U
N
I
T
1
|
Driver's Name - Last CHRISTENSEN |
First BENJAMIN |
Middle LEE |
Suffix
|
City NEWTON |
State IA - Iowa, US |
Zip 502080000 |
Driver's Age 30 |
Citation Charge Code 1 321.218 |
Citation Charge 1 DWLS NON PAYMENT IOWA FINES |
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 None |
Restrictions
None |
Citation Charge Code 2 321.20B-A |
Citation Charge 2 PROOF OF INS. |
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 1998 |
Make Chevrolet - CHEV |
Model LUM |
Style 4D |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 2 - East |
Vehicle Action 10 - Slowing/stopping |
Speed Limit 65 |
Point of Initial Impact 05 - Rear |
Most Damaged Area 05 - Rear |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 11 - Workzone signs |
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?
|
U
N
I
T
2
|
Driver's Name - Last BREEDING |
First KALEIGH |
Middle MORGAN |
Suffix
|
City BONDURANT |
State IA - Iowa, US |
Zip 500350000 |
Driver's Age 16 |
Citation Charge Code 1 321.288 |
Citation Charge 1 CONTROL OF VEHICLE |
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
Y - Intermediate 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 4 - Possible |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 1 - Deployed front of person |
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 1995 |
Make Ford - FORD |
Model TAU |
Style 4D |
Approximate Cost to Repair or Replace 4000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 02 |
Traffic Controls 11 - Workzone signs |
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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 21 - Vehicle in traffic |
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 2 - Between advance warning sign and work area |
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 3 - Rear-end |
Roadway 01 - None apparent |
Type 1 - Lane Closure |
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present? Yes |
D I A G R A M
0 |
|
NARRATIVE |
VEHICLE #1 IS EASTBOUND I80 AT THE 142MM DRIVING IN THE OUTSIDE OR RIGHT LANE OF TWO LANES OF TRAVEL. VEHICLE #2 IS DIRECTLY BEHIND VEHICLE #1. THIS AREA IS PRIOR TO A LANE CLOSURE ABOUT .5MILE AHEAD OF THE CRASH LOCATION. THE AREA HAS BEEN SIGNED NOTING THAT A LANE CLOSURE IS AHEAD. VEHICLE #2 HAS ENTERED ONTO THE INTERSTATE WHERE SIGNS ADVISE THAT A LANE CLOSURE IS AHEAD 2 MILES. VEHICLE #1 SLOWS TO ALMOST A STOP DUE TO THE BACKUP OF TRAFFIC DUE TO THE LANE CLOSURE. VEHICLE #2 DOES NOT HAVE HER VEHICLE UNDER CONTROL AND STRIKES VEHICLE #1 TO THE REAR TO THE FRONT OF VEHICLE #2. AFTER IMPACT BOTH VEHICLES COME TO REST FACING EAST ON THE TRAVELLED PORTION OF ROADWAY. |
|
Officer
BATTLES |
Badge No. 392 |
Time Officer Notified of Accident 18:32 |
Time Officer Arrived At Scene 18:43 |
Name of Agency P01 |
Date of Report 9/20/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011