Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
1/16/2011		 Time of Accident
05:15 AM 		County
Hamilton - 40		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011003395
Literal Description
D018 / 190TH ST measuring 4794 Feet West from Iowa 0017 / STAGE COACH RD and D018 / 190TH ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
423602.5
Y-Coordinate
4707412.
U
N
I
T

1 		Driver's Name - Last
GRUNWALD		 First
CODY		 Middle
LEE		 Suffix
City
WEBSTER CITY		 State
IA - Iowa, US		 Zip
505950000
Driver's Age
17		 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
 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
5 - Not deployed		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
2 - Freed by non-mechanical means
Transported to:
N/A		 Transported by:
N/A
Insurance Co. Name
Year
1997		 Make
Mercury - MERC		 Model
MTN		 Style
SW		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
4 - West		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
09 - Top		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
1		 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
01 - Ran off road, right		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 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?
ACCIDENT ENVIRONMENT ROADWAY CHARACTERISTICS
Major Contributing Circumstances:		 WORKZONE RELATED? SEQUENCE OF EVENTS
Location of First Harmful Event
4 - Roadside		 Weather Conditions (up to two)
02 - Partly 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
01 - None apparent		 Type
Light Conditions
5 - Dark, roadway not lighted		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

UNIT #1 WAS WEST BOUND ON D18 3/4 OF A MILE WEST OF HIGHWAY 17 WHEN THE DRIVER FELL ASLEEP, LEFT THE ROAD WAY TO THE RIGHT , OVER CORRECTED, AND THE VEHICLE ROLLED OVER. UNIT #1 CAME TO REST ON ITS TOP FACING WEST IN THE NORTH DITCH.
Officer
PARMAN 		Badge No.
308		 Time Officer Notified of Accident
05:20		 Time Officer Arrived At Scene
05:25
Name of Agency
P07		 Date of Report
1/16/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 07 Office
2437 235th St
Ft Dodge,IA 50501-8465
Phone: (515) 972-4213
Fax: (515) 972-4218