Crash Information

L O C A T I O N	Date of Accident 4/2/2011	Time of Accident 04:52 AM	County Jackson - 49	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011020525
	Literal Description Iowa 0064 / HWY 64 and 24 ST				Legal Intervention? No	Private Property? No
					X-Coordinate: 690022.3
					Y-Coordinate 4658434.

U N I T 1	Driver's Name - Last SCHREIBER			First TANNER			Middle JAMES		Suffix
	City MAQUOKETA			State IA - Iowa, US				Zip 52060
	Driver's Age 20					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 S - SR Required	Citation Charge Code 2		Citation Charge 2
	Alcohol Test Given? 2 - Blood			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 1 - Fatal	Occupant Protection 1 - None used		Airbag Deployment 1 - Deployed front of person	Airbag Switch Status 1 - Switch in ON position		Ejection 3 - Totally ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to: JACKSON CO REGINAL MEDICAL					Transported by: JACKSON CO REGINAL AMBULANCE
	Insurance Co. Name
	Year 1994		Make Ford - FORD		Model MUSTANG		Style COUPE		Approximate Cost to Repair or Replace 2500
	Initial Travel Direction 2 - East	Vehicle Action 05 - Overtaking/passing	Speed Limit 55	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 5 - Severe, vehicle totaled	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 01 - No controls present	Vehicle Config. 01 - Passenger car	Cargo Body Type 01 - Not applicable	Vehicle Defect 01 - None	Driver Condition 6 - Under the influence of alcohol/drugs/medications	Vision Obscured 01 - Not obscured	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 01 - Ran off road, right	Second Event 33 - Ditch/embankment	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?

P R O P E R T Y D A M A G E	If Property other than vehicles damaged explain	Object Damaged FARM FENCE		Estimate of Damage 500
	Owner's Name - Last LARKEY	First ROBERT	Middle FRANK	Suffix
	Owner Company Name
	City MAQUOKETA	State IA - Iowa, US		Zip

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) 01 - Clear	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	Weather Conditions (up to two) 01 - Clear	Roadway 01 - None apparent	Type
Light Conditions 5 - Dark, roadway not lighted	Surface Conditions 1	Type of Roadway Junction/Feature 12 - T - intersection	Workers Present?

P
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Name- Last
GREENE

First
BRITTANY

Middle
ANN MARIE

Suffix

City

State

Zip Code

Age
17

Sex
Female

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
1 - Fatal

Occupant Protection
1 - None used

Airbag Deployment
1 - Deployed front of person

Airbag Switch Status
1 - Switch in ON position

Ejection
3 - Totally ejected

Ejection Path
3 - Through side window/door

Trapped
1 - Not trapped

Transported to:
JACKSON CO REGINAL MEDICAL

Transported by:
JACKSON CO REGINAL AMBULANCE

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 TRAVELING EASTBOUND ON HIGHWAY 64 PASSING ANOTHER VEHICLE TRAVELING EASTBOUND. VEHICLE 1 MOVED BACK INTO THE EASTBOUND LANE AND LOST CONTROL, TRAVELED OFF THE ROADWAY TO THE SOUTH AND ROLLED SEVERAL TIMES. THE DRIVER AND PASSENGER WERE EJECTED.

Officer NELSON	Badge No. 363	Time Officer Notified of Accident 05:55	Time Officer Arrived At Scene 06:10
Name of Agency P12	Date of Report 4/2/2011	Investigation made at scene? Yes	T.I. #

Any questions about this report may be directed to the following address:
Iowa State Patrol District 12 Office
22365 20th Ave
Stockton,IA 52769-9612
Phone: (563) 284-9501
Fax: (563) 284-9504