Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
11/28/2010		 Time of Accident
05:21 PM 		County
Adair - 01		 Accident occurred within corporate limits of (city)
Stuart - 7457		 Law Enforcement Case Number:
2010067371
Literal Description
S MADISON ST and Iowa Railroad 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
390760.3
Y-Coordinate
4595426.
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1 		Driver's Name - Last
HASTY		 First
MASON		 Middle
COLE		 Suffix
City
STUART		 State
IA - Iowa, US		 Zip
50250
Driver's Age
16		 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

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
5 - Uninjured		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
3 - Deployed both front/side		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
1995		 Make
Chevrolet - CHEV		 Model
MONTE CARLO		 Style
CAR		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
25		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
2		 Traffic Controls
09 - Railway crossing device		 Vehicle Config.
01 - Passenger car		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
1 - Apparently normal		 Vision Obscured
06 - Hillcrest		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
04 - Crossed centerline/median		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
22 - Vehicle in/from other roadway
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
NOURSE		 First
TINA		 Middle
MARIE		 Suffix
City
MENLO		 State
IA - Iowa, US		 Zip
50164
Driver's Age
36		 Citation Charge Code 1
 Citation Charge 1
Gender
Female		 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
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
3 - Deployed both front/side		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2006		 Make
Pontiac - PONT		 Model
GS1		 Style
4D		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
25		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
3		 Traffic Controls
09 - Railway crossing device		 Vehicle Config.
01 - Passenger car		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
1 - Apparently normal		 Vision Obscured
06 - Hillcrest		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
22 - Vehicle in/from other roadway		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
22 - Vehicle in/from other roadway
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)
22 - Vehicle in/from other roadway
Manner of Crash/Collision
2 - Head-on		 Roadway
01 - None apparent		 Type
Light Conditions
2 - Dusk		 Surface Conditions
6		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT 1 WAS TRAVELING SOUTHBOUND ON S MADISON JUST SOUTH OF WHITE POLE ROAD AND CAME TO THE RAILROAD TRACKS. THIS IS ALSO A HILL CREST AND WAS TO THE LEFT OF CENTER. THE ROADWAY IS VERY NARROW AND NOTICED A CAR ON THE OTHER SIDE. THE 2 UNITS STRUCK EACH OTHER AND CAME TO A REST IN THE TRAVEL PORTION.
Officer
DINKLA 		Badge No.
188		 Time Officer Notified of Accident
17:23		 Time Officer Arrived At Scene
17:49
Name of Agency
P04		 Date of Report
11/28/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 04 Office
3710 Highway 30 E
Denison,IA 51442-7560
Phone: (712) 263-4621
Fax: (712) 263-2325