Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/8/2010		 Time of Accident
07:29 AM 		County
Chickasaw - 19		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010069134
Literal Description
US 0018 / 200TH (Milepost 225) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
545757.7
Y-Coordinate
4768388.
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1 		Driver's Name - Last
HABERKORN		 First
DUSTIN		 Middle
CRAIG		 Suffix
City
CHARLES CITY		 State
IA - Iowa, US		 Zip
506160000
Driver's Age
26		 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
H - Hazmat		 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
Year
1992		 Make
 Model
WRG		 Style
SW		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
01		 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
01 - Ran off road, right		 Second Event
33 - Ditch/embankment		 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
2 - Shoulder		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE 1 WAS WESTBOUND ON HIGHWAY 18. WHEELS OF VEHICLE ONE GOT OFF ONTO THE SNOW COVERED SHOULDER. THE SNOW SUCKED THE VEHICLE INTO THE DITCH. VEHICLE 1 WENT INTO THE NORTH DITCH AND HIT A FIELD DRIVE CAUSING THE VEHICLE TO FLIP END TO END COMING TO REST IN THE NORTH DITCH FACING SOUTHEAST.
Officer
DOMINO 		Badge No.
364		 Time Officer Notified of Accident
08:03		 Time Officer Arrived At Scene
08:05
Name of Agency
P08		 Date of Report
12/8/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381