Crash Information

L O C A T I O N	Date of Accident 8/11/2010	Time of Accident 05:30 PM	County Warren - 91	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010047304
	Literal Description INTERSTATE 35 @ 48.2MM				Legal Intervention? No	Private Property? No
					X-Coordinate: 434568.8
					Y-Coordinate 4565677.

U N I T 1	Driver's Name - Last SMITH			First BRADLEY			Middle SCOTT		Suffix
	City NEW VIRGINIA			State IA - Iowa, US				Zip 502100000
	Driver's Age 53					Citation Charge Code 1 321.288		Citation Charge 1 FAIL TO MAINTAIN CONTROL
	Gender Male	State IA - Iowa, US	Class D - Chauffeur	Endorsements 3 - Pass Veh less than 16 Pass Design	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 5 - Not deployed	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 2 - Freed by non-mechanical means
	Transported to: NOT TRANSPORTED					Transported by:
	Insurance Co. Name
	Year 2001		Make Chevrolet - CHEV		Model BLAZER		Style SUV		Approximate Cost to Repair or Replace 2500
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 03 - Right Side	Most Damaged Area 03 - Right Side	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 04 - Sport utility vehicle	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 5 - Asleep, fainted, fatigued, etc	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 03 - Ran off road, left	Second Event 33 - Ditch/embankment	Third Event	Fourth Event	Most Harmful Event (by vehicle) 11 - Overturn/rollover
	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) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 11 - Overturn/rollover
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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N

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J
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Name- Last
SMITH

First
ELIZABETH

Middle
RUTH

Suffix

City

State

Zip Code

Age
9

Sex
Female

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
4 - Possible

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
1 - Not ejected/not applicable

Trapped
3 - Extricated by mechanical means

Transported to:
NOT TRANSPORTED

Transported by:

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 ONE WAS SOUTHBOUND WHEN THE DRIVER BECAME FATIGUED AND FEEL ASLEEP. THE DRIVER WAS AWAKENED BY THE RUMBLE STRIPES. THE DRIVER THEN OVER CORRECTED AND LOST CONTROL ENTERING THE MEDIAN WHERE THE VEHICLE ROLLED AND CAME TO A REST ON THE PASSENGER SIDE. A PASSENGER IN THE VEHICLE RECEIVED NON-LIFE THREATENING INJURES AND WAS TREATED AND RELEASED AT SCENE. THE VEHICLE WAS REMOVED FROM THE SCENE AT THE OWNERS REQUEST.

Officer OSSIAN	Badge No. 160	Time Officer Notified of Accident 17:34	Time Officer Arrived At Scene 17:34
Name of Agency P02	Date of Report 8/11/2010	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