Iowa State Patrol: Department of Public Safety

Crash Information


L
O
C
A
T
I
O
N
Date of Accident
3/19/2011
Time of Accident
02:15 AM
County
Lee - 56
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2011017992
Literal Description
SB/WB US 0061 / US 61
Legal Intervention?
No
Private Property?
No
X-Coordinate:
631857.9
Y-Coordinate
4481602.
U
N
I
T

1
Driver's Name - Last
LAFFOON
First
DEREK
Middle
MATTHEW
Suffix
City
KEOKUK
State
IA - Iowa, US
Zip
526320000
Driver's Age
18
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
Injury Status
Occupant Protection
Airbag Deployment
Airbag Switch Status
Ejection
Ejection Path
Trapped
Transported to:
Transported by:
Insurance Co. Name
Year
2000
Make
Dodge - DODG
Model
NEO
Style
4D
Approximate Cost to Repair or Replace
4000
Initial Travel Direction
Vehicle Action
Speed Limit
Point of Initial Impact
Most Damaged Area
Extent of Damage
Underride/Override
Total Occupants
Traffic Controls
Vehicle Config.
Cargo Body Type
Vehicle Defect
Driver Condition
Vision Obscured
Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
Second Event
Third Event
Fourth Event
Most Harmful Event (by vehicle)
Emergency Vehicle Type
Emergency Status
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
Weather Conditions (up to two)
Environment
Location
First Harmful Event of Crash (use codes 11-42 only)
25 - Animal
Manner of Crash/Collision
Roadway
Type
Light Conditions
Surface Conditions
Type of Roadway Junction/Feature
Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

VEHICLE NUMBER 1 WAS SOUTH BOUND ON HIGHWAY 61 AND STRUCK A WEST BOUND DEER.
Officer
WYATT
Badge No.
318
Time Officer Notified of Accident
02:20
Time Officer Arrived At Scene
02:28
Name of Agency
P13
Date of Report
3/19/2011
Investigation made at scene?
Yes
T.I. #



Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743