U
N
I
T
1
|
Driver's Name - Last
NETO |
First
FRANCISCO |
Middle
R |
Suffix
|
City
SPRING VALLEY |
State
NY - New York, US |
Zip
10977 |
Driver's Age
|
Citation Charge Code 1
321.288 |
Citation Charge 1
FAIL TO MAINTAIN CONTROL |
Gender
Male |
State
NY - New York, US |
Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements
N - Tank |
Restrictions
N - Non-resident CDL |
Citation Charge Code 2
321.445 |
Citation Charge 2
FAIL TO WEAR/MAINTAIN SAFETY BELTS |
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
3 - Non-incapacitating |
Occupant Protection
1 - None used |
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:
GENESIS EAST |
Transported by:
DURANT EMS |
Insurance Co. Name
FRANCISCO R NETO |
Year
2001 |
Make
Volvo - VOLV |
Model
|
Style
TT |
Approximate Cost to Repair or Replace
15000 |
Initial Travel Direction
2 - East |
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
02 |
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
03 - Ran off road, left |
Second Event
06 - Evasive action (swerve, panic braking, etc.) |
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
FRANCISCO R NETO |
City
SPRING VALLEY |
State
NY - New York, US |
Zip
10977 |
Number of Axles
6 |
Gross Vehicle Weight Rating
52000 |
Placard #
|
Hazardous Materials Released?
2 - No |
U
N
I
T
2
|
Driver's Name - Last
BERNIUS |
First
MARSHALL |
Middle
W |
Suffix
|
City
EUREKA |
State
IL - Illinois, US |
Zip
61530 |
Driver's Age
45 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender
Male |
State
IL - Illinois, US |
Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
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
4 - Possible |
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
SPEE DEE DELIVERY SERVICE INC |
Year
2001 |
Make
Volvo - VOLV |
Model
|
Style
TT |
Approximate Cost to Repair or Replace
10000 |
Initial Travel Direction
2 - East |
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
01 |
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
SPEE DEE DELIVERY SERVICE INC |
City
ST CLOUD |
State
MN - Minnesota, US |
Zip
56302 |
Number of Axles
6 |
Gross Vehicle Weight Rating
52000 |
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)
08 - Snow |
Environment
1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic |
Manner of Crash/Collision
5 - Broadside |
Roadway
02 - Road surface condition |
Type
|
Light Conditions
3 - Dawn |
Surface Conditions
5 |
Type of Roadway Junction/Feature
01 - No special feature |
Workers Present?
|
P
E
R
S
O
N
|
I
N
J
U
R
E
D
|
Name- Last
AMADOR |
First
SANTOS |
Middle
F |
Suffix
|
City
|
State
|
Zip Code
|
Age
48 |
Sex
Male |
Unit No.
01 |
Seating Position
10 - Sleeper Section |
Injury Status
4 - Possible |
Occupant Protection
1 - None used |
Airbag Deployment
6 - Not applicable |
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:
GENESIS EAST |
Transported by:
DURANT EMS |
| NON-MOTORIST |
Type
|
Location
|
Action
|
Condition
|
Safety Equipment
|
Contributing Circumstances
|
Unit No. of Vehicle Striking
|
D
I
A
G
R
A
M
0 |
 |
| NARRATIVE |
UNIT 1 TRAVELING EASTBOUND LOST CONTROL ENTERING THE MEDIAN. UNIT 1 CAME BACK OUT OF THE MEDIAN INTO THE EASTBOUND LANES TRAVELING IN A SOUTH EAST DIRECTION. UNIT 2 TRAVELING EASTBOUND STRUCK UNIT 1 AS UNIT 1 CAME BACK INTO THE EASTBOUND LANES. |
|
Officer
MESSERICH |
Badge No.
166 |
Time Officer Notified of Accident
06:04 |
Time Officer Arrived At Scene
06:07 |
Name of Agency
P12 |
Date of Report
12/16/2010 |
Investigation made at scene?
Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504