20160702 LauwagieAgency Accident Number
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Reportable Accident On Emergency Amended GZF6BDT
DOT Document Number Document Override Number
16070205
16
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7
0
2
0
5
07/02/2016
4 - Accident Date
1615
5 - Time of Accident (Military Time)
01
6 - Total Units
02
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County RADISSON - 12, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location
040
14 - On Hwy No.
NB
14 - On Street Name 14 - Bus/Frnt/Rmp
0.54 MI15 - Est. Distance NORTH15 - Hwy. Dir
16 - Fr/At Hwy No.BEDNARSKI LN16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
45.740214
12 - Latitude -91.22051913 - 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
DAYLIGHT114 - Light Condition DRY116 - Road Surface Condition CLEAR118 - 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
1607020856879 - E M S Number
Operator/Pedestrian
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Unit Status
DITCH
81 - Most Harmful Event: Collision With
NORTH
23 - Dir Of Travel
4524 - Speed Limit
M CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number
MN
30 - State
2017
31 - Expiration Year 34 - On Duty Accident
LAUWAGIE
25 - Operator/Pedestrian Last Name
THOMAS
25 - First Name
DUANE
25 - Middle Initial 25 - Suffix
05/07/
32 - Date Of Birth
MALE
33 - Sex
26 - Address Street & Number 26 - PO Box
EAU CLAIRE
27 - City
WI
27 - State
54701
27 - Zip Code
.
28 - Telephone Number
FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR)
39 - Seat Position
NONE-USED-VEHICLE-DRIVER/OCCUPANT
40 - Safety Equipment
A - INCAPACITATING INJURY
38 - Injury Severity
NOT APPLICABLE
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 062 - No. of Citations Issued
64 - 1st Statute No.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 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
NOT-APPLICABLE
124 - Highway Factors
MOTORCYCLE
21 - Unit Type
MOTORCYCLE
Vehicle Type
2
22 - Total Occupants
32960ME
56 - License Plate Number
CYC57 - Plate Type MN
58 - State
2017
59 - Exp Year 55 - Vehicle Identification Number
1975
50 - Year
HD
51 - Make
2W
52 - Model 53 - Body Style
BGE
54 - Color 100 - Skidmarks to Impact (Ft)
TOTAL (DAMAGE TO ALL AREAS)
94 - Vehicle Damage
MODERATE
95 - Extent Of Damage
Vehicle Towed Due To Damage
96
DENENNYS
97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
LAUWAGIE
46 - Vehicle Owner Last Name
THOMAS
46 - First Name
DUANE
46 - Middle Initial 46 - Suffix
05/07
Date Of Birth
46 - Company Name
.
47- Address Street & Number 47 - PO Box
EAU CLAIRE48 - City WI48 - State 5470148 - 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
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FromTo
Bus Travelling to/from School Name Body Make Seating Capacity
School District Contracted With
Occupant
Address Same As Operator
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01
65 - Unit No
KNOKE
66 - Occupant Last Name
ELLEN
66 - First Name
K
66 - Middle Initial 66 - Suffix
01 .68 - Address Street & Number 68 - PO Box
EAU CLAIRE
68 - City
WI
68 - State
54701
68 - Zip Code
03/21/67 - Date of Birth F69 - Sex
RIDING-ON-VEHICLE-EXTERIOR-(NON-TRAILING UNIT)
71 - Seat Position
NONE-USED-VEHICLE-DRIVER/OCCUPANT
72 - Safety Equipment
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B - NON-INCAPACITATING INJURY
70 - Injury Severity
NOT APPLICABLE
73 - Airbag
TOTALLY-EJECTED
75 - Ejected
Medical Transport
77
NOT-TRAPPED
76 - Trapped/Extricated 78 - Agency Space
Trailer
01
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106 - Power Unit Number License Plate Number Plate Type State Expiration Year
Trailer Make Unit Type Vehicle Identification Number
Fixed Objects Struck
PR
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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 MATTHEW JEFSON
ON SATURDAY JULY 2ND 2016 AT APPROXIMATELY 4:19PM, I, DEPUTY MATTHEW JEFSON WAS DISPATCHED TO A MOTORCYCLE
ACCIDENT ON STH 40 SOUTH OF RADISSON. DISPATCH ADVISED THERE WERE UNKNOWN INJURIES. I HAD DISPATCH SEND AN
AMBULANCE TO THE LOCATION. I ARRIVED SHORTLY AFTER THE AMBULANCE AND NOTICED A FEMALE AND A MALE SITTING ON THE NORTH SHOULDER OF THE ROAD. THE CRASH OCCURRED ON SHARP S CURVES. I
ON SATURDAY JULY 2ND 2016 AT APPROXIMATELY 4:19PM, I, DEPUTY MATTHEW JEFSON WAS DISPATCHED TO A MOTORCYCLE
ACCIDENT ON STH 40 SOUTH OF RADISSON. DISPATCH ADVISED THERE WERE UNKNOWN INJURIES. I HAD DISPATCH SEND AN
AMBULANCE TO THE LOCATION. I ARRIVED SHORTLY AFTER THE AMBULANCE AND NOTICED A FEMALE AND A MALE SITTING ON THE NORTH SHOULDER OF THE ROAD. THE CRASH OCCURRED ON SHARP S CURVES. I
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POSITIONED MY SQUAD ON THE SOUTH CURVE SO THAT VEHICLES WOULD SLOW DOWN. DEPUTY RYAN SCHICK ARRIVED AND ASSISTED WITH TRAFFIC. I NOTICED A COUPLE FEMALES WHO HAD ARRIVED AND CALLED IT IN NEAR THE MOTORCYCLE. THE
MEDICS WERE TAKING CARE OF THE DRIVER AND PASSENGER. I THEN STARTED TAKING PHOTOS AS BOTH INDIVIDUALS WERE
LOADED INTO THE AMBULANCE. I FOLLOWED THE AMBULANCE FROM THE SCENE TO THE HOSPITAL SO THAT I COULD GET MORE
INFORMATION. BOTH DEPUTIES STAID ON SCENE AND WAITED FOR DENENNYS TO ARRIVE AND TOW THE MOTORCYCLE BACK TO
THERE SHOP. DENENNYS ARRIVED AND REMOVED THE MOTORCYCLE. AT THE HOSPITAL I GOT ALL VITAL INFORMATION FROM
BOTH THE DRIVER AND THE PASSENGER. THE PASSENGER STATED THAT THEY WERE COMING UP TO THE CORNER AND THE DRIVER DOWN SHIFTED AND STARTED TO TURN BUT TOOK THE CORNER TO WIDE. SHE STATED THAT THEY WENT INTO THE
DITCH UNTIL THE MOTORCYCLE CAME TO A QUICK STOP AND SHE FLEW OFF. SHE HAD MINOR INJURIES TO HER FACE. THE MALE
COULDNT REMEMBER WHAT HAD HAPPENED. HE SAID HE REALIZED THAT HE WASNT GOING TO MAKE TURN AND JUST TRIED TO
PUT IT DOWN IN THE BEST PLACE. THE DRIVER WAS KNOCKED UNCONSIOUS. I THEN TALKED TO THE DOCTOR WHO HAD VERY
LITTLE CONCERN ABOUT SEVERE INJURIES. I THEN CLEARED FROM THE HOSPITAL. FULL REPORT UNDER CASE # 16070205
POSITIONED MY SQUAD ON THE SOUTH CURVE SO THAT VEHICLES WOULD SLOW DOWN. DEPUTY RYAN SCHICK ARRIVED AND ASSISTED WITH TRAFFIC. I NOTICED A COUPLE FEMALES WHO HAD ARRIVED AND CALLED IT IN NEAR THE MOTORCYCLE. THE
MEDICS WERE TAKING CARE OF THE DRIVER AND PASSENGER. I THEN STARTED TAKING PHOTOS AS BOTH INDIVIDUALS WERE
LOADED INTO THE AMBULANCE. I FOLLOWED THE AMBULANCE FROM THE SCENE TO THE HOSPITAL SO THAT I COULD GET MORE
INFORMATION. BOTH DEPUTIES STAID ON SCENE AND WAITED FOR DENENNYS TO ARRIVE AND TOW THE MOTORCYCLE BACK TO
THERE SHOP. DENENNYS ARRIVED AND REMOVED THE MOTORCYCLE. AT THE HOSPITAL I GOT ALL VITAL INFORMATION FROM
BOTH THE DRIVER AND THE PASSENGER. THE PASSENGER STATED THAT THEY WERE COMING UP TO THE CORNER AND THE DRIVER DOWN SHIFTED AND STARTED TO TURN BUT TOOK THE CORNER TO WIDE. SHE STATED THAT THEY WENT INTO THE
DITCH UNTIL THE MOTORCYCLE CAME TO A QUICK STOP AND SHE FLEW OFF. SHE HAD MINOR INJURIES TO HER FACE. THE MALE
COULDNT REMEMBER WHAT HAD HAPPENED. HE SAID HE REALIZED THAT HE WASNT GOING TO MAKE TURN AND JUST TRIED TO
PUT IT DOWN IN THE BEST PLACE. THE DRIVER WAS KNOCKED UNCONSIOUS. I THEN TALKED TO THE DOCTOR WHO HAD VERY
LITTLE CONCERN ABOUT SEVERE INJURIES. I THEN CLEARED FROM THE HOSPITAL. FULL REPORT UNDER CASE # 16070205
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125 - First Name 125 - Middle Initial
Officer Information
JEFSON125 - Officer Last Name MATTHEW 324131 - Officer ID
129 - Law Enforcement Agency No.
SAWYER COUNTY SHERIFFS DEPT
130 - Law Enforcement Agency Name
15880 EAST FIFTH STREET126 - Law Enforcement Agency Address Street & Number
HAYWARD
127 - City
WI
127 - State
54843
127 - Zip Code
(715) 634-4858 EXT.
128 - Telephone Number
07/02/2016132 - Date Notified 1619133 - Time Notified (Military Time)1632134 - Time Arrived (Military Time)07/04/2016135 - Date Of Report
16070205 19 - Special Study
18 - Agency Space
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