Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/20/2010		 Time of Accident
05:09 PM 		County
Webster - 94		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010072063
Literal Description
1119 FEET EAST OF D36/CARTER AVE 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
388193.5
Y-Coordinate
4696653.
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1 		Driver's Name - Last
RANDLEMAN		 First
JANA		 Middle
KAY		 Suffix
City
GOWRIE		 State
IA - Iowa, US		 Zip
505430000
Driver's Age
18		 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

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
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:
TRINITY		 Transported by:
WITNESS
Insurance Co. Name
Year
1988		 Make
Ford - FORD		 Model
F25		 Style
PK		 Approximate Cost to Repair or Replace
8000
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
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
2		 Traffic Controls
01 - No controls present		 Vehicle Config.
02 - Four-tire light truck (pick-up, panel)		 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
11 - Overturn/rollover		 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
1 - On Roadway		 Weather Conditions (up to two)
07 - Sleet, hail, freezing rain		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
4 - Dark, roadway lighted		 Surface Conditions
3		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT 1 WAS TRAVELING EASTBOUND ON COUNTY ROAD D36 EAST OF CARTER AVE. DUE TO ROAD CONDITIONS DRIVER LOST CONTROL AND ROLLED VEHICLE INTO THE SOUTH DITCH.
Officer
BURNS 		Badge No.
028		 Time Officer Notified of Accident
17:10		 Time Officer Arrived At Scene
17:35
Name of Agency
P07		 Date of Report
12/20/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218