Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/24/2010		 Time of Accident
07:45 AM 		County
Johnson - 52		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010072982
Literal Description
Iowa 0022 / IOWA 22 measuring 692 Meters East from Iowa 0022 / IOWA 22 and WHITE OAK AVE 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
633748.5
Y-Coordinate
4595052.
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1 		Driver's Name - Last
HATHAWAY		 First
DOUGLAS		 Middle
 Suffix
City
MUSCATINE		 State
IA - Iowa, US		 Zip
52402
Driver's Age
58		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Male		 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?
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
2 - Incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
UNIV OF IOWA HOSPITALS		 Transported by:
JOHNSON CO AMBULANCE
Insurance Co. Name
Year
1996		 Make
Chevrolet - CHEV		 Model
LUMINA		 Style
4D		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
4 - West		 Vehicle Action
05 - Overtaking/passing		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
3 - Underride, no compartment intrusion
Total Occupants
2		 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
04 - Crossed centerline/median		 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
 City
 State
 Zip
Number of Axles
 Gross Vehicle Weight Rating
 Placard #
 Hazardous Materials Released?
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2 		Driver's Name - Last
STOUT		 First
REX		 Middle
ALLEN		 Suffix
City
NORTH ENGLISH		 State
IA - Iowa, US		 Zip
523160000
Driver's Age
72		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 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?
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
1 - Deployed front of person		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2009		 Make
Chevrolet - CHEV		 Model
SIL		 Style
PK		 Approximate Cost to Repair or Replace
7000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
5 - Override, moving vehicle
Total Occupants
1		 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
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
 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)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
2 - Head-on		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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D 		Name- Last
BROWN		 First
DOROTHY		 Middle
M		 Suffix
City
 State
 Zip Code
Age
36		 Sex
Female		 Unit No.
01		 Seating Position
03 - Front: Right Side		 Injury Status
2 - Incapacitating		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
1 - Deployed front of person		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
UNIV OF IOWA HOSPITAL		 Transported by:
JOHNSON CO AMBULANCE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

UNIT 01 WAS TRAVELING WESTBOUND ON HWY 22 EAST OF LONE TREE UNIT 02 WAS TRAVELING EASTBOUND EAST OF HWY 22 UNIT 01 MOVES INTO EASTBOUND LANE AND STARTED TO PASS A VEHICLE IN FRONT OF HIM UNIT 01 SAW UNIT 02 APPROACHING IN THE EASTBOUND LANE UNIT 01 LOSES CONTROL WHEN ATTEMPTING TO MOVE BACK INTO THE WESTBOUND LANE UNIT 01 ENTERS EASTBOUND LANE AND STRIKES UNIT 02 HEAD-ON
Officer
OROURKE 		Badge No.
368		 Time Officer Notified of Accident
07:48		 Time Officer Arrived At Scene
08:00
Name of Agency
P13		 Date of Report
12/24/2010		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743