Iowa State Patrol: Department of Public Safety

Crash Information

L
O
C
A
T
I
O
N 		Date of Accident
6/6/2011		 Time of Accident
07:45 AM 		County
Pottawattamie - 78		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011032749
Literal Description
I80 EB 30.30 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
288963.8
Y-Coordinate
4597337.
U
N
I
T

1 		Driver's Name - Last
MOE		 First
BRADLEY		 Middle
T		 Suffix
City
ROCK VALLEY		 State
IA - Iowa, US		 Zip
512470000
Driver's Age
61		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
IA - Iowa, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
P - Pass		 Restrictions

 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
3 - Non-incapacitating		 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
2 - Freed by non-mechanical means
Transported to:
CREIGHTON MEDICAL		 Transported by:
LIFE NET
Insurance Co. Name
GLOBAL TRANSPORTATION LLC
Year
1995		 Make
 Model
BUS		 Style
BUS		 Approximate Cost to Repair or Replace
50000
Initial Travel Direction
2 - East		 Vehicle Action
01 - Movement essentially straight		 Speed Limit
70		 Point of Initial Impact
07 - Left Side		 Most Damaged Area
01 - Front		 Extent of Damage
4 - Disabling damage		 Underride/Override
1 - None
Total Occupants
40		 Traffic Controls
01 - No controls present		 Vehicle Config.
18 - Other bus (seats > 15)		 Cargo Body Type
01 - Not applicable		 Vehicle Defect
04 - Blowout		 Driver Condition
1 - Apparently normal		 Vision Obscured
01 - Not obscured		 Contributing Circumstances, Driver (up to 2)
SEQUENCE OF EVENTS First Event
09 - Equipment failure (tires, brakes, etc.)		 Second Event
01 - Ran off road, right		 Third Event
 Fourth Event
33 - Ditch/embankment		 Most Harmful Event (by vehicle)
11 - Overturn/rollover
Emergency Vehicle Type
1 - Not applicable		 Emergency Status
3 - Not Applicable
Carrier Name
GLOBAL TRANSPORTATION LLC		 City
COMMERCE CITY		 State
CO - Colorado, US		 Zip
80022
Number of Axles
03		 Gross Vehicle Weight Rating
43000		 Placard #
 Hazardous Materials Released?
2 - No
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		 Roadway
01 - None apparent		 Type
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
PORTIS		 First
ELIZABETH		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Female		 Unit No.
01		 Seating Position
05 - Center: Center		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
NEOLA
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
WARWICK		 First
MEGAN		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
NEOLA
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
SINGREE		 First
KIMBERLY		 Middle
 Suffix
City
 State
 Zip Code
Age
18		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
MINDEN RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
TELLO		 First
IVAN		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
MINDEN RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
MCCOLLUM		 First
RACHEL		 Middle
K		 Suffix
City
 State
 Zip Code
Age
18		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
SHELBY RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
BROUSSARD		 First
COURTNEE		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
UNIVERSITY NEBRAKA MEDICAL		 Transported by:
SHELBY RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
CHANDLER		 First
BRENDA		 Middle
 Suffix
City
 State
 Zip Code
Age
18		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
AVOCA RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
SAMPSON		 First
BRAD		 Middle
 Suffix
City
 State
 Zip Code
Age
19		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
AVOCA
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
POULIN		 First
SAMANTHA		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
ACOVA RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
DAOUST		 First
NICOLE		 Middle
 Suffix
City
 State
 Zip Code
Age
16		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
UNIVERSITY NEBRASKA MED CNTR		 Transported by:
UNDERWOOD RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
GARZA		 First
CASEY		 Middle
 Suffix
City
 State
 Zip Code
Age
20		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
UNDERWOOD RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
BRZYCKI		 First
GRETCHEN		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
WALNUT RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
KEETON		 First
LORI		 Middle
 Suffix
City
 State
 Zip Code
Age
20		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
WALNUT RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
HILLS		 First
STEVEN		 Middle
 Suffix
City
 State
 Zip Code
Age
20		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
UNDERWOOD RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
KREEGER		 First
AMANDA		 Middle
 Suffix
City
 State
 Zip Code
Age
16		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
CREIGHTON		 Transported by:
NEOLA RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
DONNER		 First
ALYSON		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
NEOLA RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
KELLOGG		 First
KATELYN		 Middle
 Suffix
City
 State
 Zip Code
Age
20		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
MINDEN RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
JONES		 First
COURTNEY		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
MINDEN RESCUR
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
SAMPSON		 First
JARED		 Middle
 Suffix
City
 State
 Zip Code
Age
16		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
AVOCA RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
VILLENEUVE		 First
JOHN-MICHAEL		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
SHELBY RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
FRANKLIN		 First
PHILLIP		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
MINDEN RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
WITZKE		 First
MADELINE		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
AVOCA RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
GREEN		 First
TRAVIS		 Middle
 Suffix
City
 State
 Zip Code
Age
16		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
CARSON RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
RICHARDS		 First
CLAYTON		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MRECY HOSPITAL		 Transported by:
MINDEN RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
BERRYMAN		 First
DAVID		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
NEOLA RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
ROEHR		 First
VANESSA		 Middle
 Suffix
City
 State
 Zip Code
Age
19		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
CREIGHTON		 Transported by:
SHELBY RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
LOPES		 First
DEANNA		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
CARSON RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
MAESTAS		 First
CARLOS		 Middle
R		 Suffix
City
 State
 Zip Code
Age
17		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
UNDERWOOD RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
JOHNSON		 First
JULIE		 Middle
 Suffix
City
 State
 Zip Code
Age
16		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
UNDERWOOD RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
CONTRERAS		 First
SAMANTHA		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIED EDMUNDSON		 Transported by:
SHELBY RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
KUNKEL		 First
ZOEY		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
UNDERWOOD RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
BOWEN		 First
JARED		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
AVOCA RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
MCDONALD		 First
LAUREN		 Middle
 Suffix
City
 State
 Zip Code
Age
21		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
JENNIE EDMUNDSON		 Transported by:
MINDEN RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
HERALD		 First
AUSTIN		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
SHELBY RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
MANOCCHIO		 First
HEATHER		 Middle
 Suffix
City
 State
 Zip Code
Age
20		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
CREIGHTON		 Transported by:
SHELBY RESCUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
MCDONALD		 First
MYRL		 Middle
 Suffix
City
 State
 Zip Code
Age
17		 Sex
Male		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY HOSPITAL		 Transported by:
SHELBY REECUE
NON-MOTORIST Type
 Location
 Action
 Condition
 Safety Equipment
 Contributing Circumstances
 Unit No. of Vehicle Striking
P
E
R
S
O
N 		I
N
J
U
R
E
D 		Name- Last
HENDRICKS		 First
CHELSEA		 Middle
 Suffix
City
 State
 Zip Code
Age
22		 Sex
Female		 Unit No.
01		 Seating Position
99 - Unknown		 Injury Status
3 - Non-incapacitating		 Occupant Protection
1 - None used		 Airbag Deployment
6 - Not applicable		 Airbag Switch Status
3 - No ON/OFF switch present		 Ejection
1 - Not ejected		 Ejection Path
1 - Not ejected/not applicable		 Trapped
1 - Not trapped
Transported to:
MERCY		 Transported by:
MINDEN RESCUE
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 EAST ON INTERSTATE 80 WHEN THE RIGHT FRONT TIRE BLEW OUT. THE DRIVER THEN LOST CONTROL OF THE VEHICLE. VEHICLE #1 WENT OVER THE EMBANKMENT INTO THE SOUTH DITCH AND THEN ROLLED ONTO ITS LEFT SIDE. VEHICLE #1 WAS A CHARTER BUS TRANSPORTING APPROXIMATELY 39 PEOPLE. MANY WERE TREATED AT THE SCENE AND THEN TAKEN TO AREA HOSPITALS BY LOCAL RESCUE DEPARTMENTS. THE DRIVER WAS FLOWN TO CREIGHTON UNIVERSITY BY LIFE NET WITH NON LIFE THREATENING INJURIES. ALL THE OCCUPANTS WERE CHECKED OUT AT LOCAL HOSPITALS AND RELEASED. VEHICLE # 1 HAD NO LICENSE PLATES BUT A TEMPORARY REGISTRATION TAG. NOTE: DUE TO THE NUMBER OF INJURED INVOLVED AND THE NUMBER OF TRANSPORTING AGENCIES INVOLVED, THE TRANSPORTED TO BOXES AND TRANPORTED BY BOXES MAY NOT BE ACCURATE. ALL OCCUPANTS WERE TRANPSORTED TO 4 DIFFERENT HOSPITALS; MERCY HOSP., JENNIE EDMUNDSON HOSP, CREIGHTON UNIV. OR UNIVERSITY OF NEBRASKA MEDICAL CENTER.
Officer
FUNK 		Badge No.
413		 Time Officer Notified of Accident
07:48		 Time Officer Arrived At Scene
08:06
Name of Agency
P03		 Date of Report
6/6/2011		 Investigation made at scene?
Yes		 T.I. #


Any questions about this report may be directed to the following address:
Iowa State Patrol District 03 Office
2025 Hunt Ave
Council Bluffs,IA 51503-4254
Phone: (712) 328-8001
Fax: (712) 328-1504