Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
2/1/2011		 Time of Accident
09:45 AM 		County
Polk - 77		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011008130
Literal Description
NB INTERSTATE 0035 94.7 MM AND NE 110 AVE 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
452606.2
Y-Coordinate
4623378.
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1 		Driver's Name - Last
CRUTISON		 First
JASPER		 Middle
 Suffix
III
City
WEST DES MOINES		 State
IA - Iowa, US		 Zip
502660000
Driver's Age
44		 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

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
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
2006		 Make
Ford - FORD		 Model
F15		 Style
PK		 Approximate Cost to Repair or Replace
8500
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
65		 Point of Initial Impact
01 - Front		 Most Damaged Area
01 - Front		 Extent of Damage
5 - Severe, vehicle totaled		 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
13 - Other non-collision		 Second Event
03 - Ran off road, left		 Third Event
 Fourth Event
01 - Ran off road, right		 Most Harmful Event (by vehicle)
30 - Bridge/bridge rail/overpass
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)
03 - Cloudy		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
13 - Other non-collision
Manner of Crash/Collision
1 - Non-collision		 Roadway
02 - Road surface condition		 Type
Light Conditions
1 - Daylight		 Surface Conditions
3		 Type of Roadway Junction/Feature
02 - Bridge/overpass/underpass		 Workers Present?
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NARRATIVE

VEHICLE #1 WAS TRAVELING NORTHBOUND ON INTERSTATE 35 WHEN THE DRIVER LOST CONTROL OF THE VEHICLE DUE TO THE ICY ROADWAY. THE VEHICLE SPUN OFF THE ROAD TO THE LEFT HITTING THE GUARDRAIL AND BACK TO THE RIGHT. THE VEHICLE CAME TO REST FACING SOUTHEAST IN THE RIGHT LANE OF TRAVEL.
Officer
LARSON 		Badge No.
350		 Time Officer Notified of Accident
 Time Officer Arrived At Scene
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