Crash Information

L O C A T I O N	Date of Accident 8/19/2010	Time of Accident 10:39 PM	County Monroe - 68	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010048999
	Literal Description 189TH ST MEASURING 0.4 MILES EAST FROM 189TH ST AND 720TH AVE				Legal Intervention? No	Private Property? No
					X-Coordinate: 526938.1
					Y-Coordinate 4541935.

U N I T 1	Driver's Name - Last FISHER			First AARON			Middle KENNETH		Suffix
	City ALBIA			State IA - Iowa, US				Zip 52531
	Driver's Age 17					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IA - Iowa, US	Class 0 - ID	Endorsements None	Restrictions None	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 2 - Blood			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 1 - Fatal	Occupant Protection 1 - None used		Airbag Deployment 6 - Not applicable	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 4 - Not applicable (motorcycle, bicycle, etc.)	Ejection Path	Trapped 1 - Not trapped
	Transported to: MONROE CO HOSPITAL					Transported by: MONROE COUNTY AMBULANCE
	Insurance Co. Name
	Year 2007		Make Honda - HOND		Model 400		Style ATV		Approximate Cost to Repair or Replace 1000
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 07 - Warning sign	Vehicle Config. 15 - Moped/All-Terrain 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 04 - Crossed centerline/median	Second Event 03 - Ran off road, left	Third Event	Fourth Event	Most Harmful Event (by vehicle) 32 - Culvert
	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 4 - Roadside	Weather Conditions (up to two) 01 - Clear	Environment 1 - None apparent	Location	First Harmful Event of Crash (use codes 11-42 only) 32 - Culvert
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 05 - Farm/residential drive	Workers Present?

P
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Name- Last
GRAHAM

First
JACOB

Middle
DANIEL

Suffix

City

State

Zip Code

Age
20

Sex
Male

Unit No.
1

Seating Position
04 - Center: Left Side / Motorcycle Passenger

Injury Status
2 - Incapacitating

Occupant Protection
1 - None used

Airbag Deployment
6 - Not applicable

Airbag Switch Status
3 - No ON/OFF switch present

Ejection
4 - Not applicable (motorcycle, bicycle, etc.)

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
METHODIST DES MOINES

Transported by:
LIFE FLIGHT

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 1 WAS EASTBOUND ON 189TH OR OLD HIGHWAY 34 WHEN THE VEHICLE ENTERED NORTH DITCH, STRIKING CULVERT. BOTH DRIVER AND PASSENGER WERE THROWN FROM THE 4 WHEELER ON IMPACT

Officer SPENCER	Badge No. 387	Time Officer Notified of Accident 22:39	Time Officer Arrived At Scene
Name of Agency P02	Date of Report 8/20/2010	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