Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/11/2010		 Time of Accident
08:45 AM 		County
Dallas - 25		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010069796
Literal Description
105.5 MM WB I80 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
407550.5
Y-Coordinate
4596809.
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1 		Driver's Name - Last
GROSS-LOPEZ		 First
HAYDE		 Middle
 Suffix
City
DES MOINES		 State
IA - Iowa, US		 Zip
503140000
Driver's Age
29		 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

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
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
 Transported by:
Insurance Co. Name
Year
2002		 Make
Chevrolet - CHEV		 Model
TBLAZER		 Style
SUV		 Approximate Cost to Repair or Replace
6000
Initial Travel Direction
4 - West		 Vehicle Action
06 - Changing lanes		 Speed Limit
70		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
09 - Top		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
2		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 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
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
01 - Ran off road, right		 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)
07 - Sleet, hail, freezing rain		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
3		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE 1 CHANGING LANES DUE TO AN ACCIDENT UP THE ROAD. UPON CHANGING LANES, THE VEHICLE ENCOUNTERED ICE IN THE WHEEL TRACKS, LOST CONTROL AND ROLLED OVER IN THE NORTH DITCH OF I-80
Officer
LUDWIG 		Badge No.
390		 Time Officer Notified of Accident
08:50		 Time Officer Arrived At Scene
09:15
Name of Agency
P01		 Date of Report
12/11/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011