Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
1/10/2011
Time of Accident
12:57 PM
County
Cerro Gordo - 17
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011001790
Literal Description
NB I-35 .95 MILES NORTH OF THE 196MM
Legal Intervention?
No
Private Property?
No
X-Coordinate:
471072.5
Y-Coordinate
4781615.
U
N
I
T

1
Driver's Name - Last
GORDON
First
KENNETH
Middle
ROY
Suffix
City
NEVADA
State
IA - Iowa, US
Zip
50201
Driver's Age
50
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

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
1 - Fatal
Occupant Protection
1 - None used
Airbag Deployment
5 - Not deployed
Airbag Switch Status
1 - Switch in ON position
Ejection
2 - Partially ejected
Ejection Path
Trapped
3 - Extricated by mechanical means
Transported to:
MERCY HOSPITAL
Transported by:
MASON CITY AMBULANCE
Insurance Co. Name
Year
2002
Make
Ford - FORD
Model
F150
Style
PK
Approximate Cost to Repair or Replace
6000
Initial Travel Direction
1 - North
Vehicle Action
01 - Movement essentially straight
Speed Limit
70
Point of Initial Impact
07 - Left Side
Most Damaged Area
07 - Left Side
Extent of Damage
4 - Disabling 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
01 - Not applicable
Vehicle Defect
01 - None
Driver Condition
9 - Unknown
Vision Obscured
01 - Not obscured
Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
03 - Ran off road, left
Second Event
11 - Overturn/rollover
Third Event
Fourth Event
Most Harmful Event (by vehicle)
11 - Overturn/rollover
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
3 - Median
Weather Conditions (up to two)
08 - Snow
Environment
2 - Weather condition
Location
First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision
Roadway
02 - Road surface condition
Type
Light Conditions
1 - Daylight
Surface Conditions
3
Type of Roadway Junction/Feature
01 - No special feature
Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT WAS NORTHBOUND NEAR MILE MARKER 196.90 WHEN IT STARTED INTO THE DITCH, IT ROLLED ONE COMPLETE TIME AND THEN ANOTHER PARTIAL. THE DRIVER WAS NOT WEARING HIS SEAT BELT AND BECAUSE OF THAT WAS PARTIALLY EJECTED FROM THE VEHICLE.
Officer
HAUGEN
Badge No.
114
Time Officer Notified of Accident
12:57
Time Officer Arrived At Scene
13:01
Name of Agency
P08
Date of Report
1/10/2011
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