Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/13/2011		 Time of Accident
11:00 AM 		County
Franklin - 35		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011002879
Literal Description
NB/EB Interstate 0035 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
460832.6
Y-Coordinate
4720885.
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1 		Driver's Name - Last
SIKHAKHANE		 First
MTHOBISI		 Middle
SELBY		 Suffix
City
CHICAGO		 State
IL - Illinois, US		 Zip
60622
Driver's Age
29		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IL - Illinois, US		 Class
D - Chauffeur		 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
4 - Possible		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
9 - Unknown		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
ROSE OF SHARON TRANSPORTATION
Year
2002		 Make
Ford - FORD		 Model
F350		 Style
TRK		 Approximate Cost to Repair or Replace
15000
Initial Travel Direction
1 - North		 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.
07 - Truck/trailer		 Cargo Body Type
07 - Auto transporter		 Vehicle Defect
88 - Other (explain in narrative)		 Driver Condition
1 - Apparently normal		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
13 - Other non-collision		 Second Event
50 - Fire/explosion		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
50 - Fire/explosion
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
ROSE OF SHARON TRANSPORTATION		 City
AVON		 State
IN - Indiana, US		 Zip
46123
Number of Axles
3		 Gross Vehicle Weight Rating
26000		 Placard #
 Hazardous Materials Released?
2 - No
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
9 - Unknown		 Weather Conditions (up to two)
03 - Cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE TRAVELING NORTH BOUND CAUGHT ON FIRE
Officer
SALDIVAR 		Badge No.
281		 Time Officer Notified of Accident
11:13		 Time Officer Arrived At Scene
11:20
Name of Agency
P07		 Date of Report
1/13/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218