Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
5/2/2011		 Time of Accident
01:33 AM 		County
Cerro Gordo - 17		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011025896
Literal Description
SB I-35 179 MM 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
471369.0
Y-Coordinate
4753137.
U
N
I
T

1 		Driver's Name - Last
BERG		 First
GARY		 Middle
ALBERT		 Suffix
City
MORA		 State
MN - Minnesota, US		 Zip
55051
Driver's Age
33		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
MN - Minnesota, US		 Class
D - Chauffeur		 Endorsements
None		 Restrictions

C - Mechanical Aid		 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
2001		 Make
Ford - FORD		 Model
FOCUS		 Style
4DR		 Approximate Cost to Repair or Replace
2500
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

VEH 1 WAS SOUTHBOUND ON I35 AT THE 179MM. A DEER CAME OUT OF THE MEDIAN AND CROSSED THE ROAD. VEH 1 WAS NOT ABLE TO AVOID THE DEER AND COLLIDED WITH IT.
Officer
PALAS 		Badge No.
265		 Time Officer Notified of Accident
01:38		 Time Officer Arrived At Scene
01:50
Name of Agency
P08		 Date of Report
5/2/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 08 Office
4425 Washington Avenue
Mason City,IA 50401-7002
Phone: (641) 424-3625
Fax: (641) 423-8381