U
N
I
T
2
|
Driver's Name - Last BRUCE |
First LAWRENCE |
Middle CLAYTON |
Suffix
|
City TRAVERSE CITY |
State MI - Michigan, US |
Zip 496865137 |
Driver's Age 71 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State MI - Michigan, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
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 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 WAVE EXPRESS |
Year 2007 |
Make Dodge - DODG |
Model RAM |
Style 3500 |
Approximate Cost to Repair or Replace 20000 |
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 3 - Functional damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
Cargo Body Type 13 - Camper |
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 WAVE EXPRESS |
City GOSHEN |
State IN - Indiana, US |
Zip 46526 |
Number of Axles 4 |
Gross Vehicle Weight Rating 24000 |
Placard #
|
Hazardous Materials Released? 2 - No |
U
N
I
T
3
|
Driver's Name - Last MCDONALD |
First DANIEL |
Middle P |
Suffix
|
City SARGENT |
State NE - Nebraska, US |
Zip 68874 |
Driver's Age 48 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State NE - Nebraska, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements T - Dbl/Trpl Trlr |
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 6 - Not applicable |
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 HUNT TRANSPORTATION |
Year 2011 |
Make International - INTL |
Model
|
Style TT |
Approximate Cost to Repair or Replace 40000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 09 - Tractor/semi-trailer |
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 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 HUNT TRANSPORTATION |
City OMAHA |
State NE - Nebraska, US |
Zip 68127 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard #
|
Hazardous Materials Released? 2 - No |
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 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 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 4 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
UNIT #1 WAS TRAVELING EAST BOUND ON INTERSTATE 80 AT THE 155 MILE MARKER AND LOST CONTROL OF THE VEHICLE. UNIT #1 CROSSED THE MEDIAN AND STRUCK UNIT #2 (TRUCK PULLING A CAMPER) WITH THE REAR OF HIS TRAILER. THEN UNIT #1 COLLIDED WITH UNIT #3 HEAD ON. UNIT #1 AND UNIT #3 CAME TO A REST IN THE MEDIAN AND UNIT #2 WAS STILL DRIVE ABLE. UNIT #1 AND UNIT #3 WERE TOWED. DRIVER OF UNIT #1 WAS TRANSPORTED TO METHODIST HOSPITAL COMPLAINING OF NECK INJURY. |
|
Officer
STARRETT |
Badge No. 248 |
Time Officer Notified of Accident 08:51 |
Time Officer Arrived At Scene 08:53 |
Name of Agency P01 |
Date of Report 1/7/2011 |
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