Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
4/30/2011		 Time of Accident
03:35 PM 		County
Clayton - 22		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011025639
Literal Description
US 0052 / US 52 and 390TH ST 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
657804.7
Y-Coordinate
4724958.
U
N
I
T

1 		Driver's Name - Last
HEALY		 First
LUCINDA		 Middle
 Suffix
City
MONONA		 State
IA - Iowa, US		 Zip
52159
Driver's Age
80		 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

None		 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
1 - Fatal		 Occupant Protection
2 - Shoulder and lap belt used		 Airbag Deployment
5 - Not deployed		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
3 - Extricated by mechanical means
Transported to:
MERCY CEDAR RAPIDS		 Transported by:
TUECKE-ALLYN FUNERAL HOME
Insurance Co. Name
Year
2003		 Make
Buick - BUIC		 Model
LES		 Style
4D		 Approximate Cost to Repair or Replace
8000
Initial Travel Direction
1 - North		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
55		 Point of Initial Impact
02 - Right Front		 Most Damaged Area
09 - Top		 Extent of Damage
5 - Severe, vehicle totaled		 Underride/Override
1 - None
Total Occupants
01		 Traffic Controls
01 - No controls present		 Vehicle Config.
01 - Passenger car		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
01 - None		 Driver Condition
9 - Unknown		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
01 - Ran off road, right		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 Third Event
 Fourth Event
11 - Overturn/rollover		 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
2 - Shoulder		 Weather Conditions (up to two)
03 - 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
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
11 - Four-way intersection		 Workers Present?
D
I
A
G
R
A
M

0
NARRATIVE

Vehicle 1 was traveling north on Highway 52 near the intersection of 390th Street when it left the roadway, lost control, entered the east ditch and rolled.
Officer
JONES 		Badge No.
389		 Time Officer Notified of Accident
15:40		 Time Officer Arrived At Scene
15:50
Name of Agency
P10		 Date of Report
4/30/2011		 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