U
N
I
T
1
|
Driver's Name - Last SALDIVAR |
First ROBERTO |
Middle LOPEZ |
Suffix
|
City FORT WORTH |
State TX - Texas, US |
Zip 76106 |
Driver's Age 42 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State TX - Texas, US |
Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more |
Endorsements None |
Restrictions
P - Special Permit |
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: N/A |
Transported by:
|
Insurance Co. Name LANDSTAR RANGER INC |
Year 1997 |
Make
|
Model SEMI |
Style SEMI |
Approximate Cost to Repair or Replace 15000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 01 - Front |
Most Damaged Area 05 - Rear |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 09 - Tractor/semi-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 03 - Ran off road, left |
Second Event 12 - Jackknife |
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 12 - Jackknife |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name LANDSTAR RANGER INC |
City ROCKFORD |
State IL - Illinois, US |
Zip 61102 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard #
|
Hazardous Materials Released? 2 - No |
U
N
I
T
2
|
Driver's Name - Last BROWN |
First RAYMOND |
Middle EUGENE |
Suffix
|
City LENOX |
State IA - Iowa, US |
Zip 508510000 |
Driver's Age 54 |
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
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: N/A |
Transported by:
|
Insurance Co. Name SEMO TANK BAKER EQUIPMENT CO |
Year 2006 |
Make Mack - MACK |
Model SEMI |
Style SEMI |
Approximate Cost to Repair or Replace 3000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 70 |
Point of Initial Impact 99 - Unknown |
Most Damaged Area 99 - Unknown |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 01 - No controls present |
Vehicle Config. 09 - Tractor/semi-trailer |
Cargo Body Type 04 - Cargo tank |
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) 21 - Vehicle in traffic |
Emergency Vehicle Type 1 - Not applicable |
Emergency Status 3 - Not Applicable |
Carrier Name SEMO TANK BAKER EQUIPMENT CO |
City PORTLAND |
State ME - Maine, US |
Zip 04104 |
Number of Axles 5 |
Gross Vehicle Weight Rating 80000 |
Placard #
|
Hazardous Materials Released? 2 - No |
ACCIDENT ENVIRONMENT |
ROADWAY CHARACTERISTICS Major Contributing Circumstances: |
WORKZONE RELATED? |
SEQUENCE OF EVENTS |
Location of First Harmful Event 3 - Median |
Weather Conditions (up to two) 03 - Cloudy |
Environment 2 - Weather condition |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 12 - Jackknife |
Manner of Crash/Collision 7 - Sideswipe, opposite direction |
Roadway 02 - Road surface condition |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 3 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
UNIT 1 WAS DRIVING EASTBOUND NEAR THE 157.5 MILE MARKER. UNIT 1 LOST CONTROL AND ENTERED INTO THE MEDIAN. UNIT 1 JACKKNIFED AS HE ENTERED THE MEDIAN. THE FRONT OF UNIT 1 ENTERED INTO THE WESTBOUND LANES OF TRAFFIC. UNIT 2 WAS DRIVING WESTBOUND NEAR THE 157.5 MILE MARKER AND WAS UNABLE TO AVOID UNIT 1. UNIT 2 SUFFERED DAMAGE TO THE LADDER ON THE TRAILER, TRAILER TIRE/RIM AND FENDER. |
|
Officer
CUNNINGHAM |
Badge No. 073 |
Time Officer Notified of Accident 12:45 |
Time Officer Arrived At Scene 13:00 |
Name of Agency P01 |
Date of Report 2/1/2011 |
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