20191016 fisherON OCTOBER 16, 2019, I, DEPUTY AMBER AL-MOGHRABI WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT. AT
APPROXIMATELY 11:20, I HEARD DISPATCH ADVISE OFFICER PETERS AND OFFICER LOGAN WITH THE CITY OF HAYWARD POLICE DEPARTMENT OF
A ONE VEHICLE ROLLOVER ON STATE HWY 63 NEAR THOMPSON'S SAND AND GRAVEL, WHICH I KNEW TO BE NEAR BOY'S CAMP ROAD. AT THAT
TIME OFFICER DORN WITH THE LCO POLICE DEPARTMENT ALSO ADVISED SHE WOULD BE EN ROUTE AND I ADVISED DISPATCH THAT I WAS NOT
TOO FAR AND WOULD BE ENROUTE ALSO. OFFICER PETERS AND OFFICER LOGAN WERE THE FIRST TO ARRIVE ON SCENE AT 11:21, JUST AFTER
THE PARAMEDIC AND AMBULANCE ARRIVED ON SCENE. THEY ADVISED THAT THEY WERE WORKING ON GETTING THE MALE SUBJECT OUT OF THE
VEHICLE AT THAT TIME AS HE WAS TRAPPED. OFFICER PETERS ALSO RAN THE LICENSE PLATE, WHICH CAME BACK CURRENT AND CLEAR TO A
. OFFICER PETERS ADVISED DISPATCH THAT THAT WAS THE MALE SUBJECT AND ASKED THEM TO RUN HIM ALSO. I ARRIVED ON
SCENE AT 11:23 AND AT THAT TIME THE EMT'S HAD ALREADY GOTTEN PARTIALLY OUT OF THE VEHICLE. THERE WERE 4 LANES OF TRAFFIC
SO NO TRAFFIC CONTROL WAS NEEDED. I STARTED TAKING PICTURES OF THE SCENE AND NOTICED THAT A POWER POLE HAS BEEN HIT. I
ADVISED DISPATCH TO NOTIFY THE POWER COMPANY OF THE POWER POLE. AT THAT TIME CITY OF HAYWARD FIRE DEPARTMENT ALSO ARRIVED
19101607
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRN 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
11:19 AM
Date Notified
10/16/2019
Time Arrived
11:24 AM
Date Arrived
10/16/2019
Crash Time
11:19 AM
Crash Date
10/16/2019
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0FZQKRNAdditional InformationPHOTOS
Photos ByDEPUTY AMBER AL-MOGHRABI
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 11:19 AM
Crash Date 10/16/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
ON SCENE. THEY ADVISED THAT THERE WAS ALSO GAS UNDER THE POWER POLE SITE AND ADVISED DISPATCH THAT THE GAS COMPANY WOULD
ALSO NEED TO BE NOTIFIED. DURING THIS TIME EMS WAS ABLE TO GET OUT OF THE VEHICLE AND ON TO A BACKBOARD AND INTO THE
AMBULANCE. CITY OF HAYWARD FIRE ASKED IF THEY WERE NEEDED AT THE SCENE AND I ADVISED THEM THAT THEY COULD CLEAR. I FINISHED
TAKING PICTURES OF THE VEHICLE WHICH HAD BEEN OVERTURNED. IT APPEARED THAT THE VEHICLE HIT THE POWER POLE AND LANDED ON ITS
ROOF. THERE WAS A SIGNIFICANT AMOUNT OF DAMAGE TO THE VEHICLE. SEE REPORT FOR MORE DETAILS.
19101607
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRN WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5102456.5
X Coordinate
149130.359375
Longitude
-91.530308842
Latitude
45.985804415
ON USH63 SB
113 FT E
OF BOYS CAMP RD
IN THE TOWN OF HAYWARD
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 - NOT 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
ROADSIDE
First Harmful Event
OVERTURN/ROLLOVER
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
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
TWO-WAY, DIVIDED, UNPROTECTED (PAINTED >
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
OVERTURN/ROLLOVER
Total Lanes
4
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
SOUTHBOUND
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
PASSENGER CAR01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITBus Use
NOT A BUS
Body Style
4D - 4DR
Color
WHI - WHITE
Model
DEVILLE
Year
2001
Make
CADILLAC
Vehicle Identification Number
08790101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 11:19 AM
Crash Date 10/16/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
19101607
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRN WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
CABLE, WI 54821 , US
Owner Name
0101Driver Actions
FAILURE TO CONTROL
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
12--FRONT
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
OVERTURN/ROLLOVER01
Event
02Event
03Event
04Injury
Distracted By Distracted By Source
UNKNOWN
Time of DeathDate of DeathHospital
HAYWARD AREA MEM HOSP
EMS Run #EMS Agency Identifier
6000954
Medical Transport
EMS GROUND
Trapped/Extricated
TRAPPED/EXTRICATED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
DEPLOYED-SIDE
Injury Severity
POSSIBLE INJURY00101 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
NONE USED - VEHICLE OCCUPANT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
CABLE, WI 54821 , US
Race
WHITE
Date of Birth
03/16/
Sex
MALE
Citations Issued
0
Driver
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 11:19 AM
Crash Date 10/16/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
19101607
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRN WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
PARAPLEGIC OR RESTRICTED TO WHEELCHAIR
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
UNKNOWN
Non Motorist
UNITINDIVIDUALCrash Time 11:19 AM
Crash Date 10/16/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.