Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
1/22/2011		 Time of Accident
07:00 AM 		County
Warren - 91		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011005464
Literal Description
1/2 MILE FROM JCT 130TH AVE & QUAKER ON 130TH 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
453241.3
Y-Coordinate
4566765.
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1 		Driver's Name - Last
QUICK		 First
ZACHARY		 Middle
D		 Suffix
City
LACONA		 State
IA - Iowa, US		 Zip
501390000
Driver's Age
20		 Citation Charge Code 1
321.288		 Citation Charge 1
FAIL TO CONTROL
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
123.49		 Citation Charge 2
POSESS BEER UNDER AGE
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
9 - Unknown		 Occupant Protection
9 - Unknown		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
9 - Unknown		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
1996		 Make
Ford - FORD		 Model
WINDSTAR		 Style
VN		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
3 - South		 Vehicle Action
03 - Turning right		 Speed Limit
55		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
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
9 - Unknown		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
04 - Crossed centerline/median		 Second Event
03 - Ran off road, left		 Third Event
 Fourth Event
11 - Overturn/rollover		 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
1 - On Roadway		 Weather Conditions (up to two)
02 - Partly cloudy		 Environment
9 - Unknown		 Location
 First Harmful Event of Crash (use codes 11-42 only)
11 - Overturn/rollover
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
01 - No special feature		 Workers Present?
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NARRATIVE

UNIT #1 WAS ATTEMPTING TO NEGOTIATE A CURVE IN THE ROAD WHEN IT TRAVELED INTO THE EAST DITCH.
Officer
CHRISTENSEN 		Badge No.
268		 Time Officer Notified of Accident
17:15		 Time Officer Arrived At Scene
17:26
Name of Agency
P02		 Date of Report
1/22/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 02 Office
1619 Truro Pavement
Osceola,IA 50213-8383
Phone: (641) 342-2108
Fax: (641) 342-4653