Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
11/28/2010
Time of Accident
04:43 PM
County
Scott - 82
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2010067359
Literal Description
I-80 EB MM 302
Legal Intervention?
No
Private Property?
No
X-Coordinate:
714049.6
Y-Coordinate
4608281.
U
N
I
T

1
Driver's Name - Last
VILLALPANDO
First
JULIO
Middle
C
Suffix
City
DAVENPORT
State
IA - Iowa, US
Zip
528020000
Driver's Age
43
Citation Charge Code 1
Citation Charge 1
Gender
Male
State
IA - Iowa, US
Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more
Endorsements
None
Restrictions

None
Citation Charge Code 2
Citation Charge 2
Alcohol Test Given?
1 - None
Drug Test Given?
3 - Urine
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
BLACK HORSE CARRIERS INS
Year
2011
Make
International - INTL
Model
TT
Style
DAY CAB
Approximate Cost to Repair or Replace
500
Initial Travel Direction
2 - East
Vehicle Action
01 - Movement essentially straight
Speed Limit
65
Point of Initial Impact
01 - Front
Most Damaged Area
01 - Front
Extent of Damage
2 - Minor damage
Underride/Override
1 - None
Total Occupants
01
Traffic Controls
01 - No controls present
Vehicle Config.
09 - Tractor/semi-trailer
Cargo Body Type
02 - Van/enclosed box
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
20 - Non-motorist (see non-motorist type)
Second Event
Third Event
Fourth Event
Most Harmful Event (by vehicle)
20 - Non-motorist (see non-motorist type)
Emergency Vehicle Type
1 - Not applicable
Emergency Status
3 - Not Applicable
Carrier Name
BLACK HORSE CARRIERS INS
City
CAROL STREAM
State
IL - Illinois, US
Zip
601881860
Number of Axles
5
Gross Vehicle Weight Rating
52000
Placard #
Hazardous Materials Released?
2 - No
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)
20 - Non-motorist (see non-motorist type)
Manner of Crash/Collision
1 - Non-collision
Roadway
01 - None apparent
Type
Light Conditions
5 - Dark, roadway not lighted
Surface Conditions
1
Type of Roadway Junction/Feature
01 - No special feature
Workers Present?
P
E
R
S
O
N
I
N
J
U
R
E
D
Name- Last
BARTOS
First
THOMAS
Middle
C
Suffix
City
State
Zip Code
Age
57
Sex
Male
Unit No.
Seating Position
15 - Pedestrian
Injury Status
1 - Fatal
Occupant Protection
Airbag Deployment
Airbag Switch Status
Ejection
Ejection Path
Trapped
Transported to:
WEERTS FUNERAL HOME
Transported by:
WEERTS FUNERAL HOME
NON-MOTORIST Type
1 - Pedestrian
Location
8 - Other non-intersection (explain in narrative)
Action
8 - Other (explain in narrative)
Condition
3 - Emotional (e.g., depressed, angry, disturbed)
Safety Equipment
4 - None
Contributing Circumstances
02 - Darting
Unit No. of Vehicle Striking
001
D
I
A
G
R
A
M

0
NARRATIVE

UNIT #1 WAS EAST BOUND ON INTERSTATE 80. UNIT #1 STRUCK PEDESTRIAN IN ROADWAY.
Officer
HANK
Badge No.
123
Time Officer Notified of Accident
16:45
Time Officer Arrived At Scene
16:52
Name of Agency
P12
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 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504