20111608 klimpke20111608
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKS0 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
01:18 PM
Date Notified
11/16/2020
Time Arrived
01:50 PM
Date Arrived
11/16/2020
Crash Time
01:15 PM
Crash Date
11/16/2020
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0FZQKS0Additional InformationNONE, PHOTOS
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 NOVEMBER 16, 2020, I, DEPUTY AMBER AL-MOGHRABI, WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT. AT APPROXIMATELY
13:18, I WAS ADVISED BY DISPATCH TO RESPOND TO TOWER ROAD AND BUTLER ROAD IN THE DRAPER TOWNSHIP REFERENCE A VEHICLE THAT HAD HIT A
POWER POLE. DISPATCH ADVISED THAT THERE WERE NO INJURIES AND ADVISED THAT DAVE'S TOWING WOULD BE EN ROUTE. UPON ARRIVAL AT 13:50, I
NOTICED A CHRYSLER MINI VAN THAT HIT HEAD ON WITH A POWER POLE RIGHT AT THE INTERSECTION OF TOWER ROAD AND BUTLER ROAD. I ADVISED
DISPATCH THAT I WAS ON SCENE AND RAN WI LICENSE PLATE - THROUGH THEM. I ALSO ADVISED DISPATCH THAT THE VEHICLE WAS PARTIALLY ON
THE ROAD WAY AND ADVISED THEM TO CONTACT THE POWER COMPANY AS THE POWER POLE WAS BROKE IN HALF. DISPATCH ADVISED THAT THE
VEHICLE CAME BACK CURRENT AND CLEAR TO I GOT OUT OF MY PATROL VEHICLE AND WALKED UP TO THE VAN. I
NOTICED THAT THE VAN WAS STILL RUNNING AND NO ONE WAS AROUND THE VEHICLE. AT THAT TIME I LOOKED DOWN TOWER ROAD AND NOTICED THE
POWER COMPANY HAD ALREADY BEEN WORKING ON THE POWER LINES DOWN THE ROAD AND ANOTHER MINI VAN THAT SAID
ON THE SIDE WAS DRIVING TO MY LOCATION. WHEN THE VEHICLE STOPPED AT MY LOCATION I ASKED WHO HAD BEEN DRIVING THE VAN THAT WAS
INVOLVED IN THE CAR ACCIDENT. THE PASSENGER STATED HE WAS. I ASKED FOR HIS DRIVER'S LICENSE AND WAS IDENTIFIED AS I RAN
HIS DRIVER'S LICENSE THROUGH DISPATCH WHICH CAME BACK CLEAR AND VALID. I ASKED TO TELL ME WHAT HAD HAPPENED. STATED HE
Crash Time 01:15 PM
Crash Date 11/16/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
20111608
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKS0 WISCONSIN MOTOR VEHICLE
CRASH REPORT
WAS HEADED NORTH ON TOWER ROAD AND WHEN HE CAME TO THE INTERSECTION OF TOWER AND BUTLER HE ATTEMPTED TO STOP AT THE STOP SIGN
AND SLID RIGHT THROUGH IT. I NOTED THAT THE ROADS WERE ICE AND SNOW COVERED. STATED THAT HE WAS TRAVELING APPROXIMATELY 25-30
MILES PER HOUR AND THAT HE WAS WEARING HIS SEAT BELT. HE ALSO ADVISED THAT HE HAD NOT BEEN DRINKING OR DOING RUGS. SEE REPORT FOR
MORE DETAILS.
Structure Type
UTILITY
Y Coordinate
5082268
X Coordinate
195125.328125
Longitude
-90.925142207
Latitude
45.826510471
ON TOWER RD
29 FT S
OF BUTLER RD
IN THE TOWN OF DRAPER
IN SAWYER COUNTY
Location
Special StudyAccess Control
FULL 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)
CLOUDY
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
SNOW, ICE
Light Condition
DAYLIGHT
Manner of Collision
00 - NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
ON ROADWAY
First Harmful Event
UTILITY POLE
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
STOP SIGN
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
UTILITY POLE
Total Lanes
2
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
PASSENGER VAN01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITInitial Contact Point
12 - FRONT
Bus UseBody Style
VN - VAN
Color
BLK - BLACK
Model
TOWN AND C
Year
2009
Make
CHRYSLER
Vehicle Identification Number
36610101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 01:15 PM
Crash Date 11/16/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
20111608
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKS0 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
OGEMA, WI 54459 , US
Owner Name
0101Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
SLOW/STOPPING
Vehicle Removed By
DAVE'S TOWING
Towed Due To Damage
TOWED BUT NOT DUE TO DISABLING DAMAG
Extent Of Damage
MINOR DAMAGE
Vehicle Damage
12 - FRONT
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
UTILITY POLE01
Event
02Event
03Event
04Organization/Company
BYPASS COMMUNICATIONS INC.
Insurance Company
WEST-BEND-MUTUAL-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
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: WISCONSIN COUNTRY: UNITED STATES
Address
EAU CLAIRE, WI 54701 , US
Race
WHITE
Date of Birth
11/14/
Sex
MALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 01:15 PM
Crash Date 11/16/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
20111608
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKS0 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
INDIVIDUALCrash Time 01:15 PM
Crash Date 11/16/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.