Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
10/31/2010		 Time of Accident
05:30 PM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010062302
Literal Description
SB/WB Interstate 0035 underpass of NW BEAVER DR 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
443310.2
Y-Coordinate
4611292.
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1 		Driver's Name - Last
HANSON		 First
CRAIG		 Middle
LOREN		 Suffix
City
DES MOINES		 State
IA - Iowa, US		 Zip
503170000
Driver's Age
62		 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
 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
4 - Shoulder belt only 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
Ford - FORD		 Model
WINDSTAR		 Style
VAN		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
05 - Rear		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
02		 Traffic Controls
01 - No controls present		 Vehicle Config.
03 - Van or mini-van		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
12 - Suspension		 Driver Condition
1 - Apparently normal		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
09 - Equipment failure (tires, brakes, etc.)		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
35 - Guardrail		 Most Harmful Event (by vehicle)
35 - Guardrail
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
GUARD RAIL		 Estimate of Damage
300
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
DOT
City
 State
 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
4 - Roadside		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
35 - Guardrail
Manner of Crash/Collision
1 - Non-collision		 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

UNIT ONE WHILE TRAVELING WEST IN RIGHT LANE EXPERIENCED REAR AXLE EQUIPMENT FAILURE CAUSING VEHICLE TO LOOSE CONTROL AND STRIKE GUARD RAIL IN NORTH DITCH.
Officer
GUILL 		Badge No.
498		 Time Officer Notified of Accident
17:30		 Time Officer Arrived At Scene
17:35
Name of Agency
P01		 Date of Report
10/31/2010		 Investigation made at scene?
 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