Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/13/2011		 Time of Accident
07:40 PM 		County
Appanoose - 04		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011002970
Literal Description
N OF ST JOSEPHS DRIVE ON HWY 5 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
511920.0
Y-Coordinate
4511794.
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1 		Driver's Name - Last
ENGLISH		 First
MARY		 Middle
JEAN		 Suffix
City
LE GRAND		 State
IA - Iowa, US		 Zip
50142
Driver's Age
56		 Citation Charge Code 1
 Citation Charge 1
Gender
Female		 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

S - SR Required		 Citation Charge Code 2
 Citation Charge 2
Alcohol Test Given?
2 - Blood		 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
9 - Unknown		 Airbag Switch Status
9 - Unknown		 Ejection
2 - Partially ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
MERCY MEDICAL CENTERVILLE		 Transported by:
AMBULANCE
Insurance Co. Name
Year
2006		 Make
Toyota - TOYT		 Model
TC		 Style
SD		 Approximate Cost to Repair or Replace
7000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
01 - Passenger car		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
99 - Unknown		 Driver Condition
6 - Under the influence of alcohol/drugs/medications		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
01 - Ran off road, right		 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
4 - Roadside		 Weather Conditions (up to two)
01 - Clear		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEH #1 WAS NORTHBOUND ON HWY 5. VEH #1 FAILED TO NEGOTIATE SLIGHT LEFT TURN IN ROADWAY. VEH #1 LOST CONTROL ENTERED THE EAST DITCH REAR END FIRST. VEH #1 ROLLED NUMEROUS TIMES COMING TO REST ON THE DRIVERS SIDE.
Officer
CARNEY 		Badge No.
337		 Time Officer Notified of Accident
19:47		 Time Officer Arrived At Scene
20:09
Name of Agency
P02		 Date of Report
1/14/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653