U
N
I
T
1
|
Driver's Name - Last HESTER |
First KATHRYN |
Middle PAIGE |
Suffix
|
City URBANDALE |
State IA - Iowa, US |
Zip 503220000 |
Driver's Age 17 |
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
B - Cor Lenses |
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: DECLINED |
Transported by: DECLINED |
Insurance Co. Name
|
Year 2001 |
Make Toyota - TOYT |
Model CAMRY |
Style 4D |
Approximate Cost to Repair or Replace 500 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 07 - Left Side |
Most Damaged Area 07 - Left Side |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 02 |
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 21 - Vehicle in traffic |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
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 MEYER |
First DANIEL |
Middle BERNARD |
Suffix
|
City ST CLOUD |
State MN - Minnesota, US |
Zip 56301 |
Driver's Age 56 |
Citation Charge Code 1
|
Citation Charge 1
|
Gender Male |
State MN - Minnesota, US |
Class D - Chauffeur |
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: DECLINED |
Transported by: DECLINED |
Insurance Co. Name
|
Year 2011 |
Make Chrysler - CHRY |
Model PC |
Style 4DR |
Approximate Cost to Repair or Replace 1500 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 55 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 02 - Right Front |
Extent of Damage 2 - Minor 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 21 - Vehicle in traffic |
Second Event
|
Third Event
|
Fourth Event
|
Most Harmful Event (by vehicle) 21 - Vehicle in traffic |
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 1 - On Roadway |
Weather Conditions (up to two) 03 - Cloudy |
Environment 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 6 - Sideswipe, same direction |
Roadway 05 - Work Zone (construction, maintenance, utility) |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 18 - Off-ramp diverge area |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
VEHICLE #1 WAS SOUTH/WEST BOUND ON I-80/I-35 SOUTH OF UNIVERSITY AVE APPROACHING THE WEST MIX MASTER TRAVELING IN THE FAR RIGHT LANE OF THE TWO LANES THAT BREAK OFF OF I-35 FOR WESTBOUND I-80. VEH #2 WAS ALSO AT THIS LOCATION, BUT TRAVELING SOUTHBOUND/WESTBOUND IN THE LEFT LANE OF THE TWO LANES THAT BREAK OFF OF I-35 FOR WESTBOUND I-80. DUE TO CONFLICTING OLD AND NEW PAINT LINES ON THE ROADWAY IN THIS CONSTRUCTION ZONE WHERE THE LANES SHIFT TO THE LEFT SLIGHTLY, BOTH DRIVER'S ATTEMPTED TO USE THE SAME LANE AT THE SHIFTING POINT. VEHICLES #1 AND #2 MADE SLIGHT CONTACT AT THE LANE SHIFT AREA AND THEN CAME TO A STOP ON THE RIGHT SHOULDER IN THE WEST MIX MASTER. |
|
Officer
CLARK |
Badge No. 395 |
Time Officer Notified of Accident 13:55 |
Time Officer Arrived At Scene 13:55 |
Name of Agency P01 |
Date of Report 6/21/2011 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 01 Office
260 NW 48th Place
Des Moines,IA 50313-2299
Phone: (515) 725-0010
Fax: (515) 725-0011