U
N
I
T
1
|
Driver's Name - Last KENT |
First GREGORY |
Middle S |
Suffix
|
City WINSLOW |
State IL - Illinois, US |
Zip 61089 |
Driver's Age 25 |
Citation Charge Code 1 321.320 |
Citation Charge 1 FAIL TO YIELD UPON MAKING A LEFT TURN |
Gender Male |
State IL - Illinois, 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 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 KENT FARMS INC |
Year 2002 |
Make International - INTL |
Model EAGLE 9900 I |
Style SEMI |
Approximate Cost to Repair or Replace 1000 |
Initial Travel Direction 1 - North |
Vehicle Action 02 - Turning left |
Speed Limit 25 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 02 - Traffic signals |
Vehicle Config. 09 - Tractor/semi-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 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 KENT FARMS INC |
City WINSLOW |
State IL - Illinois, US |
Zip 61089 |
Number of Axles 5 |
Gross Vehicle Weight Rating 52000 |
Placard #
|
Hazardous Materials Released? 2 - No |
U
N
I
T
2
|
Driver's Name - Last JONES |
First KYLE |
Middle WILLIAM |
Suffix
|
City GRANDVIEW |
State IA - Iowa, US |
Zip 52752 |
Driver's Age 50 |
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 2 - Incapacitating |
Occupant Protection 1 - None used |
Airbag Deployment 6 - Not applicable |
Airbag Switch Status 3 - No ON/OFF switch present |
Ejection 4 - Not applicable (motorcycle, bicycle, etc.) |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: TRINITY HOSPITAL-MUSCATINE |
Transported by: MUSCATINE FIRE DEPT |
Insurance Co. Name
|
Year 2001 |
Make
|
Model FLTRI |
Style MC |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 3 - South |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 25 |
Point of Initial Impact 01 - Front |
Most Damaged Area 01 - Front |
Extent of Damage 5 - Severe, vehicle totaled |
Underride/Override 1 - None |
Total Occupants 01 |
Traffic Controls 02 - Traffic signals |
Vehicle Config. 14 - Motorcycle |
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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 21 - Vehicle in traffic |
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
|
First Harmful Event of Crash (use codes 11-42 only) 21 - Vehicle in traffic |
Manner of Crash/Collision 2 - Head-on |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 11 - Four-way intersection |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
VEHICLE 1 WAS TRAVELING NORTH ON STEWART ROAD AND WAS MAKING A LEFT HAND TURN ONTO DICK DRAKE WAY. VEHICLE 2 WAS TRAVELING SOUTH ON STEWART ROAD. VEHICLE 1 FAILED TO YIELD UPON MAKING A LEFT HAND TURN AND VEHICLES 1 AND 2 COLLIDED IN A HEAD ON MANNER AT THE INTERSECTION OF STEWART ROAD AND DICK DRAKE WAY. |
|
Officer
HUFFMAN |
Badge No. 131 |
Time Officer Notified of Accident 15:36 |
Time Officer Arrived At Scene 15:36 |
Name of Agency P12 |
Date of Report 6/29/2011 |
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