Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/4/2010		 Time of Accident
06:45 AM 		County
Fayette - 33		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010068545
Literal Description
Iowa 0187 / C AVE 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
610969.6
Y-Coordinate
4724804.
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1 		Driver's Name - Last
JONES		 First
KORI		 Middle
JOE		 Suffix
City
LAMONT		 State
IA - Iowa, US		 Zip
506500000
Driver's Age
18		 Citation Charge Code 1
321.288		 Citation Charge 1
FAILURE 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
5 - Uninjured		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
1995		 Make
Chevrolet - CHEV		 Model
K2500		 Style
PK		 Approximate Cost to Repair or Replace
8000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
02		 Traffic Controls
01 - No controls present		 Vehicle Config.
02 - Four-tire light truck (pick-up, panel)		 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
01 - Ran off road, right		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
33 - Ditch/embankment		 Most Harmful Event (by vehicle)
33 - Ditch/embankment
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
2 - Shoulder		 Weather Conditions (up to two)
08 - Snow		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
33 - Ditch/embankment
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE WAS SOUTHBOUND ON HWY 187 WHEN THE DRIVER LOST CONTROL OF THE VEHICLE AND ROLLED IN THE WESTSIDE DITCH. VEHICLE CAME TO REST ON ITS TOP
Officer
YAUK 		Badge No.
494		 Time Officer Notified of Accident
07:00		 Time Officer Arrived At Scene
07:21
Name of Agency
P10		 Date of Report
12/4/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046