Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
8/29/2010		 Time of Accident
10:46 AM 		County
Story - 85		 Accident occurred within corporate limits of (city)
Story City - 7430		 Law Enforcement Case Number:
2010050879
Literal Description
NB/EB INTERSTATE 0035 MM 121.80 S OF STORY CITY 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
453029.5
Y-Coordinate
4666423.
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1 		Driver's Name - Last
STOUT		 First
MIRANDA		 Middle
MARIE		 Suffix
City
LAKE MILLS		 State
IA - Iowa, US		 Zip
504500000
Driver's Age
17		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
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
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
1996		 Make
Toyota - TOYT		 Model
CAMRY		 Style
4DR		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
1 - North		 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
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
2		 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
03 - Ran off road, left		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
01 - Ran off road, right		 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
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2 		Driver's Name - Last
BENNETT		 First
THEODORE		 Middle
GRANT		 Suffix
City
HINDSVILLE		 State
AR - Arkansas, US		 Zip
72738
Driver's Age
58		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
AR - Arkansas, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
 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
6 - Not applicable		 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
PATHWAY TRANSPORTATION LLC
Year
2001		 Make
International - INTL		 Model
 Style
ST		 Approximate Cost to Repair or Replace
15000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
02 - Right Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
05 - Flatbed		 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
01 - Ran off road, right		 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
PATHWAY TRANSPORTATION LLC		 City
MOUNTAIN GROVE		 State
MO - Missouri, US		 Zip
65711
Number of Axles
5		 Gross Vehicle Weight Rating
80000		 Placard #
 Hazardous Materials Released?
2 - No
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Y

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If Property other than vehicles damaged explain Object Damaged
SEMI TRAILER		 Estimate of Damage
10000
Owner's Name - Last
BENNETT		 First
THEODORE		 Middle
GRANT		 Suffix
Owner Company Name
City
HINDSVILLE		 State
AR - Arkansas, US		 Zip
P
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Y

D
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E
If Property other than vehicles damaged explain Object Damaged
SEMI LOAD (TRAILERS)		 Estimate of Damage
40000
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
PJ TRAILERS
City
SUMNER		 State
TX - Texas, US		 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)
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
6 - Sideswipe, same direction		 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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NARRATIVE

VEHICLE #1 WAS NORTHBOUND IN THE LEFT LANE OF INTERSTATE 35 WHEN IT LOST CONTROL AND SWERVED INTO THE PATH OF VEHICLE #2 WHICH WAS IN THE RIGHT LANE OF INTERSTATE 35 GOING NORTH ALSO. VEHICLE #2 STRUCK VEHICLE #1 IN THE RIGHT LANE OF I35, ENTERED THE EAST DITCH, AND ROLLED OVER ONTO ITS SIDE. AFTER COLLISION, VEHICLE #1 ENTERED THE EAST DITCH ALSO.
Officer
TJEPKES 		Badge No.
074		 Time Officer Notified of Accident
10:46		 Time Officer Arrived At Scene
11:11
Name of Agency
P01		 Date of Report
8/29/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011