U
N
I
T
1
|
Driver's Name - Last THOMAS |
First MICHAEL |
Middle JAMEL |
Suffix
|
City CLEVELAND |
State OH - Ohio, US |
Zip 44105 |
Driver's Age 34 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State OH - Ohio, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements N - Tank |
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 5 - Uninjured |
Occupant Protection 2 - Shoulder and lap belt used |
Airbag Deployment 6 - Not applicable |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name C.R ENGLAN |
Year 2007 |
Make
|
Model CENTURY |
Style TT |
Approximate Cost to Repair or Replace 20000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 02 - Right Front |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 02 |
Traffic Controls 01 - No controls present |
Vehicle Config. 07 - Truck/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 21 - Vehicle in traffic |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name C.R ENGLAN |
City SALT LAKE CITY |
State UT - Utah, US |
Zip 84120 |
Number of Axles 5 |
Gross Vehicle Weight Rating 34000 |
Placard # N |
Hazardous Materials Released? 2 - No |
U
N
I
T
2
|
Driver's Name - Last RECHER |
First MARK |
Middle ALAN |
Suffix
|
City HARRIS |
State IA - Iowa, US |
Zip 51345 |
Driver's Age 46 |
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 N - Tank |
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 6 - Not applicable |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: SHELDON HOSPITAL |
Transported by: PRIVATE |
Insurance Co. Name
|
Year 2000 |
Make
|
Model
|
Style PK |
Approximate Cost to Repair or Replace 10000 |
Initial Travel Direction 4 - West |
Vehicle Action 02 - Turning left |
Speed Limit 55 |
Point of Initial Impact 07 - Left Side |
Most Damaged Area 07 - Left Side |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 05 - Single-unit truck (2-axle, 6-tires) |
Cargo Body Type 04 - Cargo tank |
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 21 - Vehicle in traffic |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
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) 02 - Partly cloudy |
Environment 2 - Weather condition |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 3 - Rear-end |
Roadway 02 - Road surface condition |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 3 |
Type of Roadway Junction/Feature 12 - T - intersection |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
VEH #1 WAS WESTBOUND ON HWY 18; THE DRIVER OF VEH #1 OBSERVED VEH #2 (ALSO WESTBOUND ON HWY 18) TURNING LEFT IN FRONT OF HIM. THE DRIVER OF VEH #1 ATTEMPTED TO SLOW DOWN; BUT WAS UNABLE TO DO SO DUE TO AN ICY AREA NEAR THE INTERSECTION (THIS ICY AREA WAS APPROXIMATELY 200 TO 300 FEET LONG AND HWY 18 WAS BASICALLY CLEAR OF ICE OTHER THAN THIS ISOLATED & PROTECTED AREA). VEH #1 LOST CONTROL (SLIDING SIDEWAYS) AND STRUCK VEH #2. THE IMPACT CAUSED THE TRAILER OF VEH #2 (A 2007 UNITED EXPRESS INC ENCLOSED VAN TRAILER) TO SEPARATE FROM VEH #2 AND COME TO REST APPROXIMATELY 100 FEET WEST OF CRASH SITE. NO CITATION WAS ISSUED DUE TO THE UNEXPECTED ICE NEAR THIS INTERSECTION. |
|
Officer
STEINKAMP |
Badge No. 285 |
Time Officer Notified of Accident 10:52 |
Time Officer Arrived At Scene 11:16 |
Name of Agency P06 |
Date of Report 12/13/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 06 Office
503 W 44th St
Spencer,IA 51301-2089
Phone: (712) 262-1424
Fax: (712) 262-3222