Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/10/2011		 Time of Accident
10:30 AM 		County
Pottawattamie - 78		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011001719
Literal Description
WB INTERSTATE 0080 @ 37.2 M.M. 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
299965.4
Y-Coordinate
4596779.
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1 		Driver's Name - Last
ERICSON		 First
JAMES		 Middle
KEVIN		 Suffix
City
WEST DES MOINES		 State
IA - Iowa, US		 Zip
502650000
Driver's Age
52		 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
5 - Not deployed		 Airbag Switch Status
1 - Switch in ON position		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
NONE		 Transported by:
NONE
Insurance Co. Name
Year
2002		 Make
Ford - FORD		 Model
WIN		 Style
VN		 Approximate Cost to Repair or Replace
4000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
3 - Underride, no compartment intrusion
Total Occupants
01		 Traffic Controls
01 - No controls present		 Vehicle Config.
03 - Van or mini-van		 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
03 - Ran off road, left		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
21 - Vehicle in traffic
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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N
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2 		Driver's Name - Last
LUND		 First
RANDY		 Middle
HOWARD		 Suffix
City
SHELBY		 State
IA - Iowa, US		 Zip
515700000
Driver's Age
56		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IA - Iowa, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
N - Tank		 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
5 - Uninjured		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
NONE		 Transported by:
NONE
Insurance Co. Name
STATE OF IOWA
Year
2002		 Make
International - INTL		 Model
4900		 Style
TK		 Approximate Cost to Repair or Replace
1000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
05 - Rear		 Most Damaged Area
05 - Rear		 Extent of Damage
2 - Minor damage		 Underride/Override
5 - Override, moving vehicle
Total Occupants
01		 Traffic Controls
01 - No controls present		 Vehicle Config.
06 - Single-unit truck (>=3 axles)		 Cargo Body Type
03 - Dump truck (grain, gravel)		 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
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
21 - Vehicle in traffic
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
STATE OF IOWA		 City
AVOCA		 State
IA - Iowa, US		 Zip
51521
Number of Axles
3		 Gross Vehicle Weight Rating
50000		 Placard #
 Hazardous Materials Released?
3 - Not applicable
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)
08 - Snow		 Environment
2 - Weather condition		 Location
 First Harmful Event of Crash (use codes 11-42 only)
21 - Vehicle in traffic
Manner of Crash/Collision
3 - Rear-end		 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 NO.1 WAS WEST BOUND ATTEMPTING TO PASS SNOWPLOW VEHICLE NO. 2 ON INTERSTATE 80. VEHILCE NO.1 LOST CONTROL IN SNOW AND SLUSH AND STRUCK THE REAR OF VEHICLE NO. 2.
Officer
PIGSLEY 		Badge No.
234		 Time Officer Notified of Accident
10:35		 Time Officer Arrived At Scene
10:53
Name of Agency
P03		 Date of Report
1/10/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504