Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/9/2011		 Time of Accident
04:10 PM 		County
Plymouth - 75		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011001507
Literal Description
U.S. HWY 75, 1/8 MILE SOUTH OF HARNESS ROAD 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
229065.1
Y-Coordinate
4721605.
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1 		Driver's Name - Last
GALVAN		 First
FERNANDO		 Middle
 Suffix
City
SOUTH SIOUX CITY		 State
NE - Nebraska, US		 Zip
68776
Driver's Age
30		 Citation Charge Code 1
321.174		 Citation Charge 1
FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR
Gender
Male		 State
NO - None, US		 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
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:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
2001		 Make
Chevrolet - CHEV		 Model
TRACKER		 Style
MPV		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
3 - South		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
01 - No controls present		 Vehicle Config.
04 - Sport utility vehicle		 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
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)
03 - Cloudy		 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?
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NARRATIVE

DRIVER OF UNIT 1 WAS SOUTHBOUND ON US HWY 75. DRIVER STATED HE LOST CONTROL ON ICE AND SNOW COVERED ROADS. UNIT 1 ENTERED MEDIAN AND ROLLED, COMING TO REST ON IT'S WHEELS.
Officer
PETERS 		Badge No.
272		 Time Officer Notified of Accident
16:26		 Time Officer Arrived At Scene
16:26
Name of Agency
P06		 Date of Report
1/9/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 06 Office
503 W 44th St
Spencer,IA 51301-2089
Phone: (712) 262-1424
Fax: (712) 262-3222