20160216 TresseltAgency Accident Number
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Reportable Accident On Emergency Amended GZDFCJ3
DOT Document Number Document Override Number
16020603
16
0
2
0
6
0
3
02/06/2016
4 - Accident Date
0400
5 - Time of Accident (Military Time)
01
6 - Total Units
00
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County HAYWARD - 06, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location
077
14 - On Hwy No.
EB
14 - On Street Name 14 - Bus/Frnt/Rmp
0.31 MI15 - Est. Distance WEST15 - Hwy. Dir
K16 - Fr/At Hwy No.16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
46.022619
12 - Latitude -91.39001713 - Longitude
TREE80 - 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 DRY116 - Road Surface Condition CLOUDY118 - 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
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Unit Status
DITCH
81 - Most Harmful Event: Collision With
EAST
23 - Dir Of Travel
5524 - Speed Limit
D CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
Number
WI
30 - State
2014
31 - Expiration Year 34 - On Duty Accident
TRESSELT
25 - Operator/Pedestrian Last Name
BRADY
25 - First Name
J
25 - Middle Initial 25 - Suffix
11/03/
32 - Date Of Birth
MALE
33 - Sex
26 - Address Street & Number 26 - PO Box
ASHLAND
27 - City
WI
27 - State
54806
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
NEGOTIATING-CURVE
119 - What Driver Was Doing
NO-CONTROL
120 - Traffic Control 262 - No. of Citations Issued
343.44(1)(A)
64 - 1st Statute No.
344.62(1)
64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
FAILURE-TO-HAVE-CONTROL
122 - Driver Factors
APPEARED NORMAL88 - Driver or Pedestrian Cond UNKNOWN
89 - Substance Presence
TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test
01
Accident Report
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Vehicle
Vehicle Owner
Insurance
School Bus
IN
S
91 - Drugs Reported
NOT-APPLICABLE
124 - Highway Factors
AUTOMOBILE
21 - Unit Type
PASSENGER-CAR
Vehicle Type
1
22 - Total Occupants
430WZN
56 - License Plate Number
AUT57 - Plate Type WI
58 - State
2016
59 - Exp Year
2582
55 - Vehicle Identification Number
50 - Year
PONT
51 - Make
GRAND PRIX
52 - Model
4D - 4DR
53 - Body Style
SIL
54 - Color 100 - Skidmarks to Impact (Ft)
TOTAL (DAMAGE TO ALL AREAS)
94 - Vehicle Damage
VERY-SEVERE
95 - Extent Of Damage
Vehicle Towed Due To Damage
96
A1
97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
LAAKSON
46 - Vehicle Owner Last Name
SCOTT
46 - First Name
J
46 - Middle Initial 46 - Suffix
02/17
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
HAYWARD48 - City WI48 - State 5484348 - Zip Code 49 - Telephone Number
NONE63 - 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
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Wisconsin Motor Vehicle GZDFCJ3 2 424
Fixed Objects Struck
PR
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Property
INDIVIDUAL
Organization Type
METCALF
84 - Property Owner Last Name 84 - First Name 84 - Middle Initial 84 - Suffix
01
84 - Company Name Government Property Type
85 - Address Street & Number 85 - PO Box
86 - City 86 - State 86 - Zip Code 87 - Telephone Number
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
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Diagram and Narrative
J.WOHLING #349
UNIT 1 WAS HEADING EAST ON HWY 77 WHEN THE DRIVER FAILED TO NEGOTIATE THE TURN. THE VEHICLE LEFT THE ROADWAY
AND STRUCK SOME TREES CAUSING SEVERE DAMAGE. THE DRIVER STATED THAT HE MUST HAVE "LOST CONTROL". HE ALSO
STATED THAT HE KNEW THAT HE DIDN'T HAVE A VALID DRIVER'S LICENSE AND THAT THE VEHICLE DIDN'T HAVE INSURANCE.
UNIT 1 WAS HEADING EAST ON HWY 77 WHEN THE DRIVER FAILED TO NEGOTIATE THE TURN. THE VEHICLE LEFT THE ROADWAY
AND STRUCK SOME TREES CAUSING SEVERE DAMAGE. THE DRIVER STATED THAT HE MUST HAVE "LOST CONTROL". HE ALSO
STATED THAT HE KNEW THAT HE DIDN'T HAVE A VALID DRIVER'S LICENSE AND THAT THE VEHICLE DIDN'T HAVE INSURANCE.
Officer Information
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Wisconsin Motor Vehicle GZDFCJ3 3 4
OF
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125 - First Name 125 - Middle Initial
WOHLING
125 - Officer Last Name
JT 349
131 - Officer ID
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
02/06/2016
132 - Date Notified 0918133 - Time Notified (Military Time)0918134 - Time Arrived (Military Time)
02/06/2016
135 - Date Of Report
16020603 19 - Special Study
18 - Agency Space
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MV4000e 01/2005
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Wisconsin Motor Vehicle GZDFCJ3 4 4