20160830 Olson MuraskiAgency Accident Number
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Reportable Accident On Emergency Amended GZDHL6M
DOT Document Number Document Override Number
160083004
16
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8
3
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08/30/2016
4 - Accident Date
1850
5 - Time of Accident (Military Time)
02
6 - Total Units
01
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County BASS LAKE - 01, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location
14 - On Hwy No.
RAINBOW RD
14 - On Street Name 14 - Bus/Frnt/Rmp
0.28 MI15 - Est. Distance WEST15 - Hwy. Dir
16 - Fr/At Hwy No.MUD LAKE RD16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
45.960415
12 - Latitude -91.53643613 - Longitude
MOTOR VEHICLE IN TRANSPORT80 - First Harmful Event SIDESWIPE. SAME DIRECTION93 - Manner of Collision
NO CONTROL
112 - Access Control
STRAIGHT
113 - Road Curvature
LEVEL/FLAT
113 - Road Terrain
BLACKTOP, BITUMINOUS, OR ASPHALT - 2
Surface Type
NOT-PHYSICALLY-DIVIDED-(2-WAY TRAFFIC)115 - Traffic Way
ON-ROADWAY
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 79 - E M S Number
Operator/Pedestrian
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Unit Status
PEDACYCLE
81 - Most Harmful Event: Collision With
WEST
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
WI
30 - State
2018
31 - Expiration Year 34 - On Duty Accident
OLSON
25 - Operator/Pedestrian Last Name
ANNA
25 - First Name
R
25 - Middle Initial 25 - Suffix
12/15/1
32 - Date Of Birth
FEMALE
33 - Sex
26 - Address Street & Number 26 - PO Box
HAYWARD
27 - City
WI
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
NON-DEPLOYED
41 - Airbag
NOT-EJECTED
42 - Ejected 44
Medical Transport
NOT-TRAPPED
43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action
GOING-STRAIGHT
119 - What Driver Was Doing
NO-CONTROL
120 - Traffic Control 62 - No. of Citations Issued
64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
NOT-APPLICABLE
122 - Driver Factors
APPEARED NORMAL88 - Driver or Pedestrian Cond NEITHER-ALCOHOL-NOR-DRUGS-PRESENT
89 - Substance Presence
TEST GIVEN90 - Alcohol Test 90 - Alcohol Content TEST GIVEN DRUGS UNKNOWN91 - Drug Test
01
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Vehicle
Vehicle Owner
Insurance
School Bus
IN
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91 - Drugs Reported
VISIBILITY-OBSCURED
124 - Highway Factors
AUTOMOBILE
21 - Unit Type
PASSENGER-CAR
Vehicle Type
1
22 - Total Occupants
879TVZ
56 - License Plate Number
AUT57 - Plate Type WI
58 - State
2016
59 - Exp Year
6472
55 - Vehicle Identification Number
1999
50 - Year
CHRY
51 - Make
LHS
52 - Model
4D - 4DR
53 - Body Style
WHI
54 - Color 100 - Skidmarks to Impact (Ft)
FRONT PASSENGER SIDE, MIDDLE PASSENGER SIDE
94 - Vehicle Damage
MINOR
95 - Extent Of Damage
Vehicle Towed Due To Damage
96 97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
OLSON
46 - Vehicle Owner Last Name
TRISTEN
46 - First Name
A
46 - Middle Initial 46 - Suffix
11/16
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
HAYWARD48 - City WI48 - State 5484348 - Zip Code .49 - Telephone Number
UNKNOWN63 - Liability Insurance Company Policy Holder Same As Owner60
OLSON
61 - Policy Holder Last Name
CHRISTIAN
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
Operator/Pedestrian
Unit Status
MOTOR VEHICLE IN TRANSPORT
81 - Most Harmful Event: Collision With
WEST
23 - Dir Of Travel
4524 - Speed Limit
O CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number
WI
30 - State
2018
31 - Expiration Year 34 - On Duty Accident
MURASKI
25 - Operator/Pedestrian Last Name
MARK
25 - First Name
J
25 - Middle Initial 25 - Suffix
08/23/
32 - Date Of Birth
MALE
33 - Sex
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Vehicle
Vehicle Owner
Insurance
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IN
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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
HELMET-AND-EYE-PROTECTION-USED
40 - Safety Equipment
A - INCAPACITATING INJURY
38 - Injury Severity
NOT APPLICABLE
41 - Airbag
NOT-APPLICABLE
42 - Ejected 44
Medical Transport
NOT-APPLICABLE
43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action
GOING-STRAIGHT
119 - What Driver Was Doing
NO-CONTROL
120 - Traffic Control 62 - No. of Citations Issued
64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
NOT-APPLICABLE
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
91 - Drugs Reported
NOT-APPLICABLE
124 - Highway Factors
BICYCLE
21 - Unit Type
BICYCLE
Vehicle Type
1
22 - Total Occupants
56 - License Plate Number 57 - Plate Type 58 - State 59 - Exp Year 55 - Vehicle Identification Number
50 - Year 51 - Make 52 - Model 53 - Body Style 54 - Color 100 - Skidmarks to Impact (Ft)
OTHER
94 - Vehicle Damage
MODERATE
95 - Extent Of Damage
Vehicle Towed Due To Damage
96 97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
MURASKI
46 - Vehicle Owner Last Name
MARK
46 - First Name
J
46 - Middle Initial 46 - Suffix
08/23
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
SPOONER48 - City WI48 - State 5480148 - Zip Code 49 - Telephone Number
NOT-REQUIRED63 - Liability Insurance Company Policy Holder Same As Owner60
61 - Policy Holder Last Name 61 - Policy Holder First Name
61 - Policy Holder Company
02
02
02
02
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School Bus
02
BU
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Bus Travelling to/from School Name Body Make Seating Capacity
School District Contracted With
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
105 - Photos By
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Diagram and Narrative
N RASCHKA
ON AUGUST 30, 2016 AT APPROXIMATELY 6:50 PM I, DEPUTY RASCHKA WAS DISPATCHED TO A VEHICLE VS BICYCLE ACCIDENT ON RAINBOW RD JUST WEST OF COLBROTH RD. I ARRIVED ON-SCENE AT APPROXIMATELY 6:57 PM AND OBSERVED A MALE SUBJECT
SITTING ON NORTH SIDE OF RAINBOW RD IN THE DITCHLINE WITH A YOUNGER FEMALE SUBJECT SITTING NEXT TO HIM. I SPOKE
WITH BOTH PARTIES. THE FEMALE STATED THAT SHE WAS THE DRIVER OF THE VEHICLE THAT STRUCK THE BICYCLIST, WHO SHE
WAS SEATED NEXT TO. SHE IDENTIFIED HERSELF AS ANNA R OLSON 12/15/16 BY WISCONSIN ID. THE MALE SUBJECT, WHO
APPEARED TO HAVE INJURY TO HIS UPPER LEFT LEG, ABRASIONS TO HIS LEFT ARM AND LEFT HAND. HE STATED HE HAD A
POSSIBLE HEAD INJURY FROM THE FALL OFF THE BIKE, BUT WAS WEARING A HELMET UPON MY ARRIVAL. THE MALE IDENTIFIED HIMSELF VERBALLY AS MARK J MURASKI 08/23/1949. IN SPEAKING WITH THE FEMALE, SHE STATED SHE WAS TRAVELING HOME
WESTBOUND ON RAINBOW RD WITH HER MOTHER FOLLOWING HER. SHE STATED SHE WAS TRAVELING BETWEEN 50 AND 55 MPH.
SHE STATED THE SUN WAS GLARING OFF THE DASH OF HER CAR, WHICH I NOTED WHILE TRAVELING TO THEIR LOCATION, THAT
THE SUN A VISIBILITY ISSUE AT THAT TIME. SHE STATED SHE THOUGHT SHE HAD HIT A MAILBOX, BUT THEN LOOKED BACK AND
REALIZED IT WAS A BIKER. SHE STATED SHE TURNED AROUND AND CALLED 911. I THEN SPOKE TO MR. MURASKI. THE EMT'S
WERE ON-SCENE TENDING TO HIM. HE STATED HE DID NOT REMEMBER WHAT HAPPENED, OTHER THAN HE WAS HIT BY A CAR.
THE EMT'S ADVISED THAT THE INSIDE LEFT PORTION OF HIS HELMET WAS CRACKED, POSSIBLY FROM THE FALL. THERE WAS MINOR TO MODERATE DAMGE TO HIS BIKE AND MINOR DAMAGE TO THE VEHICLE. MR. MURASKI WAS TRANSPORTED TO
HAYWARD HOSPITAL. SEE CASE # 16083004.
ON AUGUST 30, 2016 AT APPROXIMATELY 6:50 PM I, DEPUTY RASCHKA WAS DISPATCHED TO A VEHICLE VS BICYCLE ACCIDENT ON RAINBOW RD JUST WEST OF COLBROTH RD. I ARRIVED ON-SCENE AT APPROXIMATELY 6:57 PM AND OBSERVED A MALE SUBJECT
SITTING ON NORTH SIDE OF RAINBOW RD IN THE DITCHLINE WITH A YOUNGER FEMALE SUBJECT SITTING NEXT TO HIM. I SPOKE
WITH BOTH PARTIES. THE FEMALE STATED THAT SHE WAS THE DRIVER OF THE VEHICLE THAT STRUCK THE BICYCLIST, WHO SHE
WAS SEATED NEXT TO. SHE IDENTIFIED HERSELF AS ANNA R OLSON 12/15/16 BY WISCONSIN ID. THE MALE SUBJECT, WHO
APPEARED TO HAVE INJURY TO HIS UPPER LEFT LEG, ABRASIONS TO HIS LEFT ARM AND LEFT HAND. HE STATED HE HAD A
POSSIBLE HEAD INJURY FROM THE FALL OFF THE BIKE, BUT WAS WEARING A HELMET UPON MY ARRIVAL. THE MALE IDENTIFIED HIMSELF VERBALLY AS MARK J MURASKI 08/23/1949. IN SPEAKING WITH THE FEMALE, SHE STATED SHE WAS TRAVELING HOME
WESTBOUND ON RAINBOW RD WITH HER MOTHER FOLLOWING HER. SHE STATED SHE WAS TRAVELING BETWEEN 50 AND 55 MPH.
SHE STATED THE SUN WAS GLARING OFF THE DASH OF HER CAR, WHICH I NOTED WHILE TRAVELING TO THEIR LOCATION, THAT
THE SUN A VISIBILITY ISSUE AT THAT TIME. SHE STATED SHE THOUGHT SHE HAD HIT A MAILBOX, BUT THEN LOOKED BACK AND
REALIZED IT WAS A BIKER. SHE STATED SHE TURNED AROUND AND CALLED 911. I THEN SPOKE TO MR. MURASKI. THE EMT'S
WERE ON-SCENE TENDING TO HIM. HE STATED HE DID NOT REMEMBER WHAT HAPPENED, OTHER THAN HE WAS HIT BY A CAR.
THE EMT'S ADVISED THAT THE INSIDE LEFT PORTION OF HIS HELMET WAS CRACKED, POSSIBLY FROM THE FALL. THERE WAS MINOR TO MODERATE DAMGE TO HIS BIKE AND MINOR DAMAGE TO THE VEHICLE. MR. MURASKI WAS TRANSPORTED TO
HAYWARD HOSPITAL. SEE CASE # 16083004.
Officer Information
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125 - First Name 125 - Middle Initial
RASCHKA
125 - Officer Last Name
NICOLE 388
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
08/30/2016
132 - Date Notified 1850133 - Time Notified (Military Time)1857134 - Time Arrived (Military Time)
08/30/2016
135 - Date Of Report
160083004 19 - Special Study
18 - Agency Space
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