Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/21/2010		 Time of Accident
08:00 AM 		County
Worth - 98		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010072142
Literal Description
NB INTERSTATE 0035 (MILEPOST 208) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
471728.4
Y-Coordinate
4799280.
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1 		Driver's Name - Last
IBRAGIMOV		 First
SHERZODBEK		 Middle
S		 Suffix
City
OVERLAND PARK		 State
KS - Kansas, US		 Zip
66204
Driver's Age
27		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
KS - Kansas, 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
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:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2007		 Make
Dodge - DODG		 Model
RAM		 Style
DUALLY		 Approximate Cost to Repair or Replace
50000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
03 - Right Side		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
01 - No controls present		 Vehicle Config.
05 - Single-unit truck (2-axle, 6-tires)		 Cargo Body Type
05 - Flatbed		 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
12 - Jackknife		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
12 - Jackknife
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)
03 - Cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
12 - Jackknife
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
3		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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0
NARRATIVE

VEHICLE ONE NORTHBOUND ON I-35. VEHICLE ONE JACKNIFED INTO THE EAST DITCH ON I-35. SURFACE CONDITIONS WERE ICE COVERED.
Officer
BORCHERDING 		Badge No.
106		 Time Officer Notified of Accident
08:05		 Time Officer Arrived At Scene
08:15
Name of Agency
P08		 Date of Report
12/21/2010		 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