Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
2/5/2011
Time of Accident
07:58 AM
County
Sioux - 84
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011009344
Literal Description
.6 MILE W. OF FIR AVE ON B-40
Legal Intervention?
No
Private Property?
No
X-Coordinate:
233675.3
Y-Coordinate
4775352.
U
N
I
T

1
Driver's Name - Last
JACOBSMA
First
KATIE
Middle
ANN
Suffix
City
SIOUX CENTER
State
IA - Iowa, US
Zip
512500000
Driver's Age
17
Citation Charge Code 1
321.288
Citation Charge 1
FAIL TO MAINTAIN CONTROL
Gender
Female
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
5 - Not deployed
Airbag Switch Status
2 - Switch in OFF position
Ejection
1 - Not ejected
Ejection Path
Trapped
2 - Freed by non-mechanical means
Transported to:
Transported by:
Insurance Co. Name
Year
1998
Make
Chevrolet - CHEV
Model
BLZ
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
2 - Minor damage
Underride/Override
1 - None
Total Occupants
01
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
11 - Overturn/rollover
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
6 - Outside Trafficway
Weather Conditions (up to two)
08 - Snow
Environment
2 - Weather condition
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
5 - Dark, roadway not lighted
Surface Conditions
4
Type of Roadway Junction/Feature
01 - No special feature
Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

VEHICLE #1 WAS WESTBOUND ON B-40, WHEN THE DRIVER LOST CONTROL OF THE VEHICLE, ENTERED THE NORTH DITCH AND ROLLED ONTO ITS TOP. UPON MY ARRIVAL THE VEHICLE HAD BEEN TURNED OVER ONTO ITS WHEELS BY OTHER MOTORISTS.
Officer
SIPPEL
Badge No.
332
Time Officer Notified of Accident
19:57
Time Officer Arrived At Scene
20:06
Name of Agency
P06
Date of Report
2/5/2011
Investigation made at scene?
Yes
T.I. #



Any questions about this report may be directed to the following address:
Iowa State Patrol District 06 Office
503 W 44th St
Spencer,IA 51301-2089
Phone: (712) 262-1424
Fax: (712) 262-3222