Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
12/24/2010		 Time of Accident
09:15 AM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2010072858
Literal Description
NB/EB Interstate 0235 (Milepost 14) 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452064.1
Y-Coordinate
4610966.
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1 		Driver's Name - Last
FLANNERY		 First
KARI		 Middle
DOREEN		 Suffix
City
ANKENY		 State
IA - Iowa, US		 Zip
500230000
Driver's Age
29		 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
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
2004		 Make
Ford - FORD		 Model
TAU		 Style
4D		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
1 - North		 Vehicle Action
06 - Changing lanes		 Speed Limit
65		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
01		 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
36 - Concrete barrier (median or right side)		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
36 - Concrete barrier (median or right side)
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
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
36 - Concrete barrier (median or right side)
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

INCLEMENT WINTER WEATHER CONDITIONS PRESENT. ROADWAYS SLUSH COVERED. UNIT ONE DURING LANE CHANGE MANEUVER LOST CONTROL AND STRUCK CENTER CONCRETE DIVIDER.
Officer
GUILL 		Badge No.
498		 Time Officer Notified of Accident
09:15		 Time Officer Arrived At Scene
09:20
Name of Agency
P01		 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 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011