Iowa State Patrol: Department of Public Safety

Crash Information

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N 		Date of Accident
6/19/2011		 Time of Accident
12:38 PM 		County
Pottawattamie - 78		 Accident occurred within corporate limits of (city)
 Law Enforcement Case Number:
2011035618
Literal Description
38.7MM I80 EB 		Legal Intervention?
No		 Private Property?
No
X-Coordinate:
302669.3
Y-Coordinate
4596700.
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1 		Driver's Name - Last
GRIFFITHS		 First
DAVID		 Middle
WYN		 Suffix
City
HIGHLAND PARK		 State
IL - Illinois, US		 Zip
60035
Driver's Age
48		 Citation Charge Code 1
321.306		 Citation Charge 1
IMPROPER USE OF LANES
Gender
Male		 State
IL - Illinois, 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:
REFUSED		 Transported by:
Insurance Co. Name
Year
2003		 Make
Honda - HOND		 Model
ODYSSEY		 Style
VAN		 Approximate Cost to Repair or Replace
3000
Initial Travel Direction
2 - East		 Vehicle Action
06 - Changing lanes		 Speed Limit
55		 Point of Initial Impact
06 - Left Rear		 Most Damaged Area
06 - Left Rear		 Extent of Damage
3 - Functional damage		 Underride/Override
1 - None
Total Occupants
5		 Traffic Controls
11 - Workzone signs		 Vehicle Config.
03 - Van or mini-van		 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
04 - Crossed centerline/median		 Second Event
06 - Evasive action (swerve, panic braking, etc.)		 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?
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N
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2 		Driver's Name - Last
GROOMS		 First
JAMES		 Middle
ANTHONY		 Suffix
City
MILTON		 State
FL - Florida, US		 Zip
325700000
Driver's Age
42		 Citation Charge Code 1
 Citation Charge 1
Gender
Male		 State
FL - Florida, US		 Class
A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more		 Endorsements
N - Tank		 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
2010		 Make
 Model
 Style
TT		 Approximate Cost to Repair or Replace
200
Initial Travel Direction
2 - East		 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
11 - Workzone signs		 Vehicle Config.
07 - Truck/trailer		 Cargo Body Type
02 - Van/enclosed box		 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)
01 - Clear		 Environment
1 - None apparent		 Location
3 - Within transition area for lane shift		 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
1 - Lane Closure
Light Conditions
1 - Daylight		 Surface Conditions
1		 Type of Roadway Junction/Feature
01 - No special feature		 Workers Present?
No
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NARRATIVE

Unit 1 and unit 2 were traveling eb on Interstate 80. Unit 1's lane of travel was ending and entered unit 2's lane of travel. Unit 1 and unit 2 made contact at unit 1's left rear drivers side and unit 2's front passenger fender. Vehicles can to rest on south shoulder on I80.
Officer
LEFFLER 		Badge No.
141		 Time Officer Notified of Accident
12:14		 Time Officer Arrived At Scene
12:41
Name of Agency
P03		 Date of Report
6/19/2011		 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