Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
2/4/2011
Time of Accident
01:45 PM
County
Winneshiek - 96
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011009113
Literal Description
W04B / FRANKVILLE RD measuring 927 Meters Southeast from Iowa 0009 / IOWA 9 and Iowa 0009 and W04B / FRANKVILLE RD
Legal Intervention?
No
Private Property?
No
X-Coordinate:
606959.5
Y-Coordinate
4787647.
U
N
I
T

1
Driver's Name - Last
GROTH
First
NICOLE
Middle
JESSIE
Suffix
City
POSTVILLE
State
IA - Iowa, US
Zip
521620000
Driver's Age
17
Citation Charge Code 1
Citation Charge 1
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

Y - Intermediate License
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
2002
Make
Chevrolet - CHEV
Model
IMPALA
Style
4DR
Approximate Cost to Repair or Replace
5000
Initial Travel Direction
3 - South
Vehicle Action
01 - Movement essentially straight
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
02
Traffic Controls
01 - No controls present
Vehicle Config.
01 - Passenger car
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
4 - Roadside
Weather Conditions (up to two)
02 - Partly cloudy
Environment
1 - None apparent
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?
P
E
R
S
O
N
I
N
J
U
R
E
D
Name- Last
GALLAGHER
First
NATANI
Middle
TAKIYAH
Suffix
City
State
Zip Code
Age
17
Sex
Female
Unit No.
01
Seating Position
03 - Front: Right Side
Injury Status
4 - Possible
Occupant Protection
2 - Shoulder and lap belt used
Airbag Deployment
5 - Not deployed
Airbag Switch Status
9 - Unknown
Ejection
1 - Not ejected
Ejection Path
1 - Not ejected/not applicable
Trapped
1 - Not trapped
Transported to:
WINNESHIEK CO HOSPITAL
Transported by:
PRIVATE VEHICLE
NON-MOTORIST Type
Location
Action
Condition
Safety Equipment
Contributing Circumstances
Unit No. of Vehicle Striking
D
I
A
G
R
A
M

0
NARRATIVE

VEHICLE 1 WAS SOUTHBOUND WHEN IT ROUNDED A CURVE TO THE SOUTHEAST AND SLID INTO THE SOUTH DITCH WHERE IT ROLLED COMING TO REST ON ITS TOP FACING WEST.
Officer
HANSEN
Badge No.
092
Time Officer Notified of Accident
13:51
Time Officer Arrived At Scene
13:54
Name of Agency
P10
Date of Report
2/4/2011
Investigation made at scene?
Yes
T.I. #



Any questions about this report may be directed to the following address:
Iowa State Patrol District 10 Office
15239 35th St
Oelwein,IA 50662-9446
Phone: (319) 283-5521
Fax: (319) 283-2046