U
N
I
T
1
|
Driver's Name - Last COUCH |
First HUNTER |
Middle GARRATT |
Suffix
|
City WEST DES MOINES |
State IA - Iowa, US |
Zip 502660000 |
Driver's Age 18 |
Citation Charge Code 1 321.288 |
Citation Charge 1 FAILURE TO MAINTAIN CONTROL |
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 None |
Restrictions
S - SR Required |
Citation Charge Code 2 321.193 |
Citation Charge 2 VIOLATION OF CONDITIONS OF RESTRICTED LICENSE |
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 1 - Deployed front of person |
Airbag Switch Status 1 - Switch in ON position |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: NA |
Transported by: NA |
Insurance Co. Name
|
Year 1999 |
Make Mitsubishi - MITS |
Model DIA |
Style 4D |
Approximate Cost to Repair or Replace 5000 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 01 - Front |
Extent of Damage 4 - Disabling 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 06 - Evasive action (swerve, panic braking, etc.) |
Second Event 36 - Concrete barrier (median or right side) |
Third Event
|
Fourth Event 33 - Ditch/embankment |
Most Harmful Event (by vehicle) 33 - Ditch/embankment |
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 KARNS |
First CAROL |
Middle DIANE |
Suffix
|
City WEST DES MOINES |
State IA - Iowa, US |
Zip 502660000 |
Driver's Age 58 |
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
|
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 9 - Unknown |
Ejection 1 - Not ejected |
Ejection Path
|
Trapped 1 - Not trapped |
Transported to: NA |
Transported by: NA |
Insurance Co. Name
|
Year 2008 |
Make Ford - FORD |
Model XPL |
Style SW |
Approximate Cost to Repair or Replace 500 |
Initial Travel Direction 4 - West |
Vehicle Action 01 - Movement essentially straight |
Speed Limit 65 |
Point of Initial Impact 08 - Left Front |
Most Damaged Area 08 - Left Front |
Extent of Damage 2 - Minor damage |
Underride/Override 1 - None |
Total Occupants 1 |
Traffic Controls 01 - No controls present |
Vehicle Config. 04 - Sport utility vehicle |
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 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?
|
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) 06 - Rain |
Environment 1 - None apparent |
Location
|
First Harmful Event of Crash (use codes 11-42 only) 36 - Concrete barrier (median or right side) |
Manner of Crash/Collision 1 - Non-collision |
Roadway 01 - None apparent |
Type
|
Light Conditions 5 - Dark, roadway not lighted |
Surface Conditions 2 |
Type of Roadway Junction/Feature 01 - No special feature |
Workers Present?
|
D I A G R A M
0 |
|
NARRATIVE |
UNIT 1 WAS WB ON I-80 IN THE LEFT LANE AND UNIT #2 WAS WB IN THE OUTSIDE LANE AT THE 140 MM. DRIVER OF UNIT 1 HAD HIS CRUISE CONTROL SET AND LOST CONTROL ON THE WET PAVEMENT. UNIT 1 HIT THE INSIDE JERSEY WALL AND THEN CAME ACROSS ALL 3 LANES OF TRAFFIC. UNIT 1 MADE CONTACT WITH THE LEFT FRONT OF UNIT 2. UNIT 1 THEN ENTERED THE NORTH DITCH WHERE IT CAME TO REST. UNIT 2 CAME TO REST ON THE NORTH SHOULDER OF I-80. NO INJURIES. |
|
Officer
CHAMPLIN |
Badge No. 220 |
Time Officer Notified of Accident 20:15 |
Time Officer Arrived At Scene 20:22 |
Name of Agency P01 |
Date of Report 8/18/2011 |
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