Iowa State Patrol: Department of Public Safety

Crash Information


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Date of Accident
1/8/2012
Time of Accident
03:25 PM
County
Mahaska - 62
Accident occurred within corporate limits of (city)
Law Enforcement Case Number:
2012001288
Literal Description
Iowa 0092 / IOWA 92 and OSBURN AVE measuring 651 Meters West from Iowa 0092 / IOWA 92
Legal Intervention?
No
Private Property?
No
X-Coordinate:
533230.9
Y-Coordinate
4571710.
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1
Driver's Name - Last
HAZEN
First
LORI
Middle
LYNN
Suffix
City
WHAT CHEER
State
IA - Iowa, US
Zip
50268
Driver's Age
45
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

None
Citation Charge Code 2
Citation Charge 2
Alcohol Test Given?
2 - Blood
Drug Test Given?
3 - Urine
Citation Charge Code 3
Citation Charge 3
Citation Charge Code 4
Citation Charge 4
Seating Position
01 - Front: Left Side / Motorcycle Driver
Injury Status
1 - Fatal
Occupant Protection
1 - None 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:
MAHASKA COUNTY HOSPTIAL
Transported by:
AMBULANCE
Insurance Co. Name
Year
1996
Make
Pontiac - PONT
Model
GRAND AM SE
Style
2-DOOR
Approximate Cost to Repair or Replace
3200
Initial Travel Direction
2 - East
Vehicle Action
88 - Other (explain in narrative)
Speed Limit
55
Point of Initial Impact
01 - Front
Most Damaged Area
01 - Front
Extent of Damage
4 - Disabling damage
Underride/Override
1 - None
Total Occupants
1
Traffic Controls
01 - No controls present
Vehicle Config.
01 - Passenger car
Cargo Body Type
01 - Not applicable
Vehicle Defect
01 - None
Driver Condition
6 - Under the influence of alcohol/drugs/medications
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
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2
Driver's Name - Last
GRAHEK
First
JESSICA
Middle
LYNN
Suffix
City
OSKALOOSA
State
IA - Iowa, US
Zip
52577
Driver's Age
19
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

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
4 - Possible
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:
MERCY HOSPITAL DES MOINES
Transported by:
AIRCAR
Insurance Co. Name
Year
2000
Make
Hyundai - HYUN
Model
SONATA GLS
Style
4-DOOR
Approximate Cost to Repair or Replace
4000
Initial Travel Direction
4 - West
Vehicle Action
01 - Movement essentially straight
Speed Limit
55
Point of Initial Impact
01 - Front
Most Damaged Area
01 - Front
Extent of Damage
5 - Severe, vehicle totaled
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)
02 - Partly cloudy
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
01 - No special feature
Workers Present?
P
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N
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Name- Last
PARASHOS
First
GEORGIA
Middle
Suffix
City
State
Zip Code
Age
19
Sex
Female
Unit No.
2
Seating Position
03 - Front: Right Side
Injury Status
4 - Possible
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
1 - Not ejected/not applicable
Trapped
1 - Not trapped
Transported to:
MAHASKA HOSPITAL
Transported by:
AMBULANCE
NON-MOTORIST Type
Location
Action
Condition
Safety Equipment
Contributing Circumstances
Unit No. of Vehicle Striking
D
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A
G
R
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M

0
NARRATIVE

VEHICLE #1 WAS TRAVELING EAST OH HIGHWAY 92. WITNESSES ADVISED THAT VEHICLE #1 WAS ALL OVER THE ROADWAY. VEHICLE #2 WAS HEADING WEST ON HIGHWAY 92. VEHICLE #1 ENTERED WESTBOUND LANE OF TRAVEL HITTING VEHICLE #2 HEAD ON. FEB 21, 2012 THIS REPORT WAS UPDATED. BLOOD ALCOHOL AND DRUG TESTS.
Officer
STEIGLEDER
Badge No.
433
Time Officer Notified of Accident
15:30
Time Officer Arrived At Scene
16:10
Name of Agency
P13
Date of Report
1/8/2012
Investigation made at scene?
Yes
T.I. #



Any questions about this report may be directed to the following address:
Iowa State Patrol District 13 Office
1300 S Grand Ave
Mt Pleasant,IA 52641-1862
Phone: (319) 385-8715
Fax: (319) 385-2743