Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/11/2011		 Time of Accident
06:50 AM 		County
Jasper - 50		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011002040
Literal Description
175.9 MM WB ON I-80 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
511842.3
Y-Coordinate
4615931.
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1 		Driver's Name - Last
YAGOUB-ADAM		 First
MAHDI		 Middle
SIDDIG		 Suffix
City
DES MOINES		 State
IA - Iowa, US		 Zip
50314
Driver's Age
41		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 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

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
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
SKIFF MEDICAL CENTER (NEWTON)		 Transported by:
NEWTON RESCUE
Insurance Co. Name
Year
2002		 Make
 Model
PATHFINDER		 Style
SUV		 Approximate Cost to Repair or Replace
15000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
07 - Left Side		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
7		 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
21 - Vehicle in traffic		 Second Event
04 - Crossed centerline/median		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
04 - Crossed centerline/median
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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2 		Driver's Name - Last
 First
 Middle
 Suffix
City
 State
 Zip
Driver's Age
 Citation Charge Code 1
 Citation Charge 1
Gender
 State
 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
 Injury Status
 Occupant Protection
 Airbag Deployment
 Airbag Switch Status
 Ejection
 Ejection Path
 Trapped
Transported to:
 Transported by:
Insurance Co. Name
MAX FREIGHT INC
Year
2006		 Make
 Model
TR		 Style
TR		 Approximate Cost to Repair or Replace
9000
Initial Travel Direction
9 - Unknown		 Vehicle Action
13 - Illegally Parked/unattended		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
09 - Tractor/semi-trailer		 Cargo Body Type
02 - Van/enclosed box		 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
23 - Parked motor vehicle		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
23 - Parked motor vehicle
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
MAX FREIGHT INC		 City
NORTHBROOK		 State
IL - Illinois, US		 Zip
60062
Number of Axles
5		 Gross Vehicle Weight Rating
80		 Placard #
 Hazardous Materials Released?
2 - No
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
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
4		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
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D 		Name- Last
ALI		 First
YASMIN		 Middle
AWAD ELSEED		 Suffix
City
 State
 Zip Code
Age
29		 Sex
Female		 Unit No.
1		 Seating Position
08 - Rear: Center		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
SKIFF MEDICAL CENTER (NEWTON)		 Transported by:
NEWTON RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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D 		Name- Last
ADAM		 First
SUAD		 Middle
 Suffix
City
 State
 Zip Code
Age
56		 Sex
Female		 Unit No.
1		 Seating Position
07 - Rear: Left Side		 Injury Status
1 - Fatal		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
STATE MEDICAL EXAMINERS		 Transported by:
WALLACE FUNERAL HOME
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
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NARRATIVE

UNIT #1 WAS TRAVELING WEST BOUND ON INTERSTATE 80 AT APPROXIMATELY THE 175.9 MILE MARKER AND LOST CONTROL. UNIT #1 WENT INTO THE MEDIAN AND COLLIDED WITH A PARKED SEMI THAT WAS ALREADY THERE. THERE WAS ONE FATALITY, ONE SERIOUS INJURY AND THE REST WERE NO INJURED. BOTH VEHICLE WERE TOWED BY BARNEY'S TOWING. OPERATOR OF UNIT #2: ID NO 0011361102 MCCALL,EDWARD DEONDRE 342 N CHURCH ST FLORENCE SC 295066132 FLOR CNTY SEX M HGT 5 11 WGT 310 BIRTH 07/11/1984 SSN 248-65-9197 RACE BLACK STATUS-DL:NO SUSPENSION CDL:NO DISQUALIFICATION **** COMMERCIAL DRIVER LICENSE **** COMMERCIAL DL CLASS A ISSUED 10/17/2008 **** IDENTIFICATION ONLY **** ISSUED 12/08/1999
Officer
STARRETT 		Badge No.
248		 Time Officer Notified of Accident
06:50		 Time Officer Arrived At Scene
06:59
Name of Agency
P01		 Date of Report
1/11/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011