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20191031 boersma19103114 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHJX 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 02:11 PM Date Notified 10/31/2019 Time Arrived 02:39 PM Date Arrived 10/31/2019 Crash Time 02:03 PM Crash Date 10/31/2019 Investigating Officer/Deputy SERGEANT NICK ALMOGHRABI Agency Crash Number 19103114 Primary Crash Document #Document Number Override 6VL0J3XHJXAdditional 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, RESPONDED TO A REPORT OF A ONE VEHICLE PROPERTY DAMAGE CRASH ON TEWS ROAD AT TURTLE LANE IN THE TOWNSHIP OF SPIDER LAKE ON 10/31/19 AT 1411 AS REPORTED BY ONSTAR. UPON ARRIVAL I MET WITH THE OPERATOR WHO STATED HE MUST HAVE FALLEN ASLEEP WHILE TRAVELING HOME. I OBSERVED THE OPERATOR HAD BEEN TRAVELING SOUTH AND CROSSED THE CENTER LINE ENTERING THE EAST DITCH AND GOING UP AN APPROXIMATE FOUR FOOT EMBANKMENT STRIKING MULTIPLE ROCKS TRAVELING APPROXIMATELY 15 YARDS ON THE EMBANKMENT BEFORE COMING BACK INTO THE DITCH AND TO A REST ACROSS FROM TEWS RD. I OBSERVED DAMAGE FROM THE FRONT DRIVER'S CORNER TO THE REAR DRIVER'S CORNER AND WHAT APPEARED TO BE A BENT REAR AXEL AS THE REAR DRIVER'S SIDE TIRE WAS ANGLED INWARD. BOTH DRIVER AND PASSENGER SIDE CURTAIN AIRBAGS HAD DEPLOYED HOWEVER THE OPERATOR WAS NOT INJURED. THE OPERATOR, AGAINST MY ADVISE, CHOSE TO DRIVE THE VEHICLE ANOTHER MILE HOME. DURING THAT TIME THE REAR DRIVER'S SIDE TIRE BLEW OUT AND MORE DAMAGE TO THE REAR AXEL WAS SUSTAINED. Crash Time 02:03 PM Crash Date 10/31/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 4 This report does not include any CJIS data. 19103114 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHJX WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5113487.5 X Coordinate 181044.046875 Longitude -91.126763382 Latitude 46.100407583 ON TEWS RD(FED FOREST RD 206) 0.49 MI S OF GREEN POINT RD IN THE TOWN OF SPIDER LAKE 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 LEFT First Harmful Event EMBANKMENT 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 RIGHT 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 EMBANKMENT Total Lanes 2 Speed Limit 35 Pre CrashTire Mark Direction Of Travel SOUTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 1 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage DISABLING DAMAGE Vehicle Damage 7--LEFT REAR CORNER, 8--LEFT SIDE REAR, 9--LEFT SIDE MIDDLE, 10--LEFT SIDE FRONT, 11--LEFT FRONT CORNER Initial Contact Point 11--LEFT FRONT CORNER Bus Use NOT A BUS Body Style UT - SPORT UTILITY VEHICLE Color SIL - SILVER (ALUMINUM) Model ACADIA Year 2012 Make GENERAL MOTORS COR Vehicle Identification Number 58600101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle UNITVEHICLECrash Time 02:03 PM Crash Date 10/31/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 4 This report does not include any CJIS data. 19103114 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHJX WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 0101Driver Actions FAILED TO KEEP IN DESIGNATED LANE, OTHER CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED VEHICLEUNIT Sequence Of Events Event EMBANKMENT01 Event 02Event 03Event 04IndividualInsurance Company ACUITY,-A-MUTUAL-INSURANCE-CO Policy Holder UNITInjury Distracted By Distracted By Action NOT DISTRACTED Distracted By Source NOT APPLICABLE (NOT DISTRACTED) Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-CURTAIN 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 02/24/ Sex MALE Citations Issued 0 Driver UN Individual Safety EquipmentITIDUALINDIV Crash Time 02:03 PM Crash Date 10/31/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 4 This report does not include any CJIS data. 19103114 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0J3XHJX WISCONSIN MOTOR VEHICLE CRASH REPORT 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 To/From SchoolAction Other Action Prior Action LocationStriking Unit #Non Motorist UNITINDIVIDUALCrash Time 02:03 PM Crash Date 10/31/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 4 This report does not include any CJIS data.