Loading...
20141203 GettleAgency Accident Number AC C I D E N T # PO L I C E # Police Number GE N E R A L I N F O R M A T I O N Reportable Accident On Emergency Amended GZFFQMG DOT Document Number Document Override Number 14120301 14 1 2 0 3 0 1 12/03/2014 4 - Accident Date 0006 5 - Time of Accident (Military Time) 01 6 - Total Units 00 7 - Total Injured 00 8 - Total Killed SAWYER - 572 - County SAND LAKE - 14, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location 027 14 - On Hwy No. NB 14 - On Street Name 14 - Bus/Frnt/Rmp 716 FT15 - Est. Distance NORTH15 - Hwy. Dir 07016 - Fr/At Hwy No.16 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 45.865012 12 - Latitude -91.50277013 - Longitude DITCH80 - First Harmful Event NO COLLISION WITH MOTOR VEHICLE IN TRANSPORT93 - Manner of Collision NO CONTROL 112 - Access Control CURVE 113 - Road Curvature LEVEL/FLAT 113 - Road Terrain BLACKTOP, BITUMINOUS, OR ASPHALT - 2 Surface Type NOT-PHYSICALLY-DIVIDED-(2-WAY TRAFFIC)115 - Traffic Way OUTSIDE-SHOULDER-RIGHT 117 - Relation To Roadway DARK-NOT-LIGHTED114 - Light Condition SNOW/SLUSH116 - Road Surface Condition SNOW118 - Weather Hit and Run 9 Government Property 9 Fire 9 Photos Taken 9 Trailer or Towed 9 Truck, Bus, or Hazardous Materials 9 Load Spillage 9 Construction Zone 9 Names Exchanged 9 Supplemental Reports 101 Witness Statements 102 Measurements Taken 103 79 - E M S Number Operator/Pedestrian OP E R A T O R / P E D E S T R I A N Unit Status DITCH 81 - Most Harmful Event: Collision With NORTH 23 - Dir Of Travel 5524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number WI 30 - State 2020 31 - Expiration Year 34 - On Duty Accident GETTLE 25 - Operator/Pedestrian Last Name MICHAEL 25 - First Name A 25 - Middle Initial 25 - Suffix 05/08/ 32 - Date Of Birth MALE 33 - Sex 26 - Address Street & Number 26 - PO Box SPOONER 27 - City WI 27 - State 54801 27 - Zip Code 28 - Telephone Number FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR) 39 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 40 - Safety Equipment N - NO APPARENT INJURY 38 - Injury Severity NON-DEPLOYED 41 - Airbag NOT-EJECTED 42 - Ejected 44 Medical Transport NOT-TRAPPED 43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action MAKING-RIGHT-TURN 119 - What Driver Was Doing NO-CONTROL 120 - Traffic Control 0062 - No. of Citations Issued 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. INATTENTIVE-DRIVING 122 - Driver Factors APPEARED NORMAL88 - Driver or Pedestrian Cond NEITHER-ALCOHOL-NOR-DRUGS-PRESENT 89 - Substance Presence TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test 01 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZFFQMG 1 4 VE H I C L E VE H O W N E R Vehicle Vehicle Owner Insurance School Bus IN S 91 - Drugs Reported SNOW,-ICE,-OR-WET 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 01 22 - Total Occupants 736VJB 56 - License Plate Number AUT57 - Plate Type WI 58 - State 2015 59 - Exp Year 9829 55 - Vehicle Identification Number 2001 50 - Year DODG 51 - Make STRATUS 52 - Model 4D - 4DR 53 - Body Style BLU 54 - Color 100 - Skidmarks to Impact (Ft) FRONT PASSENGER SIDE, FRONT, FRONT DRIVER SIDE, MIDDLE PASSENGER SIDE, TOP OF VEHICLE, MIDDLE DRIVER SIDE 94 - Vehicle Damage SEVERE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 ROADRUNNER TOWING 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 45 Vehicle Owner Same As Operator KAROW 46 - Vehicle Owner Last Name HARLEY 46 - First Name J 46 - Middle Initial 46 - Suffix 06/10 Date Of Birth 46 - Company Name 47- Address Street & Number 47 - PO Box GRAND VIEW48 - City WI48 - State 5483948 - Zip Code 49 - Telephone Number UNKNOWN63 - Liability Insurance Company Policy Holder Same As Owner60 61 - Policy Holder Last Name 61 - Policy Holder First Name 61 - Policy Holder Company 01 01 01 01 BU S FromTo Bus Travelling to/from School Name Body Make Seating Capacity School District Contracted With Trailer 01 TR L 106 - Power Unit Number License Plate Number Plate Type State Expiration Year Trailer Make Unit Type Vehicle Identification Number Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZFFQMG 2 424 Fixed Objects Struck PR O P E R T Y O W N E R Property GOVERNMENT Organization Type 84 - Property Owner Last Name 84 - First Name 84 - Middle Initial 84 - Suffix 01 SAWYER COUNTY 84 - Company Name COUNTY/MUNICIPAL Government Property Type 14688 COUNTY ROAD B 85 - Address Street & Number 85 - PO Box HAYWARD 86 - City WI 86 - State 54843 86 - Zip Code 87 - Telephone Number 000 83 - Government Damage Tag Number 01 82 - Striking Unit DITCH 82 - Object Struck 82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck 105 - Photos By DI A G R A M A N D N A R R A T I V E Diagram and Narrative UNIT 1 WAS TRAVELING NORTH BOUND AND NAVIGATING A CORNER ON HWY 27. UNIT 1 LOST CONTROL, LEFT THE ROAD WAY AND ROLLED OVER MULTIPLE TIMES. UNIT 1 CAME TO REST ON IT'S HOOD. UNIT 1 WAS TRAVELING NORTH BOUND AND NAVIGATING A CORNER ON HWY 27. UNIT 1 LOST CONTROL, LEFT THE ROAD WAY AND ROLLED OVER MULTIPLE TIMES. UNIT 1 CAME TO REST ON IT'S HOOD. Officer Information Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZFFQMG 3 4 OF F I C E R I N F O R M A T I O N 125 - First Name 125 - Middle Initial CULHANE 125 - Officer Last Name CASEY 327 131 - Officer ID 206 129 - Law Enforcement Agency No. SAWYER COUNTY SHERIFFS DEPT 130 - Law Enforcement Agency Name 15880 EAST FIFTH STREET 126 - Law Enforcement Agency Address Street & Number HAYWARD 127 - City WI 127 - State 54843 127 - Zip Code (715) 634-4858 EXT. 128 - Telephone Number 12/03/2014 132 - Date Notified 0006133 - Time Notified (Military Time)0006134 - Time Arrived (Military Time) 12/10/2014 135 - Date Of Report 14120301 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZFFQMG 4 4