U
N
I
T
1
|
Driver's Name - Last ROELFS |
First EMILY |
Middle JO |
Suffix
|
City INWOOD |
State IA - Iowa, US |
Zip 512400000 |
Driver's Age 32 |
Citation Charge Code 1 321.304(3) |
Citation Charge 1 PASSING CONTRARY TO HIGHWAY SIGN/MARKING |
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 1 - Switch in ON position |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to:
|
Transported by:
|
Insurance Co. Name
|
Year 1999 |
Make Chevrolet - CHEV |
Model SILVERADO |
Style PICKUP |
Approximate Cost to Repair or Replace 2000 |
Initial Travel Direction 3 - South |
Vehicle Action 05 - Overtaking/passing |
Speed Limit 55 |
Point of Initial Impact 02 - Right Front |
Most Damaged Area 02 - Right Front |
Extent of Damage 3 - Functional damage |
Underride/Override 5 - Override, moving vehicle |
Total Occupants 3 |
Traffic Controls 06 - No Passing Zone (marked) |
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 04 - Crossed centerline/median |
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?
|
U
N
I
T
2
|
Driver's Name - Last ROOK |
First RICKY |
Middle BRYAN |
Suffix
|
City DOON |
State IA - Iowa, US |
Zip 512350000 |
Driver's Age 51 |
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 1 - None 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 1979 |
Make White - WHIT |
Model 2-70 |
Style TRACTOR |
Approximate Cost to Repair or Replace 500 |
Initial Travel Direction 3 - South |
Vehicle Action 02 - Turning left |
Speed Limit 55 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 3 - Functional damage |
Underride/Override 3 - Underride, no compartment intrusion |
Total Occupants 1 |
Traffic Controls 06 - No Passing Zone (marked) |
Vehicle Config. 20 - Farm vehicle/equipment |
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 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 6 - Sideswipe, same direction |
Roadway 01 - None apparent |
Type
|
Light Conditions 1 - Daylight |
Surface Conditions 1 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
THE DRIVER OF THE TRACTOR, VEHICLE TWO, PUT HIS LEFT ARM OUT TO INDICATE TURNING LEFT. THE DRIVER OF THE PICKUP, VEHICLE ONE, ASSUMED THAT HIS ARM MOTION WAS AN INDICATION THAT SHE COULD PASS EVEN THOUGH SHE KNEW IT WAS A NO PASSING ZONE. THE PICKUP DRIVER BEGAN TO PASS THE TRACTOR AT THE SAME TIME THE TRACTOR DRIVER BEGAN TO TURN LEFT INTO A FARM DRIVE WAY. THE VEHICLES COLLIDED IN THE NORTHBOUND LANE. |
|
Officer
DYKSTRA |
Badge No. 081 |
Time Officer Notified of Accident 14:08 |
Time Officer Arrived At Scene 14:16 |
Name of Agency P06 |
Date of Report 6/28/2011 |
Investigation made at scene? Yes |
T.I. #
|
Any questions about this report may be directed to the following address:
Iowa State Patrol District 06 Office
503 W 44th St
Spencer,IA 51301-2089
Phone: (712) 262-1424
Fax: (712) 262-3222