Iowa State Patrol: Department of Public Safety

Crash Information

L
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N 		Date of Accident
6/2/2011		 Time of Accident
11:09 AM 		County
Scott - 82		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011032056
Literal Description
I-80 EB AND 220 ST OVERPASS 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
682151.4
Y-Coordinate
4610439.
U
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1 		Driver's Name - Last
WATTS		 First
JENNIFER		 Middle
MICHELLE		 Suffix
City
GRAND FORKS		 State
ND - North Dakota, US		 Zip
52801
Driver's Age
23		 Citation Charge Code 1
 Citation Charge 1
Gender
Female		 State
ND - North Dakota, US		 Class
D - Chauffeur		 Endorsements
None		 Restrictions

1 - MC Inst Permit		 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
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
 Trapped
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2000		 Make
Mazda - MAZD		 Model
626		 Style
4D		 Approximate Cost to Repair or Replace
2000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
08 - Left Front		 Most Damaged Area
08 - Left Front		 Extent of Damage
4 - Disabling damage		 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
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
35 - Guardrail		 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
35 - Guardrail
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?
U
N
I
T

2 		Driver's Name - Last
WHITMER		 First
JANET		 Middle
M		 Suffix
City
BEAVERTON		 State
MI - Michigan, US		 Zip
486129797
Driver's Age
71		 Citation Charge Code 1
321.306		 Citation Charge 1
IMPROPER USE OF LANES
Gender
Female		 State
MI - Michigan, US		 Class
 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
5 - Uninjured		 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
1 - Not trapped
Transported to:
 Transported by:
Insurance Co. Name
Year
2006		 Make
Chevrolet - CHEV		 Model
3500		 Style
TK		 Approximate Cost to Repair or Replace
Initial Travel Direction
2 - East		 Vehicle Action
06 - Changing lanes		 Speed Limit
70		 Point of Initial Impact
 Most Damaged Area
 Extent of Damage
1 - None		 Underride/Override
1 - None
Total Occupants
1		 Traffic Controls
01 - No controls present		 Vehicle Config.
07 - Truck/trailer		 Cargo Body Type
11 - Large utility (2+ axles)		 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
13 - Other non-collision		 Second Event
 Third Event
 Fourth Event
 Most Harmful Event (by vehicle)
13 - Other non-collision
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)
06 - Rain		 Environment
1 - None apparent		 Location
 First Harmful Event of Crash (use codes 11-42 only)
35 - Guardrail
Manner of Crash/Collision
1 - Non-collision		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
2		 Type of Roadway Junction/Feature
02 - Bridge/overpass/underpass		 Workers Present?
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NARRATIVE

UNIT 1 WAS EASTBOUND ON INTERSTATE 80 IN THE RIGHT LANE. UNIT 2 WAS IN THE LEFT LANE NEXT TO UNIT 1. UNIT 2 CHANGED LANES FORCING UNIT 1 TO TAKE THE RIGHT SHOULDER TO AVOID A COLLISION. UNIT 1 CONTINUED INTO THE SOUTH DITCH AND STRUCK A GUARDRAIL AT THE 220TH STREET OVERPASS. THE GUARDRAIL SUSTAINED NO STRUCTURAL DAMAGE.
Officer
PEDERSEN 		Badge No.
173		 Time Officer Notified of Accident
11:09		 Time Officer Arrived At Scene
11:23
Name of Agency
P12		 Date of Report
6/2/2011		 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