Crash Information

L O C A T I O N	Date of Accident 10/31/2013	Time of Accident 11:42 AM	County Polk - 77	Accident occurred within corporate limits of (city) Altoona - 0132	Law Enforcement Case Number: 2013059169
	Literal Description US 65 AND US 6/ HUBBELL AVE & I 80 WB BRIDGE				Legal Intervention? No	Private Property? No
					X-Coordinate: 458799.7
					Y-Coordinate 4612332.

U N I T 1	Driver's Name - Last BLACKMON			First JAMES			Middle THOMAS		Suffix
	City LUMBERTON			State NC - North Carolina, US				Zip 283589174
	Driver's Age 63					Citation Charge Code 1		Citation Charge 1
	Gender Male	State NC - North Carolina, US	Class A - Veh w/26001 GVWR or more Towed unit is 10001 GVWR or more	Endorsements	Restrictions 1 - MC Inst Permit	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: N/A					Transported by: N/A
	Insurance Co. Name UTS LEASING INC
	Year 2007		Make Volvo - VOLV		Model TR		Style SEMI		Approximate Cost to Repair or Replace 500
	Initial Travel Direction 1 - North	Vehicle Action 01 - Movement essentially straight	Speed Limit 45	Point of Initial Impact 05 - Rear	Most Damaged Area 05 - Rear	Extent of Damage 2 - Minor damage	Underride/Override 1 - None
	Total Occupants 2	Traffic Controls 88 - Other control (explain in narrative)	Vehicle Config. 07 - Truck/trailer	Cargo Body Type 05 - Flatbed	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 30 - Bridge/bridge rail/overpass	Second Event	Third Event	Fourth Event	Most Harmful Event (by vehicle) 30 - Bridge/bridge rail/overpass
	Emergency Vehicle Type 1 - Not applicable					Emergency Status 3 - Not Applicable
	Carrier Name UTS LEASING INC			City WARREN		State MI - Michigan, US			Zip 48082
	Number of Axles 2			Gross Vehicle Weight Rating 80000		Placard #			Hazardous Materials Released?

P R O P E R T Y D A M A G E	If Property other than vehicles damaged explain	Object Damaged DOT I80 WB BIDGE		Estimate of Damage 80000
	Owner's Name - Last	First	Middle	Suffix
	Owner Company Name IOWA DOT
	City	State		Zip

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) 03 - Cloudy	Environment 1 - None apparent	Location 8 - Other work zone area (explain in narrative)	First Harmful Event of Crash (use codes 11-42 only) 30 - Bridge/bridge rail/overpass
Manner of Crash/Collision 1 - Non-collision	Weather Conditions (up to two) 03 - Cloudy	Roadway 05 - Work Zone (construction, maintenance, utility)	Type 8 - Other type of work zone (explain in narrative)
Light Conditions 1 - Daylight	Surface Conditions 1	Type of Roadway Junction/Feature 02 - Bridge/overpass/underpass	Workers Present? Yes

P
E
R
S
O
N

I
N
J
U
R
E
D

Name- Last
MERRICK

First
BRANDON

Middle
EUGENE

Suffix

City

State

Zip Code

Age
22

Sex
Male

Unit No.
1

Seating Position
03 - Front: Right Side

Injury Status
3 - Non-incapacitating

Occupant Protection
1 - None used

Airbag Deployment
5 - Not deployed

Airbag Switch Status
3 - No ON/OFF switch present

Ejection
1 - Not ejected

Ejection Path
1 - Not ejected/not applicable

Trapped
1 - Not trapped

Transported to:
N/A

Transported by:
N/A

NON-MOTORIST

Type

Location

Action

Condition

Safety Equipment

Contributing Circumstances

Unit No. of Vehicle Striking

D
I
A
G
R
A
M

0

NARRATIVE

VEHICLE 1 IS SEMI TRUCK AND FLAT BED TRAILER PULLING A RUBBER TIRE EXCAVATOR. VEHICLE 1 WAS NORTHBOUND ON HWY 65 FROM THE PILOT TRUCK STOP. VEHICLE 1 WAS GOING UNDER INTERSTATE 80 WHICH WAS MARKER LOW CLEARANCE 14'5. THE ARM OF THE RUBBER TIRE EXCAVATOR THEN STRUCK THE WESTBOUND INTERSTATE 80 BRIDGE. THE SEMI WAS NOT MARKED AS AN OVERSIZED LOAD. THIS IS A WORK ZONE AREA WITH WORKERS ON TOP OF THE BRIDGE AND TO THE NORTH ON HWY 65. THE CONSTRUCTION ZONE IS DUE TO THE NEW HWY 65 INTERCHANGE.

Officer Pearston	Badge No. 168	Time Officer Notified of Accident 10:50	Time Officer Arrived At Scene 10:50
Name of Agency P01	Date of Report 10/31/2013	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