Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/15/2010		 Time of Accident
10:00 PM 		County
Story - 85		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010070952
Literal Description
SB/WB Interstate 0035 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452661.6
Y-Coordinate
4639600.
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1 		Driver's Name - Last
SKUYA		 First
MATTHEW		 Middle
JOSEPH		 Suffix
City
WEST DES MOINES		 State
IA - Iowa, US		 Zip
502650000
Driver's Age
28		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
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
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2004		 Make
Chevrolet - CHEV		 Model
CAV		 Style
2D		 Approximate Cost to Repair or Replace
4500
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 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
03 - Ran off road, left		 Second Event
01 - Ran off road, right		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
03 - Ran off road, left
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?
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Y

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If Property other than vehicles damaged explain Object Damaged
GUARD WIRE POSTS		 Estimate of Damage
450
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
IOWA DOT
City
 State
 Zip
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)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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0
NARRATIVE

VEHICLE #1 WAS TRAVELING SOUTHBOUND ON INTERSTATE 35. THE DRIVER LOST CONTROL DUE TO THE SNOW ON THE ROADWAY AND RAN OFF THE ROAD TO THE LEFT, INTO THE GUARD WIRES, BACK ACROSS THE INTERSTATE TO THE RIGHT, AND CAME TO REST IN THE WEST DITCH FACING WEST.
Officer
LARSON 		Badge No.
350		 Time Officer Notified of Accident
 Time Officer Arrived At Scene
Name of Agency
P01		 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 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011