U
N
I
T
1
|
Driver's Name - Last BROWN |
First RUSSELL |
Middle E |
Suffix
|
City MCLOUTH |
State KS - Kansas, US |
Zip 66054 |
Driver's Age 49 |
Citation Charge Code 1 321.307 |
Citation Charge 1 FOLLOWING TOO CLOSE |
Gender Male |
State KS - Kansas, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements T - Dbl/Trpl Trlr |
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 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 VEOLIA ES INDUSTRIAL SERVICES |
Year 1998 |
Make International - INTL |
Model 466 |
Style TK |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 06 - Single-unit truck (>=3 axles) |
Cargo Body Type 04 - Cargo tank |
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 VEOLIA ES INDUSTRIAL SERVICES |
City PONCA CITY |
State OK - Oklahoma, US |
Zip 74601 |
Number of Axles 3 |
Gross Vehicle Weight Rating 58000 |
Placard # 1203 |
Hazardous Materials Released? 2 - No |
U
N
I
T
2
|
Driver's Name - Last BARNES |
First ROBERT |
Middle DEAN |
Suffix
|
City MASON CITY |
State IA - Iowa, US |
Zip 504010000 |
Driver's Age 48 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State IA - Iowa, US |
Class B - Veh w/26001 GVWR or more Towed unit is less than 10001 GVWR |
Endorsements P - Pass |
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 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 CAVALIER COACHES INC |
Year 1999 |
Make
|
Model BS |
Style BUS |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 3 - South |
Vehicle Action 10 - Slowing/stopping |
Speed Limit 70 |
Point of Initial Impact 05 - Rear |
Most Damaged Area 05 - Rear |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 23 |
Traffic Controls 01 - No controls present |
Vehicle Config. 18 - Other bus (seats > 15) |
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 CAVALIER COACHES INC |
City OWATONNA |
State MN - Minnesota, US |
Zip 55060 |
Number of Axles 3 |
Gross Vehicle Weight Rating 80000 |
Placard #
|
Hazardous Materials Released? 2 - No |
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 3 - Rear-end |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 16 - Intersection with ramp |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
VEHICLE #1 WAS TRAVELING IN THE LEFT HAND LANE BEHIND VEHICLE #2. VEHICLE #2 STARTED TO SLOW DOWN FOR MERGING TRAFFIC FROM HIGHWAY 20. THE DRIVER OF VEHICLE #1 DID NOT SEE VEHICLE #2 SLOWING AND RAN INTO THE REAR OF VEHICLE #2. VEHICLE #2 WAS A CHARTER BUS WITH 22 PASSENGERS. THE DRIVER OF VEHICLE #2 ADVISED THAT NONE OF THE PASSENGERS WERE INJURED AND THAT EVERYONE WAS SEATED AT THE TIME OF THE COLLISION. |
|
Officer
ANDERSON |
Badge No. 379 |
Time Officer Notified of Accident 16:45 |
Time Officer Arrived At Scene 16:55 |
Name of Agency P07 |
Date of Report 9/24/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218