Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
8/1/2010		 Time of Accident
10:29 AM 		County
Winneshiek - 96		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010045173
Literal Description
IOWA 0139 / IOWA 139 AND IOWA 0009 / IOWA 9 AND A034 / POLE LINE RD 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
574522.9
Y-Coordinate
4802454.
U
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1 		Driver's Name - Last
VICK		 First
VICKI		 Middle
LYNN		 Suffix
City
DECORAH		 State
IA - Iowa, US		 Zip
521010000
Driver's Age
51		 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
5 - Uninjured		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
3 - Deployed both front/side		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2008		 Make
Ford - FORD		 Model
EPD		 Style
SW		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
3		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 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
22 - Vehicle in/from other roadway		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
22 - Vehicle in/from other roadway
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
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2 		Driver's Name - Last
MILLIGAN		 First
FORREST		 Middle
W		 Suffix
City
PLAINFIELD		 State
IL - Illinois, US		 Zip
60586
Driver's Age
65		 Citation Charge Code 1
321.319		 Citation Charge 1
FAILURE TO YIELD TO VEHICLE ON RIGHT
Gender
Male		 State
IL - Illinois, US		 Class
D - Chauffeur		 Endorsements
None		 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
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
3 - Deployed both front/side		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
HOWARD CO. HOSPITAL		 Transported by:
PRIVATE CAR
Insurance Co. Name
Year
2001		 Make
Honda - HOND		 Model
ODYSSEY EX		 Style
MV		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
04 - Right Rear		 Most Damaged Area
02 - Right Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
2		 Traffic Controls
04 - Stop signs		 Vehicle Config.
03 - Van or mini-van		 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
22 - Vehicle in/from other roadway		 Second Event
34 - Curb/island/raised median		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
22 - Vehicle in/from other roadway
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?
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Y

D
A
M
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E
If Property other than vehicles damaged explain Object Damaged
NO		 Estimate of Damage
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
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)
22 - Vehicle in/from other roadway
Manner of Crash/Collision
5 - Broadside		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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D 		Name- Last
GIDDINGS		 First
MICHELLE		 Middle
GLORIA		 Suffix
City
 State
 Zip Code
Age
29		 Sex
Female		 Unit No.
1		 Seating Position
03 - Front: Right Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
3 - Deployed both front/side		 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:
HOWARD CO. HOSPITAL		 Transported by:
HOWARD COUNTY AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
GIDDINGS		 First
TATE		 Middle
ALLEN		 Suffix
City
 State
 Zip Code
Age
0		 Sex
Male		 Unit No.
1		 Seating Position
08 - Rear: Center		 Injury Status
5 - Uninjured		 Occupant Protection
5 - Child safety seat used		 Airbag Deployment
3 - Deployed both front/side		 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:
N/A		 Transported by:
N/A
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
MILLIGAN		 First
MARICA		 Middle
R		 Suffix
City
 State
 Zip Code
Age
62		 Sex
Female		 Unit No.
2		 Seating Position
03 - Front: Right Side		 Injury Status
3 - Non-incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
3 - Deployed both front/side		 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:
HOWARD CO. HOSPITAL		 Transported by:
HOWARD COUNTY AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

THE DRIVER OF VEHICLE ONE WAS TRAVELING NORTH BOUND ON HWY 9/139. THE DRIVER OF VEHICLE 2 WAS TRAVELING EAST BOUND ON HWY 9. THE DRIVER OF VEHICLE 2 STOPPED AT THE STOP SIGN AT THE INTERSECTION OF HWY'S 9/139. THE DRIVER OF VEHICLE 2 PROCEEDED THROUGH THE INTERSECTION, HEADING EAST BOUND. THE DRIVER OF VEHICLE 1 STRUCK VEHICLE 2 IN THE RIGHT REAR QUARTER PANAL. VEHICLE 1 CONTINUED NORTH BOUND AND CAME TO REST PARTIALLY ON THE NORTH BOUND SHOULDER OF HWY 139. VEHICLE 2 CAME TO REST FACING NORTH BOUND IN THE INTERSECTION OF HWY'S 9/139 AND POLE LINE RD. WHEN VEHICLE 2 WAS HIT, IT SPUN ARROUND AND STRUCK A CURBED MEDIAN, WHICH WAS SURROUNDING THE STOP SIGN AT THE INTERSECTION OF HWY'S 9139 AND POLE LINE RD. DAMAGE TO THE RIGHT FRONT TIRE AND UNDERNEATH THE VEHICLE OCCURED AS A RESULT OF STRIKING THE CURB. THE WERE THREE PASSENGERS IN VEHICLE 1. ONE OF WHICH WAS TRANSPORTED TO THE HOWARD COUNTY HOSPITAL. THERE WERE TWO PASSENGERS IN VEHICLE 2. ONE OF WHICH WAS TRANSPORTED TO THE HOWARD COUNTY HOSPITAL.
Officer
WILLIAMS 		Badge No.
209		 Time Officer Notified of Accident
10:29		 Time Officer Arrived At Scene
10:34
Name of Agency
P08		 Date of Report
8/1/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381