Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/19/2010		 Time of Accident
01:51 PM 		County
Franklin - 35		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010071748
Literal Description
Iowa 0003 / IOWA 3 measuring 167 Feet East from QUAIL AVE and Iowa 0003 / IOWA 3 and Iowa 0003 / CENTRAL AVE E 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
485095.9
Y-Coordinate
4731769.
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1 		Driver's Name - Last
JOHNSON		 First
BETTY		 Middle
JANE		 Suffix
City
HAMPTON		 State
IA - Iowa, US		 Zip
504410000
Driver's Age
82		 Citation Charge Code 1
 Citation Charge 1
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

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
01 - Front: Left Side / Motorcycle Driver		 Injury Status
2 - Incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
2 - Partially ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
FRANKLIN MEMORIAL		 Transported by:
FRANKLIN GENERAL HOSPITAL
Insurance Co. Name
Year
2000		 Make
Buick - BUIC		 Model
CENTURY		 Style
4DR		 Approximate Cost to Repair or Replace
4000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
09 - Top		 Most Damaged Area
09 - Top		 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
01 - Ran off road, right		 Second Event
04 - Crossed centerline/median		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
11 - Overturn/rollover
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
2 - Shoulder		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

#1 WAS EASTBOUND GOING AROUND THE CURVE AND DROVE ONTO THE SOUTH SHOULDER AND LOST CONTROL. THE VEHICLE THEN CROSSED THE CENTER LINE ENTERED THE NORTH SHOULDER AND THE VEHICLE ROLLED INTO THE NORTH DITCH ON IT'S TOP.
Officer
KNEBEL 		Badge No.
053		 Time Officer Notified of Accident
13:51		 Time Officer Arrived At Scene
14:19
Name of Agency
P08		 Date of Report
12/19/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381