Iowa State Patrol: Department of Public Safety

Crash Information


L
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A
T
I
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Date of Accident
8/22/2010
Time of Accident
05:26 PM
County
Scott - 82
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2010049539
Literal Description
3/4 MILE NORTH OF LECLAIRE ON US HWY 67 / (GREAT RIVER RD BETWEEN 217TH ST PL & 218TH ST)
Legal Intervention?
No
Private Property?
No
X-Coordinate:
720928.3
Y-Coordinate
4611341.
U
N
I
T

1
Driver's Name - Last
CLARK
First
JEAN
Middle
ELLEN
Suffix
City
LECLAIRE
State
IA - Iowa, US
Zip
52753
Driver's Age
45
Citation Charge Code 1
321J.2 (2A)
Citation Charge 1
OPERATING WHILE INTOXICATED 1ST OFFENSE
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?
9 - Refused
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
9 - Unknown
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:
Transported by:
Insurance Co. Name
Year
2005
Make
Pontiac - PONT
Model
BONNEVILLE
Style
4D
Approximate Cost to Repair or Replace
2500
Initial Travel Direction
1 - North
Vehicle Action
02 - Turning left
Speed Limit
55
Point of Initial Impact
04 - Right Rear
Most Damaged Area
04 - Right Rear
Extent of Damage
4 - Disabling damage
Underride/Override
1 - None
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
6 - Under the influence of alcohol/drugs/medications
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
N
I
T

2
Driver's Name - Last
CLIFFORD
First
JOHN
Middle
H
Suffix
City
GALESBURG
State
IL - Illinois, US
Zip
61401
Driver's Age
55
Citation Charge Code 1
Citation Charge 1
Gender
Male
State
IL - Illinois, US
Class
D - Chauffeur
Endorsements
None
Restrictions

J - Tem Rest License
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
1 - Fatal
Occupant Protection
6 - Helmet 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:
GENESIS EAST
Transported by:
MEDFORCE
Insurance Co. Name
Year
2005
Make
Model
ROAD KING
Style
MC
Approximate Cost to Repair or Replace
2500
Initial Travel Direction
3 - South
Vehicle Action
01 - Movement essentially straight
Speed Limit
55
Point of Initial Impact
01 - Front
Most Damaged Area
02 - Right Front
Extent of Damage
3 - Functional damage
Underride/Override
1 - None
Total Occupants
2
Traffic Controls
01 - No controls present
Vehicle Config.
14 - Motorcycle
Cargo Body Type
01 - Not applicable
Vehicle Defect
01 - None
Driver Condition
9 - Unknown
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
N
I
T

3
Driver's Name - Last
WHITE
First
BRIAN
Middle
DAVID
Suffix
City
BETTENDORF
State
IA - Iowa, US
Zip
52722
Driver's Age
24
Citation Charge Code 1
Citation Charge 1
Gender
Male
State
IA - Iowa, US
Class
C - Non-commercial vehicle or commercial Veh w/26000 GVWR or less & either 16 Pass Design or Hazmat
Endorsements
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
5 - Not deployed
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
1993
Make
Model
240SX
Style
2D
Approximate Cost to Repair or Replace
500
Initial Travel Direction
1 - North
Vehicle Action
10 - Slowing/stopping
Speed Limit
55
Point of Initial Impact
01 - Front
Most Damaged Area
01 - Front
Extent of Damage
2 - Minor damage
Underride/Override
1 - None
Total Occupants
3
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)
01 - Clear
Environment
1 - None apparent
Location
First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
4 - Angle, oncoming left turn
Roadway
01 - None apparent
Type
Light Conditions
1 - Daylight
Surface Conditions
1
Type of Roadway Junction/Feature
05 - Farm/residential drive
Workers Present?
P
E
R
S
O
N
I
N
J
U
R
E
D
Name- Last
CLIFFORD
First
KATHY
Middle
L
Suffix
City
State
Zip Code
Age
53
Sex
Female
Unit No.
2
Seating Position
04 - Center: Left Side / Motorcycle Passenger
Injury Status
2 - Incapacitating
Occupant Protection
6 - Helmet 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:
GENESIS EAST
Transported by:
MEDIC EMS
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 NORTHBOUND ON HIGHWAY 67 TURNING LEFT INTO A DRIVEWAY AT 21742 HIGHWAY 67, WHICH IS A RESIDENCE ON THE WEST SIDE OF THE HIGHWAY. UNIT 2 WAS SOUTHBOUND ON HIGHWAY 67 APPROACHING THE DRIVEWAY INTERSECTION FROM THE NORTH. UNIT 3 WAS NORTHBOUND BEHIND UNIT 1. UNIT 1 TURNED INTO THE PATH OF UNIT 2, AND UNIT 1 AND UNIT 2 COLLIDED IN THE SOUTHBOUND LANE. UNIT 2 WENT INTO THE NORTHBOUND LANE AFTER THE INITIAL IMPACT AND STRUCK THE FRONT OF UNIT 3, WHICH WAS STOPPED. UNIT 2 CAME TO REST ON ITS SIDE IN THE CENTER OF THE NORTHBOUND LANE IN FRONT OF UNIT 3. UNIT 1 CAME TO REST IN THE DRIVEWAY FACING WEST.
Officer
PEDERSEN
Badge No.
173
Time Officer Notified of Accident
17:26
Time Officer Arrived At Scene
17:47
Name of Agency
P12
Date of Report
8/23/2010
Investigation made at scene?
Yes
T.I. #



Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504