Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/13/2011		 Time of Accident
04:45 PM 		County
Allamakee - 03		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011002942
Literal Description
Iowa 0009 / IOWA 9 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
636881.9
Y-Coordinate
4801916.
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1 		Driver's Name - Last
MOHN		 First
DANIEL		 Middle
THOMAS		 Suffix
City
LANSING		 State
IA - Iowa, US		 Zip
521510000
Driver's Age
24		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO HAVE CONTROL
Gender
Male		 State
IA - Iowa, US		 Class
D - Chauffeur		 Endorsements
2 - Veh w/16001 GVWR or more, Not Vid for Trk-Trctr Semitrailer Comb		 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
5 - Uninjured		 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
Year
1998		 Make
Chevrolet - CHEV		 Model
CAV		 Style
2D		 Approximate Cost to Repair or Replace
5000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
03 - Right Side		 Most Damaged Area
09 - Top		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
01		 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
04 - Crossed centerline/median		 Second Event
03 - Ran off road, left		 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?
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Y

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If Property other than vehicles damaged explain Object Damaged
NONE		 Estimate of Damage
Owner's Name - Last
 First
 Middle
 Suffix
Owner Company Name
City
 State
 Zip
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
1 - On Roadway		 Weather Conditions (up to two)
03 - Cloudy		 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
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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NARRATIVE

VEHICLE 1 WAS EASTBOUND ON HWY 9. THE ROADWAY SURFACE WAS PARTIALLY SNOW COVERED. AS VEHICLE 1 DROVE AROUND A CURVE, HE LOST TRACTION AND SLID ACROSS THE ROADWAY ENTERING THE NORTH DITCH. VEHICLE 1 THEN ROLLED OVER ONTO ITS TOP COMING TO REST IN THE NORTH DITCH FACING WEST.
Officer
HANSEN 		Badge No.
092		 Time Officer Notified of Accident
16:45		 Time Officer Arrived At Scene
17:00
Name of Agency
P10		 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 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046