Loading...
20071013 rowe20071013 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRW 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 02 Time Notified 09:26 AM Date Notified 07/10/2020 Time Arrived 09:39 AM Date Arrived 07/10/2020 Crash Time 09:24 AM Crash Date 07/10/2020 Investigating Officer/Deputy DEPUTY AMBER ALMOGHRABI Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0FZQKRWAdditional 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 JULY 10, 2020, I, DEPUTY AMBER AL-MOGHRABI, WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT. AT APPROXIMATELY 9:26 AM, I WAS ADVISED BY DISPATCH TO RESPOND TO STATE HWY 77 AT THE STATE HWY 27 INTERSECTION FOR A TWO VEHICLE ACCIDENT WITH INJURY. I ACTIVATED MY EMERGENCY LIGHTS AND SIREN AND ADVISED DISPATCH THAT I WOULD BE ENROUTE. UPON ARRIVAL AT 9:39, I MET WITH OFFICER PETERS FROM THE HAYWARD POLICE DEPARTMENT WHO WAS ALREADY ON SCENE. HE STATED THAT HE HAD RUN BOTH VEHICLES THROUGH DISPATCH ALREADY, BUT HAS NOT SPOKEN WITH THE DRIVER OF THE PICK UP. I ASKED WHERE THE DRIVER WAS AND HE STATED HE BELIEVED HE WAS IN THE AMBULANCE. I ASKED WHERE THE DRIVER OF THE SEMI WAS AND HE STATED HE WAS STILL IN HIS TRUCK PARKED UP THE ROAD, BUT WAS NOT INJURED. OFFICER PETERS PROVIDED ME WITH THE INSURANCE CARD FROM THE DRIVER OF THE SEMI, WHICH I TOOK A PICTURE OF AND WILL ATTACH TO MY REPORT. OFFICER PETERS ADVISED THAT THE SEMI DRIVER STATED THAT HE WAS TRAVELING WESTBOUND ON STATE HWY 77, WHEN THE PICK UP TRUCK SWERVED INTO HIS LANE ALMOST HEAD ON. THE SEMI DRIVER STATED THAT HE QUICKLY SWERVED HIS VEHICLE AND ENDED UP BEING SIDE SWIPED BY THE PICK UP TRUCK. I ASKED OFFICER PETERS TO SPEAK WITH TWO INDIVIDUALS STANDING BY THE AMBULANCE WHO STATED THAT THEY WERE WITNESSES TO WHAT HAPPENED AND HAVE THEM FILL OUT VOLUNTARY STATEMENTS. HE STATED HE WOULD AS I TALKED TO THE INJURED SUBJECT IN THE AMBULANCE. I GOT INTO THE AMBULANCE AND ASKED THE MALE FOR HIS IDENTIFICATION. HE IDENTIFIED HIMSELF AS . HE STATED HE WAS TRAVELING Crash Time 09:24 AM Crash Date 07/10/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 20071013 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRW WISCONSIN MOTOR VEHICLE CRASH REPORT EASTBOUND ON STATE HWY 77 AND MUST HAVE DOZED OFF AND CROSSED OVER THE WHITE LINE INTO THE OTHER LANE. HE STATED THAT HE HEARD THE SEMI DRIVER HONK HIS HORN AND TRIED TO CORRECT HIS VEHICLE TO GO BACK INTO HIS LANE, BUT IT WAS TOO LATE. HE STATED THEY SIDE SWIPED VEHICLES. ADVISED ME THAT HE WAS TRAVELING APPROXIMATELY 65 MILES PER HOUR AND THAT HE WAS WEARING HIS SEATBELT. SEE REPORT FOR MORE INFO. Structure Type NO STRUCTURE Y Coordinate 5110132.5 X Coordinate 150930.6875 Longitude -91.512748078 Latitude 46.055593967 ON STH77 WB 553 FT E OF MEADOW LANE RD IN THE TOWN OF LENROOT 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 06 - SIDESWIPE/OPPOSITE DIRECTION First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR 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 MOTOR VEH IN TRANSPORT 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 TRUCK TRACTOR (NOT ATTACHED)01Unit Type TRUCK Vehicle Operating As Classification B CLASS Unit Status IN TRANSIT Unit Summary UNITInitial Contact Point 08 - LEFT SIDE REAR Bus UseBody Style SE - SEMI-TRAILER Color RED - RED Model TRUCK TRAC Year 2016 Make VOLVO Vehicle Identification Number 33680101 Country of Issuance UNITED STATES St WI Plate Type APO - APPORTIONED License Plate Number Vehicle Crash Time 09:24 AM Crash Date 07/10/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 20071013 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRW WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address SUPERIOR, WI 54880 , 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 OPERATOR Towed Due To Damage NOT TOWED Extent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 08 - LEFT SIDE REAR VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04Organization/Company JEFF FOSTER TRUCKING INC Insurance Company TRAVELERS-INDEMNITY-CO-OF-CONNECTICUT 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 SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: MINNESOTA COUNTRY: UNITED STATES Address PENGILLY, MN 55775 , US Race WHITE Date of Birth 09/16/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 09:24 AM Crash Date 07/10/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 20071013 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRW WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By 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 # Distracted By Action NOT DISTRACTED Distracted By Source NOT APPLICABLE (NOT DISTRACTED)UNITNon Motorist INDIVIDUALMeasured WeightMeasured WidthMeasured LengthMeasured Height Escort Vehicle PresentEscort Vehicle Required By Permit Permitted Vehicle On Permitted Route WI Permit NumberOS/OW Load Permitted Load NOT APPLICABLE Carrier Type OTHER OPERATION/NOT SPECIFIED US DOT # Cargo Body Type NO CARGO BODY - (BOBTAIL, LIGHT MOTO Vehicle Configuration SINGLE-UNIT TRUCK (2-AXLE AND GVWR MORE THA GVWR MORE THAN 26,000 LB01 Address , US Name JEFF FOSTER TRUCKING INC01 Source DRIVERUse Vehicle Owner Same as Carrier Carrier CKBUSUNITTRUEmergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 55 Pre CrashTire Mark Direction Of Travel EASTBOUND 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 TRUCK02 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITCrash Time 09:24 AM Crash Date 07/10/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 20071013 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRW WISCONSIN MOTOR VEHICLE CRASH REPORT 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 Owner Address SUPERIOR, WI 54880 , US Owner Name 0202Driver Actions FAILED TO KEEP IN DESIGNATED LANE, OTHER CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed By A-1 TOWING Towed Due To Damage TOWED DUE TO DISABLING DAMAGE Extent Of Damage DISABLING DAMAGE Vehicle Damage 07 - LEFT REAR CORNER, 08 - LEFT SIDE REAR, 09 - LEFT SIDE MIDDLE, 10 - LEFT SIDE FRONT Initial Contact Point 10 - LEFT SIDE FRONT Bus UseBody Style PK - PICKUP Color GRY - GRAY Model F150 Year 2019 Make FORD Vehicle Identification Number 38870202 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number VEHICLEUNIT Vehicle UNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04IndividualInsurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UNITSeat PositionRow On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address SUPERIOR, WI 54880 , US Race HISPANIC Date of Birth 10/11/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 09:24 AM Crash Date 07/10/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 20071013 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FZQKRW WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By Injury Drug & Alcohol Individual Condition ASLEEP OR FATIGUED Drug Type 00202Drug 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 OTHER ACTION (LOOKING AWAY FROM TASK ETC) Distracted By Source OTHER DISTRACTION (ANIMAL, FOOD, GROOMING) Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-COMBINATION Injury Severity POSSIBLE INJURY00202 Tint ComplianceEye Protection Helmet ComplianceHelmet Use 07 - LEFT01 - FRONT ROW Safety Equipment SHOULDER & LAP BELT UNITNon Motorist INDIVIDUALCrash Time 09:24 AM Crash Date 07/10/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.