20160903 WendtAgency Accident Number
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Reportable Accident On Emergency Amended GZDHL6N
DOT Document Number Document Override Number
16090307
16
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9
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3
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7
09/03/2016
4 - Accident Date
1500
5 - Time of Accident (Military Time)
01
6 - Total Units
01
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County SAND LAKE - 14, TOWN3 - Municipality INTERSECTION11 - Accident Location
14 - On Hwy No.
RANCH RD
14 - On Street Name 14 - Bus/Frnt/Rmp 15 - Est. Distance 15 - Hwy. Dir
16 - Fr/At Hwy No.SISSABAGAMA RD16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
45.802530
12 - Latitude -91.54059313 - Longitude
OTHER NON-COLLISION80 - First Harmful Event NO COLLISION WITH MOTOR VEHICLE IN TRANSPORT93 - 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
OTHER NON-COLLISION
81 - Most Harmful Event: Collision With
SOUTH
23 - Dir Of Travel
5524 - Speed Limit
M CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number
MN
30 - State
2019
31 - Expiration Year 34 - On Duty Accident
WENDT
25 - Operator/Pedestrian Last Name
DAVID
25 - First Name
D
25 - Middle Initial 25 - Suffix
01/12/
32 - Date Of Birth
MALE
33 - Sex
26 - Address Street & Number 26 - PO Box
NORTH BRANCH
27 - City
MN
27 - State
55056
27 - Zip Code
.
28 - Telephone Number
FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR)
39 - Seat Position
NO-HELMET-EYE-PROTECTION-ONLY-USE
40 - Safety Equipment
C - POSSIBLE INJURY
38 - Injury Severity
NON-DEPLOYED
41 - Airbag
TOTALLY-EJECTED
42 - Ejected 44
Medical Transport
NOT-TRAPPED
43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action
SLOWING-OR-STOPPING
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.
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
14584MG
56 - License Plate Number
CYC57 - Plate Type MN
58 - State
2017
59 - Exp Year
085
55 - Vehicle Identification Number
1996
50 - Year
HD
51 - Make
RS
52 - Model 53 - Body Style 54 - Color 100 - Skidmarks to Impact (Ft)
FRONT PASSENGER SIDE, MIDDLE PASSENGER SIDE, REAR 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
WENDT
46 - Vehicle Owner Last Name
DAVID
46 - First Name
D
46 - Middle Initial 46 - Suffix
01/12/
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
NORTH BRANCH48 - City MN48 - State 5505648 - Zip Code .49 - Telephone Number
DAIRYLAND-INS-CO63 - Liability Insurance Company Policy Holder Same As Owner60
WENDT
61 - Policy Holder Last Name
DAVID
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
OC
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01
65 - Unit No
WENDT
66 - Occupant Last Name
MARTHA
66 - First Name
JANE
66 - Middle Initial 66 - Suffix
01
68 - Address Street & Number 68 - PO Box
NORTH BRANCH
68 - City
MN
68 - State
55056
68 - Zip Code
03/02/167 - Date of Birth F69 - Sex
THIRD-ROW-LEFT-SIDE-(SIDECAR: MOTORCYCLE PASSENGER)
71 - Seat Position
NO-HELMET-EYE-PROTECTION-ONLY-USED
72 - Safety Equipment
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N - NO APPARENT INJURY
70 - Injury Severity
NON-DEPLOYED
73 - Airbag
TOTALLY-EJECTED
75 - Ejected
Medical Transport
77
NOT-TRAPPED
76 - Trapped/Extricated 78 - Agency Space
Trailer
01
TR
L
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 SEPTEMBER 3, 2016 AT APPROXIMATELY 3:04 PM I, DEPUTY RASCHKA WAS DISPATCHED TO A ONE VEHICLE ACCIDENT WITH POSSIBLE INJURY AT THE INTERSECTION OF RANCH RD AND SISSABAGAMA IN STONE LAKE. I ARRIVED ON-SCENE AT
APPROXIMATELY 3:16 PM. WHEN I ARRIVED ON-SCENE, SAYWER COUNTY AMBULANCE WAS ALREADY TENDING TO A MALE
SUBJECT WHO WAS IDENTIFIED AS DAVID WENDT, WHO ADMITTED TO BEING THE OPERATOR OF THE MOTORCYCLE. I SPOKE
WITH A MARTHA WENDT WHO ADVISED SHE WAS A PASSENGER ON THE MOTORCYCLE. SHE STATED HER HUSBAND WAS DRIVING
AND WAS FOLLOWING THEIR GROUP, WHEN THE TURNED AND HE WAS NOT PREPARED FOR IT. SHE ADVISED THAT HE LOCKED
UP THE BRAKES AND TRIED TO TURN HOWEVER ENDED UP SKIDDING ACROSS THE INTERSECTION. SHE ADVISED SHE WAS NOT REALLY INJURED BUT HAD MINOR PAIN IN HER LEFT SHOULDER. I THEN SPOKE TO HER HUSBAND WHO WAS IN THE AMBULANCE.
MR. WENDT STATED HE WAS DRIVING AND THAT HE HAD BEEN FOLLOWING HIS GROUP OF FRIENDS WHEN HE HADN'T NOTICED
THAT THEY TURNED. HE STATED HE WAS GOING APPROXIMATELY 55 MPH AND LOCKED UP THE BRAKES AND TRIED TO STOP TO
TURN, BUT ENDED UP SKIDDING ACROSS THE INTERSECTION. HE STATED HE WAS NOT WEARING A HELMET. I ASKED IF HE HAD
BEEN DRINKING. HE STATED HE HAD A BEER AT THE LAST STOP IN STONE LAKE APPROXIMATLEY AN HOUR PRIOR TO LEAVING. I
ASKED IF HE WOULD BE WILLING TO SUBMIT TO A PBT, HE ADVISED HE WOULD. HE RECORDED .000. I COULD NOT DETECT AN
ODOR OF INTOXICANTS EITHER. HE WAS THE RELEASED TO THE EMS WHO TRANSPORTED HIM TO RICE LAKE HOSPITAL. PHOTOS WERE TAKEN. SEE FULL REPORT 16090307.
ON SEPTEMBER 3, 2016 AT APPROXIMATELY 3:04 PM I, DEPUTY RASCHKA WAS DISPATCHED TO A ONE VEHICLE ACCIDENT WITH POSSIBLE INJURY AT THE INTERSECTION OF RANCH RD AND SISSABAGAMA IN STONE LAKE. I ARRIVED ON-SCENE AT
APPROXIMATELY 3:16 PM. WHEN I ARRIVED ON-SCENE, SAYWER COUNTY AMBULANCE WAS ALREADY TENDING TO A MALE
SUBJECT WHO WAS IDENTIFIED AS DAVID WENDT, WHO ADMITTED TO BEING THE OPERATOR OF THE MOTORCYCLE. I SPOKE
WITH A MARTHA WENDT WHO ADVISED SHE WAS A PASSENGER ON THE MOTORCYCLE. SHE STATED HER HUSBAND WAS DRIVING
AND WAS FOLLOWING THEIR GROUP, WHEN THE TURNED AND HE WAS NOT PREPARED FOR IT. SHE ADVISED THAT HE LOCKED
UP THE BRAKES AND TRIED TO TURN HOWEVER ENDED UP SKIDDING ACROSS THE INTERSECTION. SHE ADVISED SHE WAS NOT REALLY INJURED BUT HAD MINOR PAIN IN HER LEFT SHOULDER. I THEN SPOKE TO HER HUSBAND WHO WAS IN THE AMBULANCE.
MR. WENDT STATED HE WAS DRIVING AND THAT HE HAD BEEN FOLLOWING HIS GROUP OF FRIENDS WHEN HE HADN'T NOTICED
THAT THEY TURNED. HE STATED HE WAS GOING APPROXIMATELY 55 MPH AND LOCKED UP THE BRAKES AND TRIED TO STOP TO
TURN, BUT ENDED UP SKIDDING ACROSS THE INTERSECTION. HE STATED HE WAS NOT WEARING A HELMET. I ASKED IF HE HAD
BEEN DRINKING. HE STATED HE HAD A BEER AT THE LAST STOP IN STONE LAKE APPROXIMATLEY AN HOUR PRIOR TO LEAVING. I
ASKED IF HE WOULD BE WILLING TO SUBMIT TO A PBT, HE ADVISED HE WOULD. HE RECORDED .000. I COULD NOT DETECT AN
ODOR OF INTOXICANTS EITHER. HE WAS THE RELEASED TO THE EMS WHO TRANSPORTED HIM TO RICE LAKE HOSPITAL. PHOTOS WERE TAKEN. SEE FULL REPORT 16090307.
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
09/03/2016
132 - Date Notified 1504133 - Time Notified (Military Time)1516134 - Time Arrived (Military Time)
09/03/2016
135 - Date Of Report
16090307 19 - Special Study
18 - Agency Space
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