Crash Information

L O C A T I O N	Date of Accident 12/17/2010	Time of Accident 03:53 PM	County Winneshiek - 96	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010071413
	Literal Description W04B / FRANKVILLE RD measuring 3018 Feet Southeast from Iowa 0009 / IOWA 9				Legal Intervention? No	Private Property? No
					X-Coordinate: 606941.0
					Y-Coordinate 4787655.

U N I T 1	Driver's Name - Last STEE			First CARLI			Middle JO		Suffix
	City CASTALIA			State IA - Iowa, US				Zip 52133
	Driver's Age 16					Citation Charge Code 1 321.288		Citation Charge 1 FAILURE TO HAVE CONTROL
	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 Y - Intermediate 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 2 - Incapacitating	Occupant Protection 2 - Shoulder and lap belt used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 3 - Extricated by mechanical means
	Transported to: WINNESHIEK COUNTY MED CENTER					Transported by: WINNESHIEK CO AMBULANCE
	Insurance Co. Name
	Year 1998		Make Chevrolet - CHEV		Model LUM		Style 4D		Approximate Cost to Repair or Replace 5000
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 03 - Right Side	Most Damaged Area 03 - Right Side	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 01	Traffic Controls 07 - Warning sign	Vehicle Config. 01 - Passenger car	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 04 - Crossed centerline/median	Second Event 21 - Vehicle in traffic	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 TELEGUARDIO SIPAC			First EDWIN			Middle ORLANDO		Suffix
	City POSTVILLE			State IA - Iowa, US				Zip 52162
	Driver's Age 26					Citation Charge Code 1 321.174		Citation Charge 1 NO VALID IOWA LICENSE
	Gender Male	State NO - None, US	Class	Endorsements None	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 1 - None used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 3 - No ON/OFF switch present		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: NA					Transported by: N
	Insurance Co. Name
	Year 2002		Make Dodge - DODG		Model INT		Style 4D		Approximate Cost to Repair or Replace 7000
	Initial Travel Direction 3 - South	Vehicle Action 01 - Movement essentially straight	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 01	Traffic Controls 07 - Warning sign	Vehicle Config. 01 - Passenger car	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 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) 01 - Clear	Environment 2 - Weather condition	Location	First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic
Manner of Crash/Collision 5 - Broadside	Weather Conditions (up to two) 01 - Clear	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 WAS NORTH BOUND ON W-4-B WHEN THE DRIVER LOST CONTROL AND SLID BROADSIDE ACROSS THE CENTER LINE WHERE IT COLLIDED WITH VEHICLE 2 WHICH WAS SOUTHBOUND ON W-4-B.

Officer RUDE	Badge No. 369	Time Officer Notified of Accident 15:53	Time Officer Arrived At Scene 15:59
Name of Agency P10	Date of Report 12/17/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046