U
N
I
T
1
|
Driver's Name - Last DOMAZET |
First NIHAD |
Middle
|
Suffix
|
City URBANDALE |
State IA - Iowa, US |
Zip 503220000 |
Driver's Age 25 |
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
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 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 1998 |
Make Chevrolet - CHEV |
Model AST |
Style VN |
Approximate Cost to Repair or Replace 8000 |
Initial Travel Direction 2 - East |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 01 - Front |
Most Damaged Area 05 - Rear |
Extent of Damage 4 - Disabling damage |
Underride/Override 1 - None |
Total Occupants 2 |
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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 36 - Concrete barrier (median or right side) |
Third Event
|
Fourth Event 36 - Concrete barrier (median or right side) |
Most Harmful Event (by vehicle) 36 - Concrete barrier (median or right side) |
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 PERKINS |
First TRAVIS |
Middle EUGENE |
Suffix
|
City WEST DES MOINES |
State IA - Iowa, US |
Zip 502650000 |
Driver's Age 29 |
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 1 - Deployed front of person |
Airbag Switch Status 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 2010 |
Make Chevrolet - CHEV |
Model SILVERADO |
Style PK |
Approximate Cost to Repair or Replace 1500 |
Initial Travel Direction 2 - East |
Vehicle Action 06 - Changing lanes |
Speed Limit 65 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 02 - Four-tire light truck (pick-up, panel) |
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) 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 2 - Shoulder |
Weather Conditions (up to two) 03 - Cloudy |
Environment 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 36 - Concrete barrier (median or right side) |
Manner of Crash/Collision 5 - Broadside |
Roadway 02 - Road surface condition |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 3 |
Type of Roadway Junction/Feature 02 - Bridge/overpass/underpass |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
UNIT 1 WAS TRAVELING IN THE OUTSIDE LANE OF EASTBOUND I-80 NEAR THE 131.5 MILEMARKER. UNIT 2 WAS TRAVELING IN THE CENTER LANE OF EASTBOUND I-80. UNIT 1 WAS AHEAD OF UNIT 2. THE DRIVER OF UNIT 1 LOST CONTROL OF THE VEHICLE AS HE ENTERED THE BRIDGE AT THE DES MOINES RIVER. UNIT 1 WENT OFF THE ROADWAY TO THE LEFT AND STRUCK THE CONCRETE BARRIER ON THE SOUTH SIDE OF THE BRIDGE. UNIT 1 THEN ROTATED 90 DEGREES COUNTER CLOCKWISE AND CAME BACK INTO THE ROADWAY ACROSS ALL THREE LANES OF TRAVEL. THE DRIVER OF UNIT 2 ATTEMPTED TO CHANGE LANES FROM THE CENTER LANE TO THE INSIDE LANE TO AVOID UNIT 1. THE FRONT LEFT CORNER OF UNIT 2 MADE CONTACT WITH THE DRIVER'S SIDE OF UNIT 1 AS UNIT 1 WENT NORTH ACROSS THE TRAVEL PORTION OF EASTBOUND I-80. UNIT 1 THEN ROTATED 180 DEGREES COUNTERCLOCKWISE AND WENT OFF THE TRAVEL PORTION TO THE LEFT. THE REAR OF UNIT 1 STRUCK THE CONCRETE BARRIER IN THE MEDIAN CAUSING DISABLING DAMAGE TO THE VEHICLE. UNIT 1 CAME TO REST FACING SOUTH AGAINST THE CONCRETE BARRIER IN THE MEDIAN OF EASTBOUND I-80. UNIT 2 CAME TO REST FACING EAST IN THE MEDIAN OF EASTBOUND I-80. |
|
Officer
RIPPEY |
Badge No. 179 |
Time Officer Notified of Accident 09:05 |
Time Officer Arrived At Scene 09:06 |
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