Crash Information

L O C A T I O N	Date of Accident 1/9/2011	Time of Accident 08:20 PM	County Pottawattamie - 78	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011001561
	Literal Description I 80 25.10				Legal Intervention? No	Private Property? No
					X-Coordinate: 283191.5
					Y-Coordinate 4593456.

U N I T 1	Driver's Name - Last CARRIKER			First JON			Middle K		Suffix
	City HASTINGS			State NE - Nebraska, US				Zip 68901
	Driver's Age 24					Citation Charge Code 1		Citation Charge 1
	Gender Male	State NE - Nebraska, US	Class	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 1 - Switch in ON position		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2007		Make Chrysler - CHRY		Model SEBRING		Style 4D		Approximate Cost to Repair or Replace 3000
	Initial Travel Direction 4 - West	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 10 - Under Carriage	Most Damaged Area 02 - Right Front	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 02	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 01 - Ran off road, right	Second Event 13 - Other non-collision	Third Event	Fourth Event	Most Harmful Event (by vehicle) 13 - Other non-collision
	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 4 - Roadside	Weather Conditions (up to two) 08 - Snow	Environment 2 - Weather condition	Location	First Harmful Event of Crash (use codes 11-42 only) 13 - Other non-collision
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 08 - Snow	Roadway 02 - Road surface condition	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 4	Type of Roadway Junction/Feature 02 - Bridge/overpass/underpass	Workers Present?

D
I
A
G
R
A
M

0

NARRATIVE

DRIVER OF VEHICLE #1 LOST CONTROL DUE TO THE SURFACE CONDITIONS. VEHICLE #1 SLID OFF THE INTERSTATE INTO THE WEST DITCH OF I-80. THERE WERE NO INJURIES.

Officer FUNK	Badge No. 413	Time Officer Notified of Accident 20:22	Time Officer Arrived At Scene 20:30
Name of Agency P03	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 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504