Crash Information

L O C A T I O N	Date of Accident 12/11/2010	Time of Accident 03:10 PM	County Pottawattamie - 78	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010069737
	Literal Description I 80 48.65				Legal Intervention? No	Private Property? No
					X-Coordinate: 318405.6
					Y-Coordinate 4596327.

U N I T 1	Driver's Name - Last ANDERSON			First DENNIS			Middle LYNN		Suffix
	City MARATHON			State IA - Iowa, US				Zip 505650000
	Driver's Age 63					Citation Charge Code 1		Citation Charge 1
	Gender Male	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 9 - Unknown		Airbag Deployment 5 - Not deployed	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 1995		Make Ford - FORD		Model ECONOLINE		Style UTILITY VAN		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 4 - West	Vehicle Action 10 - Slowing/stopping	Speed Limit 70	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 02	Traffic Controls 01 - No controls present	Vehicle Config. 03 - Van or mini-van	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 12 - Blowing snow	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?

U N I T 2	Driver's Name - Last JOHNSON			First JEFFERY			Middle JAMES		Suffix
	City RAPID CITY			State SD - South Dakota, US				Zip 577015558
	Driver's Age 53					Citation Charge Code 1		Citation Charge 1
	Gender Male	State SD - South Dakota, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements P - Pass	Restrictions J - Tem Rest License	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 MIDWEST SPECIALIZED CARRIERS
	Year 2005		Make		Model 357		Style SEMI		Approximate Cost to Repair or Replace 4000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	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 01	Traffic Controls 01 - No controls present	Vehicle Config. 09 - Tractor/semi-trailer	Cargo Body Type 05 - Flatbed	Vehicle Defect 01 - None	Driver Condition 1 - Apparently normal	Vision Obscured 12 - Blowing snow	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 MIDWEST SPECIALIZED CARRIERS			City ROCHESTER		State MN - Minnesota, US			Zip 55906
	Number of Axles 07			Gross Vehicle Weight Rating 130000		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) 10 - Blowing sand, soil, dirt, snow	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 01 - None apparent	Type
Light Conditions 1 - Daylight	Surface Conditions 4	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

P
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Name- Last
HARRIS

First
MICHAEL

Middle

Suffix

City

State

Zip Code

Age
63

Sex
Male

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
3 - Non-incapacitating

Occupant Protection
2 - Shoulder and lap belt used

Airbag Deployment
5 - Not deployed

Airbag Switch Status
3 - No ON/OFF switch present

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
CASS COUNTY MEMORIAL HOSPITAL

Transported by:
AVOCA RESCUE

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
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A
G
R
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M

0

NARRATIVE

VEHICLES #1 AND #2 WERE BOTH MOVING SLOWLY DUE TO THE BLIZARD CONDITIONS. THE DRIVER OF VEHICLE #1 SLOWED AND WAS STRUCK IN THE REAR BY VEHICLE#2. THE DRIVER OF VEHICLE #2 COULD NOT SEE IN TIME TO STOP DUE TO THE BLOWING SNOW AND BLIZZARD CONDITIONS.THE PASSENGER IN VEHICLE #1 WAS TAKEN TO CASS COUNTY MEMORIAL HOSPITAL FOR MINOR INJURES

Officer FUNK	Badge No. 413	Time Officer Notified of Accident 15:00	Time Officer Arrived At Scene 16:00
Name of Agency P03	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 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504