20100409 diaz20100409
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRZ 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
02
Total Units
01
Time Notified
07:27 AM
Date Notified
10/04/2020
Time Arrived
08:02 AM
Date Arrived
10/04/2020
Crash Time
12:30 AM
Crash Date
10/04/2020
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0FZQKRZAdditional 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 OCTOBER 4,2020, I, DEPUTY AMBER AL-MOGHRABI, WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT. AT APPROXIMATELY
7:27 AM, I WAS ADVISED BY DISPATCH TO RESPOND TO COUNTY ROAD B, EAST OF COUNTY ROAD W NEAR THE S CURVES, FOR A ONE VEHICLE ROLLOVER.
I WAS ADVISED BY DISPATCH THAT THE CALLER STATED THERE WAS NO ONE IN OR AROUND THE VEHICLE. UPON ARRIVAL AT 8:02, I NOTICED A WHITE
JEEP IN THE WOODS ON ITS ROOF ON THE SOUTH SIDE OF COUNTY ROAD B, JUST AFTER THE FIRST CURVE. I ACTIVATED MY EMERGENCY LIGHTS AND
GOT OUT OF MY PATROL VEHICLE. I WALKED UP TO THE JEEP, WHICH APPEARED TO HAVE A SIGNIFICANT AMOUNT OF DAMAGE TO THE ROOF AND FRONT
END OF THE VEHICLE. I NOTICED THAT ALL OF THE AIR BAGS IN THE VEHICLE HAD GONE OFF AND THAT THE DRIVER SIDE FRONT DOOR WAS OPEN, BUT NO
ONE WAS INSIDE THE VEHICLE. I WROTE DOWN THE LICENSE PLATE NUMBER WHICH WAS MN PLATE WHICH CAME BACK TO
OUT OF MN. I ATTEMPTED TO LOOK UP IN OUR IN HOUSE RECORDS AND WAS UNABLE TO LOCATE HER NAME THERE. DISPATCH ALSO
LOOKED UP IN OUR DNR RECORDS AND AGAIN FOUND NOTHING. I THEN CALLED EAGEN, MN POLICE DEPARTMENT. I ADVISED THEM OF
THE SITUATION AND ASKED THEM IF THEY HAD A PHONE NUMBER FOR THE DISPATCHER THAT I SPOKE WITH ADVISED THAT THEY HAVE
NOT HAD ANY PAST CONTACTS WITH HER, SO HAD NO INFORMATION FOR HER. THE EAGEN DISPATCHER ADVISED THAT HE WOULD SPEAK WITH ONE OF
HIS ON DUTY OFFICERS AND HAVE THEM GIVE ME A CALL BACK. DURING THAT TIME I ASKED SAWYER COUNTY DISPATCH TO SEND ME THE NEXT
Crash Time 12:30 AM
Crash Date 10/04/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
20100409
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
AVAILABLE TOW, WHICH HAPPENED TO BE DAVE'S WRECKER SERVICE OUT OF LORETTA, WI. I GOT OUT OF MY PATROL VEHICLE AND TOOK PHOTOGRAPHS
OF THE VEHICLE, WHICH WERE ENTERED INTO MY SPILLMAN CASE FILE. AS I WAS TAKING PICTURES, I NOTICED THE AREA OF WOODS WHERE THE VEHICLE
HAD COME THROUGH. IT APPEARED, BY LOOKING AT THE TIRE TRACKS, THAT THE VEHICLE WAS TRAVELING EAST BOUND ON COUNTY ROAD B. READ
REPORT FOR MORE DETAILS.
Structure Type
NO STRUCTURE
Y Coordinate
5090651.5
X Coordinate
189371.765625
Longitude
-91.004445491
Latitude
45.899216307
ON CTHB EB
1.13 MI E
OF BARKER LAKE 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 - NOT ON ROAD
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
ANIMAL (S) IN ROADWAY
Roadway Factor(s)
NONE
Road Surface Condition(s)
UNKNOWN
Light Condition
DARK/UNLIT
Manner of Collision
00 - 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
CURVE LEFT
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
EASTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
2
Operating As EndorsementsVehicle Type
(SPORT) UTILITY VEHICLE01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITInitial Contact Point
12 - FRONT
Bus UseBody Style
4H - HATCHBACK 4 DOOR
Color
WHI - WHITE
Model
SPECIAL
Year
2014
Make
FORD
Vehicle Identification Number
74520101 Country of Issuance
UNITED STATES
St
MN
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 12:30 AM
Crash Date 10/04/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
20100409
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
PLYMOUTH, MN 55442 , US
Owner Name
0101Driver Actions
UNKNOWN
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
Vehicle Removed By
DAVE'S WRECKER SERVICE
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
01 - RIGHT FRONT CORNER, 02 - RIGHT SIDE FRONT, 03 - RIGHT SIDE
MIDDLE, 09 - LEFT SIDE MIDDLE, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT
CORNER, 12 - FRONT, 13 - TOPVEHICLEUNIT
UNITVEHICLE Sequence Of Events
Event
OVERTURN/ROLLOVER01
Event
02Event
03Event
04Individual
Insurance Company
PROGRESSIVE-CASUALTY-INS-CO
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
DEPLOYED-COMBINATION
Injury Severity
SUSPECTED MINOR 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
PLYMOUTH, MN 55442 , US
RaceDate of Birth
09/01/
Sex
MALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 12:30 AM
Crash Date 10/04/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
20100409
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRZ 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
INDIVIDUALDistracted By
Injury
Distracted By Source
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-COMBINATION
Injury Severity
SUSPECTED MINOR INJURY00201 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
09 - RIGHT
Row
01 - FRONT ROW
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: MINNESOTA COUNTRY: UNITED STATES
Address
MAPLE GROVE, MN 55369 , US
RaceDate of Birth
09/08/
Sex
MALE
Citations Issued
0
Passenger
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 12:30 AM
Crash Date 10/04/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
20100409
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
NOT OBSERVED
Drug Type
00201Drug 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
UNITNon Motorist
INDIVIDUALCrash Time 12:30 AM
Crash Date 10/04/2020Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.