Loading...
200513 hamblin-fogal20051408 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRS WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type PRIVATE PROPERTY/PARKING LOTReportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 02 Time Notified 02:03 PM Date Notified 05/14/2020 Time Arrived 02:03 PM Date Arrived 05/14/2020 Crash Time 06:23 AM Crash Date 05/13/2020 Investigating Officer/Deputy DEPUTY AMBER ALMOGHRABI Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0FZQKRSAdditional 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. ON MAY 15, 2020, I, DEPUTY AMBER AL-MOGHRABI, WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT. AT APPROXIMATELY 14:03, I WAS ADVISED BY DISPATCH TO CALL AT THE TOWN OF SPIDER LAKE GARAGE REFERENCE A 2 VEHICLE ACCIDENT THAT HAD HAPPENED THE DAY BEFORE. UPON CALLING HE STATED THAT ON MAY 14, 2020 AT APPROXIMATELY 6:23 AM, WHILE AT THE TOWN OF SPIDER LAKE GARAGE, HE BACKED ONE OF THE WORK TRUCKS INTO A CO-WORKER'S PERSONAL TRUCK. HE STATED THAT HE WAS BACKING OUT OF THE GARAGE AND CUT THE WHEEL SHARP TO BACK INTO A PARKING SPOT AND DIDN'T SEE THE OTHER TRUCK PARKED THERE. HE STATED THE TAILGATE OF HIS WORK TRUCK WAS DOWN AND HIT THE FRONT OF THE OTHER TRUCK. I ASKED IF THERE WAS DAMAGE TO THE WORK TRUCK AND HE STATED THERE WAS NOT. I ASKED IF THERE WAS DAMAGE TO THE OTHER TRUCK AND HE STATED THERE WAS QUITE A BIT OF DAMAGE TO THE HOOD OF THE OTHER TRUCK, BUT THAT THE OWNER HAD ALREADY TAKEN IT TO ERNIE'S AUTOBODY TO GET AN ESTIMATE ON IT. I GOT ALL OF PERSONAL INFORMATION AND THE INFORMATION FOR THE TOWN OF SPIDER LAKE TRUCK. STATED THAT HE WAS NOT WEARING HIS SEATBELT AT THE TIME AS HE WAS LITERALLY JUST BACKING THE TRUCK OUT OF THE GARAGE TO MOVE IT OUT OF THE WAY AND PARK IT IN A DIFFERENT PARKING SPOT IN THE LOT AND THAT HE WAS GOING MAYBE 3 MILES PER HOUR, IF THAT. HE STATED THE INSURANCE FOR THE TRUCK WAS THROUGH GLATFELTER-AMERICAN ALTERNATIVE AND THAT THEY WILL BE CALLING THE INSURANCE COMPANY. I ASKED WHY HE DIDN'T REPORT THIS THE DAY BEFORE, AND HE STATED THAT HE DIDN'T KNOW BY LAW HE HAD Crash Time 06:23 AM Crash Date 05/13/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 20051408 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRS WISCONSIN MOTOR VEHICLE CRASH REPORT TO AND THEY WERE ALREADY TAKING CARE OF THE INSURANCE PART. HE STATED HE WAS JUST TOLD BY ANOTHER CO-WORKER THAT HE HAD TO REPORT IT AND THAT IT WILL BE PUT IN A NEW POLICY AT THE STATION. I ASKED HIM IF I COULD SPEAK WITH THE OWNER OF THE OTHER VEHICLE. UPON SPEAKING WITH THE OWNER OF THE OTHER TRUCK INVOLVED, HE STATED HIS NAME WAS SEE REPORT FOR MORE DETAILS. Structure Type NO STRUCTURE Y Coordinate 5110520.5 X Coordinate 172648.609375 Longitude -91.233048677 Latitude 46.069809441 ON TOWN HALL RD 397 FT W OF ACCESS RD #87 IN THE TOWN OF SPIDER LAKE IN SAWYER COUNTY Location Special StudyAccess Control NO CONTROL Tribal Land Crash Classification - Jurisdiction PRIVATE PROPERTY Crash Classification - Location PRIVATE PROPERTY Relation To Trafficway NON TRAFFICWAY - PARKING LOT Animal Type Weather Condition(s) CLOUDY Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DAYLIGHT Manner of Collision 03 - FRONT TO REAR First Harmful Event Location OFF ROADWAY, LOCATION UNKNOWN First Harmful Event PARKED MOTOR VEHICLE 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 PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With PARKED MOTOR VEHICLE Total Lanes 0 Speed Limit 05 Pre CrashTire Mark Direction Of Travel NOT ON ROADWAY 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 UNITInitial Contact Point 06 - REAR Bus UseBody Style CB - CAB CHASSIS Color RED - RED Model F450 SUPER Year 2011 Make FORD Vehicle Identification Number 19030101 Country of Issuance UNITED STATES St WI Plate Type GOV - U S GOVERNMENT License Plate Number Vehicle Crash Time 06:23 AM Crash Date 05/13/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 20051408 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRS WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address 10896 TOWN HALL ROAD HAYWARD, WI 54843 , US Owner Name TOWN OF SPIDER LAKE (715) 462-45140101Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing BACKING Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage NO DAMAGE Vehicle Damage 00 - NO DAMAGE VEHICLEUNITUNITVEHICLE Sequence Of Events Event PARKED MOTOR VEHICLE01 Event 02Event 03Event 04Government TOWN OF SPIDER LAKE Insurance Company AMERICAN-ALTERNATIVE-INS-CORP Policy Holder UNITInjury 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 NON DEPLOYED Injury Severity NO APPARENT INJURY00101 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 07 - LEFT Row 01 - FRONT ROW Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 06/23/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 06:23 AM Crash Date 05/13/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 20051408 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRS WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By Drug & Alcohol Individual Condition NOT OBSERVED 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)UNITNon Motorist INDIVIDUALTruck 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 PARKING LOT OR PRIVATE PROPERTY Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With PARKED MOTOR VEHICLE Total Lanes 0 Speed Limit 05 Pre CrashTire Mark Direction Of Travel NOT ON ROADWAY Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 0 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK02 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status LEGALLY PARKED Unit Summary UNITInitial Contact Point 01 - RIGHT FRONT CORNER Bus UseBody Style PK - PICKUP Color GRY - GRAY Model F250 SUPER Year 2015 Make FORD Vehicle Identification Number 17390202 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number Vehicle Crash Time 06:23 AM Crash Date 05/13/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 20051408 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRS WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 0202Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing LEGALLY PARKED Vehicle Removed By OWNER Towed Due To Damage NOT TOWED Extent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 01 - RIGHT FRONT CORNER, 11 - LEFT FRONT CORNER, 12 - FRONT VEHICLEUNITUNITVEHICLE Sequence Of Events Event PARKED MOTOR VEHICLE01 Event 02Event 03Event 04IndividualInsurance Company RURAL-MUTUAL-INS-CO-(ATTN:-CLAIMS-DEPT) Policy Holder UNITCrash Time 06:23 AM Crash Date 05/13/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.