200814200 johnson-allgood20081420
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRX 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
02
Time Notified
04:02 PM
Date Notified
08/14/2020
Time Arrived
04:10 PM
Date Arrived
08/14/2020
Crash Time
04:00 PM
Crash Date
08/14/2020
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0FZQKRXAdditional InformationPHOTOS
Photos BySERGEANT NICK AL-MOGHRABI
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON AUGUST 14, 2020, I, DEPUTY AMBER AL-MOGHRABI, WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT. AT APPROXIMATELY
16:04, I HEARD DISPATCH PAGE FOR STONE LAKE FIRE DEPARTMENT AND EMS TO RESPOND TO THE INTERSECTION OF STATE HIGHWAY 27/70 AND COUNTY
ROAD E, FOR A 2 VEHICLE ACCIDENT WITH UNKNOWN INJURY AND ROAD BLOCKAGE. I ADVISED DISPATCH THAT I WOULD ALSO BE EN ROUTE FROM STATE
HIGHWAY 27 NEAR WILLIAMS ROAD AND ACTIVATED MY EMERGENCY LIGHTS AND SIREN. WHILE EN ROUTE, I WAS ADVISED BY DISPATCH THAT A FIRE
FIGHTER ON SCENE STATED THERE WERE NO INJURIES, BUT THAT THERE WAS ROAD BLOCKAGE. I CONTINUED TO DRIVE EMERGENT TO THE SCENE
ALONG WITH SERGEANT NICK AL-MOGHRABI. UPON ARRIVAL AT 16:10, I WROTE DOWN BOTH LICENSE PLATES, AS I DID NOT HAVE SERVICE ON MY
PORTABLE RADIO IN THAT AREA. I NOTICED A FEMALE SITTING ON THE SIDE OF THE ROAD CRYING AND APPEARED TO BE SHAKEN UP. I ASKED THE
FEMALE IF SHE WAS ONE OF THE DRIVERS. SHE STATED SHE WAS AND THAT SHE WAS DRIVING THE CADILLAC. I ASKED HER IF SHE WAS INJURED AT ALL.
SHE STATED SHE WAS NOT AND THAT SHE WAS REALLY SORRY ABOUT THE ACCIDENT. I ADVISED HER THAT NO ONE WAS INJURED AND THAT VEHICLES
CAN BE REPLACED. I ASKED THE FEMALE WHAT HER NAME WAS. SHE STATED IT WAS AND THAT SHE WAS FROM MN. I GOT
THE REST OF INFORMATION AND ASKED HER TO TELL ME WHAT HAPPENED. SHE STATED SHE WAS TRAVELING EASTBOUND ON STATE
HIGHWAY 27/70 AT APPROXIMATELY 55 MILES PER HOUR. SHE STATED THAT SHE STARTED TO SLOW DOWN SO SHE COULD TURN LEFT ONTO COUNTY
Crash Time 04:00 PM
Crash Date 08/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 6
This report does not include any CJIS data.
20081420
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRX WISCONSIN MOTOR VEHICLE
CRASH REPORT
ROAD E AND THAT THERE WAS ANOTHER VEHICLE IN THE WESTBOUND LANE THAT WAS COMING TOWARDS HER THAT SHE DID NOT SEE. SHE STATED AS
SHE STARTED TO TURN, SHE HIT THE OTHER VEHICLE. I ASKED IF SHE WAS WEARING HER SEATBELT AND SHE STATED SHE WAS. I ASKED HER
IF SHE HAD INSURANCE ON THE VEHICLE AND SHE STATED SHE DID, BUT THAT SHE DID NOT KNOW WHO IT WAS THROUGH. READ REPORT FOR MORE
DETAILS.
Structure Type
NO STRUCTURE
Y Coordinate
5087965.5
X Coordinate
152152.265625
Longitude
-91.480911799
Latitude
45.857319964
ON STH27 NB
13 FT W
OF CTHE NB
IN THE TOWN OF SAND LAKE
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)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
02 - FRONT TO FRONT
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
Time Scene Cleared
05:30 PM
Date Scene Cleared
08/14/2020
Time All Lanes Open
05:30 PM
Date All Lanes Open
08/14/2020
Time Initial Lane/Rd Closed
04:57 PM
Date Initial Lane/Rd Closed
08/14/2020
Reasons for Closure
TOW TRUCK
Closure Type
LANE CLOSURE
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
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
PASSENGER CAR01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITUNITED STATESMNAUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 04:00 PM
Crash Date 08/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 6
This report does not include any CJIS data.
20081420
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
MAPLE GROVE, MN 55311 , US
Owner Name
0101Driver Actions
LOOKED BUT DID NOT SEE
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
LEFT TURN
Vehicle Removed By
ROADRUNNER TOWING
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER
Initial Contact Point
11 - LEFT FRONT CORNER
Bus UseBody Style
4D - 4DR
Color
TAN - TAN
Model
ATA
Year
2014
Make
CADILLAC
Vehicle Identification Number
05280101 Country of IssuanceStPlate Type
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04Individual
Insurance Company
GEICO-CASUALTY-CO
Policy Holder
UNITInjury Airbag
DEPLOYED-COMBINATION
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
MAPLE GROVE, MN 55311 , US
Race
WHITE
Date of Birth
08/23/
Sex
FEMALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 04:00 PM
Crash Date 08/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 6
This report does not include any CJIS data.
20081420
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRX 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)
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
UNITNon Motorist
INDIVIDUALTruck 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
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
UTILITY TRUCK/PICKUP TRUCK02 Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITCountry of Issuance
UNITED STATES
St
MN
Plate Type
LTK - LIGHT TRUCK
License Plate Number
Vehicle
Crash Time 04:00 PM
Crash Date 08/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 6
This report does not include any CJIS data.
20081420
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
DULUTH, MN 55807 , US
Owner Name
0202Driver Actions
NO 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
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
GRN - GREEN
Model
RAM 1500
Year
2020
Make
DODGE
Vehicle Identification Number
46670202
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04Organization/CompanyInsurance Company
TRAVELERS-PROPERTY-CASUALTY-INS-CO
Policy Holder
UNITInjury
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00202 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
DULUTH, MN 55812 , US
Race
WHITE
Date of Birth
08/28/
Sex
FEMALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 04:00 PM
Crash Date 08/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 5 of 6
This report does not include any CJIS data.
20081420
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0FZQKRX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Distracted By
Drug & Alcohol
Individual Condition
APPEARED NORMAL
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
NOT DISTRACTED
Distracted By Source
NOT APPLICABLE (NOT DISTRACTED)
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
UNITNon Motorist
INDIVIDUALCrash Time 04:00 PM
Crash Date 08/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 6 of 6
This report does not include any CJIS data.