Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/11/2011		 Time of Accident
07:45 AM 		County
Johnson - 52		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011002057
Literal Description
NB/EB Interstate 0380 and Cri Railroad 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
612980.0
Y-Coordinate
4617748.
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1 		Driver's Name - Last
SALAZAR		 First
MICHAEL		 Middle
DEXTER		 Suffix
City
IOWA CITY		 State
IA - Iowa, US		 Zip
522400000
Driver's Age
37		 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

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
1 - Deployed front of person		 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
2005		 Make
Honda - HOND		 Model
ACC		 Style
4D		 Approximate Cost to Repair or Replace
4500
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
02 - Right Front		 Extent of Damage
3 - Functional 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
35 - Guardrail		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
35 - Guardrail
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

D
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E
If Property other than vehicles damaged explain Object Damaged
GUARDRAIL		 Estimate of Damage
1000
Owner's Name - Last
STATE OF IOWA DOT		 First
 Middle
 Suffix
Owner Company Name
City
CORALVILLE		 State
IA - Iowa, US		 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)
35 - Guardrail
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
02 - Bridge/overpass/underpass		 Workers Present?
D
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A
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M

0
NARRATIVE

VEHICLE 1 WAS NORTHBOUND ON INTERSTATE 380, LOST CONTROL ON SNOWY ROADWAYS, AND STRUCK THE GUARDRAIL.
Officer
JONES 		Badge No.
217		 Time Officer Notified of Accident
07:50		 Time Officer Arrived At Scene
07:50
Name of Agency
P11		 Date of Report
1/11/2011		 Investigation made at scene?
No		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 11 Office
5400 16th Ave SW
Cedar Rapids,IA 52404-2240
Phone: (319) 396-1944
Fax: (319) 396-4327