Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
9/12/2010		 Time of Accident
08:39 PM 		County
Story - 85		 Accident occurred within corporate limits of (city)
Story City - 7430		 Law Enforcement Case Number:
2010053522
Literal Description
NB/EB INTERSTATE 0035, NORTHBOUND STORY CITY ENTRANCE RAMP 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452882.8
Y-Coordinate
4671131.
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1 		Driver's Name - Last
ROBERTSON		 First
RONALD		 Middle
RAY		 Suffix
City
GENEVA		 State
IA - Iowa, US		 Zip
506330000
Driver's Age
43		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IA - Iowa, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
 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
3 - Totally ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2006		 Make
 Model
ROAD STAR		 Style
MC		 Approximate Cost to Repair or Replace
1500
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
1		 Traffic Controls
05 - Yield signs		 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
03 - Ran off road, left		 Second Event
13 - Other non-collision		 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
2 - Shoulder		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
1		 Type of Roadway Junction/Feature
17 - On-ramp merge area		 Workers Present?
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NARRATIVE

VEHICLE #1 WAS ENTERING INTERSTATE 35 NORTH FROM THE STORY CITY ENTRANCE RAMP WHEN IT DROPPED OFF THE ROADWAY, LOST CONTROL, AND EJECTED THE DRIVER.
Officer
TJEPKES 		Badge No.
074		 Time Officer Notified of Accident
20:39		 Time Officer Arrived At Scene
20:52
Name of Agency
P01		 Date of Report
9/12/2010		 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