20160402 HilleAgency Accident Number
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Reportable Accident On Emergency Amended GZDC4V8
DOT Document Number Document Override Number
16040202
16
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4
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2
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04/02/2016
4 - Accident Date
0818
5 - Time of Accident (Military Time)
01
6 - Total Units
00
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County BASS LAKE - 01, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location
14 - On Hwy No.
KADLEC RD
14 - On Street Name 14 - Bus/Frnt/Rmp
1300 FT15 - Est. Distance EAST15 - Hwy. Dir
16 - Fr/At Hwy No.RANGER STATION RD16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
45.994207
12 - Latitude -91.48318013 - 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
SHOULDER-(OTHER THAN SHOULDER WITHIN MEDIAN OR GORE)
117 - Relation To Roadway
DAYLIGHT114 - Light Condition SNOW/SLUSH116 - Road Surface Condition SLEET-HAIL-(FREEZING RAIN OR DRIZZLE)118 - 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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U - UNKNOWN
Unit Status
CURB
81 - Most Harmful Event: Collision With
NORTH
23 - Dir Of Travel
4524 - Speed Limit
D CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number 30 - State 31 - Expiration Year 34 - On Duty Accident
25 - Operator/Pedestrian Last Name 25 - First Name 25 - Middle Initial 25 - Suffix
32 - Date Of Birth 33 - Sex
26 - Address Street & Number 26 - PO Box
27 - City 27 - State
54843
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
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 162 - No. of Citations Issued
344.62(1)
64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
SPEED-TOO-FAST-FOR-CONDITIONS
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
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Vehicle
Vehicle Owner
Insurance
School Bus
IN
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91 - Drugs Reported
SNOW,-ICE,-OR-WET
124 - Highway Factors
AUTOMOBILE
21 - Unit Type
PASSENGER-CAR
Vehicle Type
1
22 - Total Occupants
252XVU
56 - License Plate Number
AUT57 - Plate Type WI
58 - State
2017
59 - Exp Year
0395
55 - Vehicle Identification Number
50 - Year
CHEV
51 - Make
CAVALIER
52 - Model
4D - 4DR
53 - Body Style
SIL
54 - Color 100 - Skidmarks to Impact (Ft)
FRONT, FRONT PASSENGER SIDE
94 - Vehicle Damage
MODERATE
95 - Extent Of Damage
Vehicle Towed Due To Damage
96
OWNER
97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
HILLE
46 - Vehicle Owner Last Name
MRIANDA
46 - First Name
N
46 - Middle Initial 46 - Suffix
10/13
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
HILLE
61 - Policy Holder Last Name
MIRANDA
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
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106 - Power Unit Number License Plate Number Plate Type State Expiration Year
Trailer Make Unit Type Vehicle Identification Number
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Fixed Objects Struck
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Property
UNKNOWN
Organization Type 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
DEPUTY NELSON
ON 04-02-16 AT 818 DEPUTY NELSON WAS DISPATCHED TO A ONE VEHICLE ACCIDENT ON KADLEC RD EAST OF RANGER STATION
RD. DEPUTY NELSON ARRIVED ONSCENE AND MADE CONTACT WITH THE DRIVER MIRANDA HILLE. HILLE ADVISED DEPUTY
NELSON THAT SHE WAS HEADED NORTH ON KADLEC RD WHEN SHE WENT OFF THE ROAD GOING AROUND THE CORNER. DEPUTY
NELSON OBSERVED THAT THE VEHICLE WENT OF THE ROAD AND GLANCED OF A ROAD SIGN AND THEN HIT A TREE. DEPUTY
NELSON OBSERVED THAT THE AIRBAGS HAD GONE OFF. DEPUTY NELSON OBSERVED MODERATE DAMAGE TO THE FRONT OF
THE VEHICLE. DEPUTY NELSON ASKED HILLE IF SHE HAD INSURANCE ON THE VEHICLE AND HILLE ADVISED THAT SHE DID NOT. DEPUTY NELSON TOOK PICTURES OF THE ACCIDENT SCENE AND ALSO THE DAMAGE TO THE VEHICLE. DEPUTY NELSON ADVISED
HILLE THAT HE WOULD BE SENDING HER A CITATION FOR NOT HAVING INSURANCE ON THE VEHICLE. END OF REPORT.
ON 04-02-16 AT 818 DEPUTY NELSON WAS DISPATCHED TO A ONE VEHICLE ACCIDENT ON KADLEC RD EAST OF RANGER STATION
RD. DEPUTY NELSON ARRIVED ONSCENE AND MADE CONTACT WITH THE DRIVER MIRANDA HILLE. HILLE ADVISED DEPUTY
NELSON THAT SHE WAS HEADED NORTH ON KADLEC RD WHEN SHE WENT OFF THE ROAD GOING AROUND THE CORNER. DEPUTY
NELSON OBSERVED THAT THE VEHICLE WENT OF THE ROAD AND GLANCED OF A ROAD SIGN AND THEN HIT A TREE. DEPUTY
NELSON OBSERVED THAT THE AIRBAGS HAD GONE OFF. DEPUTY NELSON OBSERVED MODERATE DAMAGE TO THE FRONT OF
THE VEHICLE. DEPUTY NELSON ASKED HILLE IF SHE HAD INSURANCE ON THE VEHICLE AND HILLE ADVISED THAT SHE DID NOT. DEPUTY NELSON TOOK PICTURES OF THE ACCIDENT SCENE AND ALSO THE DAMAGE TO THE VEHICLE. DEPUTY NELSON ADVISED
HILLE THAT HE WOULD BE SENDING HER A CITATION FOR NOT HAVING INSURANCE ON THE VEHICLE. END OF REPORT.
Officer Information
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125 - First Name 125 - Middle Initial
NELSON
125 - Officer Last Name
DENNIS 382
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
04/02/2016
132 - Date Notified 0820133 - Time Notified (Military Time)0822134 - Time Arrived (Military Time)
04/07/2016
135 - Date Of Report
16040202 19 - Special Study
18 - Agency Space
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