Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/19/2010		 Time of Accident
11:45 AM 		County
Cass - 15		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010071729
Literal Description
NB/EB INTERSTATE 0080 @ 60MM 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
337986.1
Y-Coordinate
4595769.
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1 		Driver's Name - Last
MOORE		 First
ERIC		 Middle
MATTHEW		 Suffix
City
CORRALVILLE		 State
IA - Iowa, US		 Zip
522410000
Driver's Age
26		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Male		 State
IA - Iowa, US		 Class
B - Veh w/26001 GVWR or more Towed unit is less than 10001 GVWR		 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
5 - Not deployed		 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
Year
2002		 Make
 Model
SEN		 Style
4D		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
07 - Left Side		 Extent of Damage
2 - Minor damage		 Underride/Override
1 - None
Total Occupants
3		 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
06 - Evasive action (swerve, panic braking, etc.)		 Second Event
01 - Ran off road, right		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
38 - Poles (utility, light, etc.)
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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If Property other than vehicles damaged explain Object Damaged
MERGE SIGNAGE		 Estimate of Damage
500
Owner's Name - Last
MOORE		 First
ERIC		 Middle
MATTHEW		 Suffix
Owner Company Name
City
CORRALVILLE		 State
IA - Iowa, US		 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
6 - Outside Trafficway		 Weather Conditions (up to two)
08 - Snow		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
38 - Poles (utility, light, etc.)
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
02 - Bridge/overpass/underpass		 Workers Present?
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NARRATIVE

UNIT #1 WAS TRAVELING EASTBOUND ON INTERSTATE 80. AT APPROXIMATELY THE 60 MILE MARKER, THE DRIVER OF UNIT #1 TAPPED HIS BRAKES. DUE TO THE SLICK AND SNOWY ROADWAY, UNIT #1 LOST CONTROL. UNIT #1 WENT INTO THE SOUTH DITCH, STRUCK A MERGE SIGN AND WENT ACROSS THE ON RAMP COMING TO REST IN THE SOUTH DITCH. NO ONE WAS INJURED IN THIS ACCIDENT.
Officer
DEVAULT 		Badge No.
360		 Time Officer Notified of Accident
12:20		 Time Officer Arrived At Scene
12:35
Name of Agency
P03		 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 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504