20190605 radaI, SGT. NICK AL-MOGHRABI, WAS ON DUTY FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT ON 06/05/19. AT 1555 I WAS DISPATCHED TO STH 40
3-4 MILES SOUTH OF THE VILLAGE OF RADISSON FOR A MOTORCYCLE CRASH WITH INJURY. I WAS ADVISED THAT OPERATOR WAS SITTING NEXT
TO HIS BIKE. DISPATCHED WITH ME WAS DEPUTY AL-MOGHRABI AND SAWYER COUNTY EMS. I RESPONDED EMERGENT FROM STH 77 AND ROUND
LAKE SCHOOL ROAD.
WHILE RESPONDING, I HEARD THE EXELAND FIRE CHIEF ARRIVE ON SCENE AND ADVISE THERE WAS A LEG AND OTHER INJURIES BUT DID NOT
GIVE FURTHER INFORMATION. UPON MY ARRIVAL AT 1620 EMS WAS ALREADY ON SCENE. I PARKED SOUTH OF THE INCIDENT LOCATION WHICH
WAS APPROXIMATELY 8/10 MILE NORTH OF LITKE RD ON STH 40 IN THE TOWNSHIP OF RADISSON. DEPUTY AL-MOGHRABI ARRIVED SHORTLY
AFTER ME PARKING FURTHER SOUTH ON THE CORNER TO WARN NORTHBOUND TRAFFIC. I OBSERVED A MALE SPEAKING WITH EMS WHO WAS
LATER IDENTIFIED AS THE OPERATOR,. I OBSERVED A HARLEY DAVIDSON ROAD KING BEARING WI WITH DAMAGE TO
THE REAR SADDLE. THE MOTORCYCLE WAS LAYING ON IT'S LEFT SIDE IN THE EAST SIDE DITCH FACING SOUTH. I OVERHEARD CONVERSATION
BETWEEN EMS AND INDICATING HE WAS NOT GOING TO BE TRANSPORTED BY EMS. UPON MEETING WITH HIM, TOLD ME HE WAS
19060514
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0J3XHJP WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
DT4000 (STANDARD CRASH)Reportable
TagsSchool Bus Related
NOActive School ZoneGovernment
Property
Reporting
ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
01
Total Units
01
Time Notified
03:55 PM
Date Notified
06/05/2019
Time Arrived
04:20 PM
Date Arrived
06/05/2019
Crash Time
03:53 PM
Crash Date
06/05/2019
Investigating Officer/Deputy
SERGEANT NICK ALMOGHRABI
Agency Crash Number
19060514
Primary Crash Document #Document Number Override
6VL0J3XHJPAdditional InformationOTHER DOCUMENTS
Photos By
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 03:53 PM
Crash Date 06/05/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
NORTHBOUND AT APPROXIMATELY 45 MPH WHEN HE CAUGHT THE EDGE OF THE ROAD AND GRAVEL SHOULDER. WHEN ASKED IF HE HAD BEEN
EJECTED FROM THE BIKE, POINTED TO AN AREA ABOUT FIVE FEET FROM THE BIKE BETWEEN IT AND THE ROAD STATING THAT IS WHERE HE
ENDED UP. A FRIEND AND WITNESS, / / WHO WAS RIDING BEHIND TOLD ME THAT HE OBSERVED COME TOO
CLOSE TO THE SHOULDER AND ONCE HE HIT THE GRAVEL SHOULDER THE BIKE ENTERED THE DITCH AND THE BACK END SPUN UP CAME AROUND
SIDEWAYS WHICH IS HOW THE BIKE ENDED UP FACING SOUTH. RADA ADDED THAT ALTHOUGH THE MOTORCYCLE IS EQUIPPED WITH ABS, HE
THINKS THAT OCCURRED FROM BRAKING TOO HARD.
SET THE BIKE UP AT WHICH TIME I OBSERVED DAMAGE TO THE FRONT, FRONT LEFT, AND REAR LEFT SIDES.
19060514
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0J3XHJP WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
Y CoordinateX Coordinate
LongitudeLatitudeON STH40 NB
0.80 MI N
OF LITKE RD
IN THE TOWN OF RADISSON
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
Crash Classification - Jurisdiction
NO SPECIAL JURISDICTION
Crash Classification - Location
PUBLIC PROPERTY
Relation To Trafficway
TRAFFICWAY - ON ROAD
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
SHOULDER RIGHT
First Harmful Event
DITCH
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
CURVE LEFT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
DITCH
Total Lanes
2
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
MOTORCYCLE01 Unit Type
MOTORCYCLE
Vehicle Operating As Classification
M CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITModel
ROAD KING
Year
2016
Make
HARLEY DAVIDSON
Vehicle Identification Number
15360101 Country of Issuance
UNITED STATES
St
WI
Plate Type
CYC - CYCLE
License Plate Number
Vehicle
Crash Time 03:53 PM
Crash Date 06/05/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
19060514
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0J3XHJP WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
CHETEK, WI 54728 , US
Owner Name
( -01Driver Distractions
UNKNOWN IF DISTRACTED
01Driver Actions
FAILURE TO CONTROL
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
Vehicle Removed By
OPERATOR
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
6--REAR, 7--LEFT REAR CORNER, 10--LEFT SIDE FRONT, 11--LEFT FRONT
CORNER, 12--FRONT
Initial Contact Point
6--REAR
Bus Use
NOT A BUS
Body Style
MC - MOTORCYCLE
Color
GRY - GRAY
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
DITCH01
Event
OVERTURN/ROLLOVER02
Event
03Event
04Individual
Insurance Company
WADENA-INSURANCE-CO
Policy Holder
UNITHelmet Compliance
UNKNOWN
Helmet Use
NO
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Protective Gear
BOOTS
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
CHETEK, WI 54728 , US
Race
WHITE
Date of Birth
05/12/
Sex
MALE
Citations Issued
0
Driver
ITEquipment
Individual
UNINDIVIDUALCrash Time 03:53 PM
Crash Date 06/05/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
19060514
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0J3XHJP WISCONSIN MOTOR VEHICLE
CRASH REPORT
Injury
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00101Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug Use
NO
Suspected Alcohol Use
NO
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT APPLICABLE
Airbag
NOT APPLICABLE
Injury Severity
SUSPECTED MINOR INJURY00101 Tint Compliance
UNKNOWN
Eye Protection
YES: WORN
UNIT Non Motorist
INDIVIDUALDate of Birth
06/26/CHIPPEWA FALLS, WI 54729 , US
01WITNESSWitness
Crash Time 03:53 PM
Crash Date 06/05/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.