Crash Information

L O C A T I O N	Date of Accident 6/2/2011	Time of Accident 01:15 PM	County Pottawattamie - 78	Accident occurred within corporate limits of (city)	Law Enforcement Case Number: 2011032077
	Literal Description NB/EB INTERSTATE 0080 49MM				Legal Intervention? No	Private Property? No
					X-Coordinate: 319734.8
					Y-Coordinate 4596327.

U N I T 1	Driver's Name - Last JENSEN			First JEROD			Middle DON		Suffix
	City EARLHAM			State IA - Iowa, US				Zip 500720000
	Driver's Age 42					Citation Charge Code 1		Citation Charge 1
	Gender Male	State IA - Iowa, US	Class D - Chauffeur	Endorsements 2 - Veh w/16001 GVWR or more, Not Vid for Trk-Trctr Semitrailer Comb	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 6 - Not applicable	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 Ford - FORD		Model F25		Style PK		Approximate Cost to Repair or Replace 0
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 99 - Unknown	Most Damaged Area 99 - Unknown	Extent of Damage 1 - None	Underride/Override 1 - None
	Total Occupants 1	Traffic Controls 01 - No controls present	Vehicle Config. 02 - Four-tire light truck (pick-up, panel)	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 08 - Cargo/equipment loss or shift	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 08 - Cargo/equipment loss or shift
	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 TAYLOR			First AARON			Middle BRUCE		Suffix
	City VAN METER			State IA - Iowa, US				Zip 50261
	Driver's Age 34					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	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 1 - Switch in ON position		Ejection 1 - Not ejected	Ejection Path	Trapped 1 - Not trapped
	Transported to:					Transported by:
	Insurance Co. Name
	Year 2011		Make Ford - FORD		Model CROWN VICTORIA		Style 4DR		Approximate Cost to Repair or Replace 4000
	Initial Travel Direction 2 - East	Vehicle Action 01 - Movement essentially straight	Speed Limit 70	Point of Initial Impact 01 - Front	Most Damaged Area 01 - Front	Extent of Damage 3 - Functional damage	Underride/Override 1 - None
	Total Occupants 1	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 06 - Hillcrest	Contributing Circumstances, Driver (up to 2)
	SEQUENCE OF EVENTS			First Event 26 - Other non-fixed object (explain in narrative)	Second Event 06 - Evasive action (swerve, panic braking, etc.)	Third Event	Fourth Event	Most Harmful Event (by vehicle) 26 - Other non-fixed object (explain in narrative)
	Emergency Vehicle Type 2 - Police					Emergency Status 2 - No, not in emergency
	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 1 - On Roadway	Weather Conditions (up to two) 02 - Partly cloudy	Environment 3 - Physical obstruction	Location	First Harmful Event of Crash (use codes 11-42 only) 26 - Other non-fixed object (explain in narrative)
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 02 - Partly cloudy	Roadway 03 - Debris	Type
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 01 - No special feature	Workers Present?

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NARRATIVE

UNIT 1 WAS TRAVELING EASTBOUND ON INTERSTATE 80 APPROXIMATELY THE 49MM WHEN HE NOTICED A HERBICIDE CONTAINER HE WAS HAULING ON A TRAILER FLEW OFF AND LANDED IN THE MIDDLE OF THE EASTBOUND FAST LANE. THE DRIVER OF UNIT 1 STATED HE WAS RUNNING BACK TO GET THE LOAD OFF THE INTERSTATE WHEN UNIT 2 CAME UP OVER THE HILL IN THE FAST LANE UP OVER A HILL AND STRUCK THE CONTAINER IN THE FRONT END. NO INJURIES OCCURRED IN THE ACCIDENT AND ONLY VEHICLE DAMAGED WAS UNIT 2.

Officer ZENOR	Badge No. 259	Time Officer Notified of Accident 13:15	Time Officer Arrived At Scene 13:16
Name of Agency P15	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 15 Office
5912 NW 2nd Ave
Des Moines,IA 50313-
Phone: (515) 281-6176
Fax: (515) 289-1066