Crash Information

L O C A T I O N	Date of Accident 12/26/2010	Time of Accident 01:53 AM	County Cedar - 16	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2010073236
	Literal Description I80 WB MM 278				Legal Intervention? No	Private Property? No
					X-Coordinate: 674009.4
					Y-Coordinate 4611186.

U N I T 1	Driver's Name - Last OTTO			First CHARLES			Middle H		Suffix
	City CHICAGO			State IL - Illinois, US				Zip 60618
	Driver's Age 26					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IL - Illinois, US	Class D - Chauffeur	Endorsements N - Tank	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 9 - Unknown		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2003		Make Dodge - DODG		Model CARRYALL		Style VN		Approximate Cost to Repair or Replace 1500
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 08 - Left Front	Most Damaged Area 08 - Left Front	Extent of Damage 4 - Disabling damage	Underride/Override 1 - None
	Total Occupants 05	Traffic Controls 01 - No controls present	Vehicle Config. 03 - Van or mini-van	Cargo Body Type 10 - Small utility (one axle)	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 10 - Separation of units	Second Event 21 - Vehicle in traffic	Third Event	Fourth Event	Most Harmful Event (by vehicle) 10 - Separation of units
	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?

U N I T 2	Driver's Name - Last			First			Middle		Suffix
	City			State				Zip
	Driver's Age					Citation Charge Code 1		Citation Charge 1
	Gender	State	Class	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	Injury Status	Occupant Protection		Airbag Deployment	Airbag Switch Status		Ejection	Ejection Path	Trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year		Make		Model		Style		Approximate Cost to Repair or Replace
	Initial Travel Direction	Vehicle Action	Speed Limit	Point of Initial Impact	Most Damaged Area	Extent of Damage	Underride/Override
	Total Occupants	Traffic Controls	Vehicle Config.	Cargo Body Type	Vehicle Defect	Driver Condition	Vision Obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 52 - Hit and run	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle)
	Emergency Vehicle Type					Emergency Status
	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) 21 - Vehicle in traffic
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 03 - Cloudy	Roadway 02 - Road surface condition	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 3	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

UNIT 1 WAS WESTBOUND ON I80 IN THE RIGHT LANE WHEN IT LOST CONTROL ON THE ROADWAY. A SMALL UTILITY TRAILER SEPARATED FROM UNIT 1. THE UTILITY TRAILER WENT ACROSS THE MEDIAN INTO THE EASTBOUND LANES WHERE IT WAS STRUCK BY UNIT 2 WHICH CONTINUED DOWN THE ROAD.

Officer VOTROUBEK	Badge No. 375	Time Officer Notified of Accident 01:54	Time Officer Arrived At Scene 02:03
Name of Agency P12	Date of Report 12/26/2010	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504