Crash Information

L O C A T I O N	Date of Accident 11/4/2010	Time of Accident 12:40 PM	County Worth - 98	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010062983
	Literal Description 380TH ST 1700 FT WEST OF S18				Legal Intervention? No	Private Property? No
					X-Coordinate: 464022.3
					Y-Coordinate 4795724.

U N I T 1	Driver's Name - Last LEONARD			First PATRICK			Middle JAMES		Suffix II
	City JOICE			State IA - Iowa, US				Zip 504460000
	Driver's Age 17					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 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 3 - Non-incapacitating	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: MERCY HOSPITAL, MASON CITY					Transported by: FOREST CITY AMBULANCE
	Insurance Co. Name
	Year 2000		Make Pontiac - PONT		Model GRAND PRIX		Style 4DR		Approximate Cost to Repair or Replace 4000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 09 - Top	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 2	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 03 - Ran off road, left	Second Event 11 - Overturn/rollover	Third Event	Fourth Event	Most Harmful Event (by vehicle) 11 - Overturn/rollover
	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	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 6	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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Name- Last
HAUGEN

First
ANTHONY

Middle
PALMER

Suffix

City

State

Zip Code

Age
17

Sex
Male

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
3 - Non-incapacitating

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
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
MERY HOSPITAL, MASON CITY

Transported by:
FORST CITY AMBULANCE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEH 1 WAS WESTBOUND ON 380TH ST. IT LOST CONTROL AND OVERTURNED, STRIKING A POWER POLE AFTER IT OVERTURNED. THE OCCUPANTS WERE TRANSPORTED FOR MINOR INJURIES.

Officer PALAS	Badge No. 265	Time Officer Notified of Accident 12:43	Time Officer Arrived At Scene 12:48
Name of Agency P08	Date of Report 11/4/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381