Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
9/18/2010		 Time of Accident
05:07 PM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010054671
Literal Description
96.4 MM SB ON I-35 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452571.0
Y-Coordinate
4626439.
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1 		Driver's Name - Last
TELLO-GUILLEN		 First
JAVIER		 Middle
 Suffix
City
DES MOINES		 State
IA - Iowa, US		 Zip
503130000
Driver's Age
19		 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
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
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
1994		 Make
Ford - FORD		 Model
MUS		 Style
2D		 Approximate Cost to Repair or Replace
10000
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
5 - Severe, vehicle totaled		 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
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?
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2 		Driver's Name - Last
TODD		 First
DAVID		 Middle
ALLEN		 Suffix
City
LEES SUMMIT		 State
MO - Missouri, US		 Zip
64081
Driver's Age
36		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
MO - Missouri, US		 Class
 Endorsements
None		 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
5 - Uninjured		 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
2008		 Make
Dodge - DODG		 Model
AVENGER		 Style
4DR		 Approximate Cost to Repair or Replace
10000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
4		 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?
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If Property other than vehicles damaged explain Object Damaged
2 POST FOR THE GAURD WIRE		 Estimate of Damage
2000
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
DES MOINES DOT
City
DES MOINES		 State
IA - Iowa, 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)
03 - Cloudy		 Environment
8 - Other (explain in narrative)		 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
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT #1 WAS TRAVELING SOUTH BOUND ON INTERSTATE 35 WHEN THE VEHICLES AHEAD OF IT WERE STOPPING DO TO ACCIDENTS THAT OCCURRED AHEAD OF THEM. UNIT #1 STATED TO ME THAT HE WAS PAYING ATTENTION TO THE 2 VEHICLES THAT WERE IN THE DITCH AND DIDN'T NOTICE THE VEHICLES STOPPED AHEAD AND DIDN'T HAVE ENOUGH TIME TO STOP IN A SAFE AND SECURE MANNER. UNIT #1 STRUCK UNIT #2 IN THE REAR END. UNIT #2 HAD A PASSENGER WITH SOME MINOR INJURIES.
Officer
STARRETT 		Badge No.
248		 Time Officer Notified of Accident
17:07		 Time Officer Arrived At Scene
17:20
Name of Agency
P01		 Date of Report
9/18/2010		 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