20191101 halls19110118
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0J3XHJZ 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
00
Total Units
01
Time Notified
05:58 PM
Date Notified
11/01/2019
Time Arrived
06:07 PM
Date Arrived
11/01/2019
Crash Time
05:55 PM
Crash Date
11/01/2019
Investigating Officer/Deputy
SERGEANT NICK ALMOGHRABI
Agency Crash Number
19110118
Primary Crash Document #Document Number Override
6VL0J3XHJZAdditional InformationPHOTOS, OTHER DOCUMENTS
Photos BySGT NICK ALMOGHRABI
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
I, SGT. NICK AL-MOGHRABI, WAS DISPATCHED TO A ONE VEHICLE ROLLOVER ON CTH B AT THE EAST FORK OF THE CHIPPEWA RIVER ON 11/01/19
AT 1758 AS WELL AS SAWYER COUNTY EMS AND THE WINTER FIRE DEPARTMENT. UPON ARRIVAL, I MET WITH THE SOLE OCCUPANT WHO WAS
NOT INJURED. THE OPERATOR ADVISED HE WAS WESTBOUND ON CTH B BETWEEN 50-60 MPH WHEN HE BEGAN TO CROSS THE BRIDGE OF THE
CHIPPEWA RIVER. THE DRIVER STATED AS HIS FRONT WHEELS HIT THE BRIDGE HE BEGAN TO LOSE CONTROL AND CROSSED INTO THE
EASTBOUND LANE BELIEVING HE WAS GOING TO DRIVE THROUGH THE GUARDRAIL INTO THE RIVER. THE OPERATOR STATED HE BELIEVES HE
OVER CORRECTED CAUSING THE VEHICLE TO VEER BACK INTO THE WESTBOUND LANE HITTING THE DITCH AND ROLLING WHAT HE THOUGHT
WAS MULTIPLE TIMES UNTIL THE VEHICLE RESTED ON THE DRIVER'S SIDE APPROXIMATELY 30 YARDS WEST OF THE BRIDGE. THE TEMP AT THE
TIME WAS 34 DEGREES WITH LIGHT PRECIPITATION. THE ASPHALT WAS WET HOWEVER UPON WALKING ON THE BRIDGE I OBSERVED THE
CONCRETE DECK WAS PURE ICE. MULTIPLE OTHER VEHICLE SLID ON THE BRIDGE WHILE ON SCENE. ROADRUNNER TOWING, AT THE OWNERS
REQUEST, REMOVED THE VEHICLE. EAST AND WESTBOUND TRAFFIC WAS HELD WHILE THE VEHICLE WAS REMOVED. NO CITATIONS WERE ISSUED
IN THIS MATTER.
Crash Time 05:55 PM
Crash Date 11/01/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
19110118
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0J3XHJZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
Y Coordinate
5091402.5
X Coordinate
186482.609375
Longitude
-91.042087803
Latitude
45.904650315
ON CTHB WB
799 FT W
OF CIRCLE B RD
IN THE TOWN OF WINTER
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)
FREEZING RAIN OR FREEZING DRIZZLE
Environment Factor(s)
WEATHER CONDITIONS
Roadway Factor(s)
ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH,
ETC)
Road Surface Condition(s)
ICE
Light Condition
DUSK
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
Time Scene Cleared
07:52 PM
Date Scene Cleared
11/01/2019
Time All Lanes Open
07:52 PM
Date All Lanes Open
11/01/2019
Time Initial Lane/Rd Closed
07:15 PM
Date Initial Lane/Rd Closed
11/01/2019
Reasons for Closure
TOW TRUCK
Closure Type
FULL CLOSURE
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
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
OVERTURN/ROLLOVER
Total Lanes
2
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
WESTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK01 Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITModel
RANGER
Year
2005
Make
FORD
Vehicle Identification Number
57830101 Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
Vehicle
Crash Time 05:55 PM
Crash Date 11/01/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
19110118
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0J3XHJZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name
0101Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
ROADRUNNER TOWING
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
ALL AREAS
Initial Contact Point
11--LEFT FRONT CORNER
Bus Use
NOT A BUS
Body Style
TK - TRUCK
Color
WHI - WHITE
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
DITCH01
Event
OVERTURN/ROLLOVER02
Event
03Event
04IndividualInsurance Company
STATE-FARM-GENERAL-INS-CO
Policy Holder
UNITInjury
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00101 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
HAYWARD, WI 54843 , US
Race
WHITE
Date of Birth
10/15/
Sex
MALE
Citations Issued
0
Driver
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 05:55 PM
Crash Date 11/01/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
19110118
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0J3XHJZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Distracted By
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
To/From SchoolAction Other
Action
Prior Action
LocationStriking Unit #
Distracted By Action
NOT DISTRACTED
Distracted By Source
NOT APPLICABLE (NOT DISTRACTED)
Time of DeathDate of DeathHospital
Non Motorist
UNITINDIVIDUALCrash Time 05:55 PM
Crash Date 11/01/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.