Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
1/10/2011
Time of Accident
06:40 AM
County
Dallas - 25
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011001599
Literal Description
SB/WB Interstate 0080 (Milepost 109)
Legal Intervention?
No
Private Property?
No
X-Coordinate:
413787.9
Y-Coordinate
4598759.
U
N
I
T

1
Driver's Name - Last
BURNETTE
First
EMMERY
Middle
N
Suffix
City
AURORA
State
IL - Illinois, US
Zip
60505
Driver's Age
44
Citation Charge Code 1
Citation Charge 1
Gender
Male
State
IL - Illinois, US
Class
D - Chauffeur
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
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:
NA
Transported by:
NA
Insurance Co. Name
Year
2008
Make
Ford - FORD
Model
CROWN VIC
Style
SEDAN
Approximate Cost to Repair or Replace
1500
Initial Travel Direction
4 - West
Vehicle Action
01 - Movement essentially straight
Speed Limit
70
Point of Initial Impact
04 - Right Rear
Most Damaged Area
04 - Right Rear
Extent of Damage
3 - Functional damage
Underride/Override
1 - None
Total Occupants
3
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
06 - Evasive action (swerve, panic braking, etc.)
Second Event
21 - Vehicle in traffic
Third Event
Fourth Event
Most Harmful Event (by vehicle)
06 - Evasive action (swerve, panic braking, etc.)
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?
U
N
I
T

2
Driver's Name - Last
DUNDEE
First
DEAN
Middle
DARRELL
Suffix
JR
City
MARION
State
IA - Iowa, US
Zip
523020000
Driver's Age
33
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
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
6 - Not applicable
Airbag Switch Status
3 - No ON/OFF switch present
Ejection
1 - Not ejected
Ejection Path
Trapped
1 - Not trapped
Transported to:
NA
Transported by:
NA
Insurance Co. Name
Year
2007
Make
Model
COLUMBIA
Style
EMI
Approximate Cost to Repair or Replace
1500
Initial Travel Direction
4 - West
Vehicle Action
05 - Overtaking/passing
Speed Limit
70
Point of Initial Impact
07 - Left Side
Most Damaged Area
07 - Left Side
Extent of Damage
3 - Functional damage
Underride/Override
1 - None
Total Occupants
1
Traffic Controls
01 - No controls present
Vehicle Config.
07 - Truck/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
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
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
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
6 - Sideswipe, same direction
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?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT 1 AND 2 WERE WESTBOUND I-80 @ THE 109 MLM. UNIT 2 WAS IN LEFT LANE ATTEMPTING TO PASS UNIT 1. UNIT 1 LOST CONTROL AND UNIT 2 SWERVED TO AVOID UNIT 1. UNIT 1 MADE CONTACT ON HIS PASSENGER SIDE WITH UNIT 2'S DRIVER'S SIDE.
Officer
BOHLEN
Badge No.
467
Time Officer Notified of Accident
06:40
Time Officer Arrived At Scene
06:47
Name of Agency
P01
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 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011