident occurred within corporate limits of (city)
Hartford - 3300		 Law Enforcement Case Number:
2010044618
Literal Description
210TH AVE and NB/EB Iowa 0005 / IOWA 5 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
466346.9
Y-Coordinate
4590522.
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1 		Driver's Name - Last
MECHAM		 First
CHELSEA		 Middle
MARIE		 Suffix
City
HARTFORD		 State
IA - Iowa, US		 Zip
501180000
Driver's Age
18		 Citation Charge Code 1
321.322(1)		 Citation Charge 1
FAIL TO YIELD RIGHT OF WAY FROM STOP SIGN
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
2 - Incapacitating		 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
3 - Extricated by mechanical means
Transported to:
MERCY		 Transported by:
CARLISLE RESCUE
Insurance Co. Name
Year
2002		 Make
Ford - FORD		 Model
FOCUS		 Style
4H		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
1 - North		 Vehicle Action
07 - Entering traffic lane (merging)		 Speed Limit
25		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
2 - Underride, compartment intrusion
Total Occupants
3		 Traffic Controls
04 - Stop 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
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2 		Driver's Name - Last
BALDOCK		 First
PENNY		 Middle
LOUISE		 Suffix
City
PLEASANTVILLE		 State
IA - Iowa, US		 Zip
50225
Driver's Age
50		 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
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 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
2006		 Make
Ford - FORD		 Model
FIVE HUNDRED		 Style
4D		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
5 - Override, moving vehicle
Total Occupants
1		 Traffic Controls
01 - No controls present		 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?
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)
02 - Partly cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
5 - Broadside		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
12 - T - intersection		 Workers Present?
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D 		Name- Last
HAMMOND		 First
RACHEL		 Middle
JO		 Suffix
City
 State
 Zip Code
Age
13		 Sex
Female		 Unit No.
1		 Seating Position
07 - Rear: Left Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
6 - Not applicable		 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:
MERCY HOSPITAL		 Transported by:
FRASER AMBULANCE SERVICE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
GERDOM		 First
NATE		 Middle
FRANKLIN		 Suffix
City
 State
 Zip Code
Age
13		 Sex
Male		 Unit No.
1		 Seating Position
08 - Rear: Center		 Injury Status
3 - Non-incapacitating		 Occupant Protection
3 - Lap belt only used		 Airbag Deployment
6 - Not applicable		 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:
MERCY HOSPITAL		 Transported by:
MISTY MADDY - MOTHER
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

UNIT 2 WAS EASTBOUND IN THE LEFT LANE OF HIGHWAY 5. UNIT 1 WAS NORTHBOUND ON G24. UNIT 1 STOPPED AT THE STOP SIGN AND THEN PROCEEDED THROUGH THE INTERSECTION AND INTO THE PATH OF UNIT 2. UNIT 2 WAS UNABLE TO AVOID COLLISION AND STRUCK UNIT 1 IN A BROADSIDE MANNER.
Officer
VALENTA 		Badge No.
038		 Time Officer Notified of Accident
16:01		 Time Officer Arrived At Scene
16:11
Name of Agency
P02		 Date of Report
7/29/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653