U
N
I
T
2
|
Driver's Name - Last WINN |
First GERRY |
Middle WAYNE |
Suffix
|
City WELEETKA |
State OK - Oklahoma, US |
Zip 748800000 |
Driver's Age 46 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State OK - Oklahoma, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements H - Hazmat |
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 9 - Unknown |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: NA |
Transported by: NA |
Insurance Co. Name HILL BROTHERS TRANSPORTATION INC |
Year 2011 |
Make International - INTL |
Model SEMI |
Style SEMI |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 4 - West |
Vehicle Action 88 - Other (explain in narrative) |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 1 |
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 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 HILL BROTHERS TRANSPORTATION INC |
City OMAHA |
State NE - Nebraska, US |
Zip 68127 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard # NA |
Hazardous Materials Released? 1 - Yes |
U
N
I
T
3
|
Driver's Name - Last
|
First
|
Middle
|
Suffix
|
City
|
State
|
Zip
|
Driver's Age
|
Citation Charge Code 1
|
Citation Charge 1
|
Gender
|
State
|
Class
|
Endorsements None |
Restrictions
None |
Citation Charge Code 2
|
Citation Charge 2
|
Alcohol Test Given?
|
Drug Test Given?
|
Citation Charge Code 3
|
Citation Charge 3
|
Citation Charge Code 4
|
Citation Charge 4
|
Seating Position
|
Injury Status
|
Occupant Protection
|
Airbag Deployment
|
Airbag Switch Status
|
Ejection
|
Ejection Path
|
Trapped
|
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year
|
Make
|
Model
|
Style
|
Approximate Cost to Repair or Replace
|
Initial Travel Direction
|
Vehicle Action
|
Speed Limit
|
Point of Initial Impact
|
Most Damaged Area
|
Extent of Damage
|
Underride/Override
|
Total Occupants
|
Traffic Controls
|
Vehicle Config.
|
Cargo Body Type
|
Vehicle Defect
|
Driver Condition
|
Vision Obscured
|
Contributing Circumstances, Driver (up to 2)
|
SEQUENCE OF EVENTS |
First Event 21 - Vehicle in traffic |
Second Event 52 - Hit and run |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
Emergency Vehicle Type
|
Emergency Status
|
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) 09 - Severe winds |
Environment 7 - Previous accident |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 3 - Rear-end |
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?
|
D I A G R A M
0 |
|
NARRATIVE |
ALL UNITS WERE STOPPED IN THE TRAVELED PORTION OF I80 WB DUE TO THE ROAD BEING BLOCKED AHEAD FOR MULTIPLE ACCIDENTS. WHEN ONE LANE WAS CLEARED FOR TRAVEL TO RESUME UNIT 1 BEGAN MOVING FORWARD. UNIT 1 ATTEMPT TO SHIFT GEARS AND ROLLED BACKWARDS AS THE CLUTCH WAS PUSHED DOWN. UNIT 1 STRUCK THE THE DRIVER'S SIDE FRONT CORNER OF UNIT 3. UNIT 1 THEN STRUCK THE FRONT OF UNIT 2. UNIT 1 AND UNIT 2 MOVED TO THE SHOULDER. UNIT 3 LEFT THE SCENE WITHOUT SPEAKING TO ANY OTHER UNITS. UNIT 3 WAS DESCRIBED AS A WHITE PASSENGER CAR POSSIBLY A TOYOTA CAMRY. NO OTHER INFORMATION WAS AVAILABLE FOR UNIT 3. NO INJURIES WERE REPORTED. |
|
Officer
HILT |
Badge No. 277 |
Time Officer Notified of Accident 08:18 |
Time Officer Arrived At Scene 08:18 |
Name of Agency P03 |
Date of Report 12/12/2010 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504