Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
11/1/2010		 Time of Accident
09:50 AM 		County
Lee - 56		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010062414
Literal Description
J062 / 255 ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
619107.3
Y-Coordinate
4494247.
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1 		Driver's Name - Last
WHITE		 First
JORDAN		 Middle
BISHOP		 Suffix
City
KEOKUK		 State
IA - Iowa, US		 Zip
526320000
Driver's Age
20		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
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

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
9 - Unknown		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2002		 Make
Pontiac - PONT		 Model
GRAN AM		 Style
4D		 Approximate Cost to Repair or Replace
2500
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
01		 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
13 - Fog/smoke/dust		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
03 - Ran off road, left		 Second Event
11 - Overturn/rollover		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
03 - Ran off road, left
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
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
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

VEHICLE #1 WAS WEST BOUND ON COUNTY GRAVEL #255TH ST A NON CONTACT VEHICLE WAS TURNING LEFT INTO 1658 255TH ST AND WAITED FOR EAST BOUND TRAFFIC TO CLEAR VEHICLE #1 APPROACHED AND WAS UNABLE TO SEE DUE TO DUST AND LOST CONTROL ENTERING THE SOUTH DITCH AND OVERTURNING
Officer
CANTONWINE 		Badge No.
122		 Time Officer Notified of Accident
10:02		 Time Officer Arrived At Scene
10:06
Name of Agency
P13		 Date of Report
11/1/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743