20161123 SlaytonAgency Accident Number
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Police Number
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Reportable Accident On Emergency Amended GZDNRR2
DOT Document Number Document Override Number
16112307
16
1
1
2
3
0
7
11/23/2016
4 - Accident Date
2152
5 - Time of Accident (Military Time)
01
6 - Total Units
00
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County RADISSON - 12, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location
040
14 - On Hwy No.
SB
14 - On Street Name 14 - Bus/Frnt/Rmp
981 FT15 - Est. Distance SOUTH15 - Hwy. Dir
16 - Fr/At Hwy No.ELM CREEK RD16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
45.744772
12 - Latitude -91.22618613 - Longitude
UNKNOWN80 - 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
ON-ROADWAY
117 - Relation To Roadway
DARK-NOT-LIGHTED114 - Light Condition WET116 - 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
CULVERT
81 - Most Harmful Event: Collision With
SOUTH
23 - Dir Of Travel
3524 - Speed Limit
D CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number
WI
30 - State
2023
31 - Expiration Year 34 - On Duty Accident
SLAYTON
25 - Operator/Pedestrian Last Name
RUSSELL
25 - First Name
G
25 - Middle Initial 25 - Suffix
10/11/1
32 - Date Of Birth
MALE
33 - Sex
26 - Address Street & Number 26 - PO Box
RADISSON
27 - City
WI
27 - State
54867
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 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.
NOT-APPLICABLE
122 - Driver Factors
NOT OBSERVED88 - 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
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91 - Drugs Reported
NOT-APPLICABLE
124 - Highway Factors
AUTOMOBILE
21 - Unit Type
PASSENGER-CAR
Vehicle Type
1
22 - Total Occupants
JP6932
56 - License Plate Number
AUT57 - Plate Type WI
58 - State
2017
59 - Exp Year
663
55 - Vehicle Identification Number
2006
50 - Year
DODG
51 - Make
RAM 1500
52 - Model
2D - 2DR
53 - Body Style
GRY
54 - Color
0100 - Skidmarks to Impact (Ft)
NONE
94 - Vehicle Damage
NONE
95 - Extent Of Damage
Vehicle Towed Due To Damage
96
OPERATOR
97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
SLAYTON
46 - Vehicle Owner Last Name
RUSSELL
46 - First Name
G
46 - Middle Initial 46 - Suffix
10/11
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
RADISSON48 - City WI48 - State 5486748 - Zip Code 49 - Telephone Number
UNKNOWN63 - Liability Insurance Company Policy Holder Same As Owner60
SLAYTON
61 - Policy Holder Last Name
RUSSELL
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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Fixed Objects Struck
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Property
GOVERNMENT
Organization Type 84 - Property Owner Last Name 84 - First Name 84 - Middle Initial 84 - Suffix
01
RADISSON TOWNSHIP
84 - Company Name
COUNTY/MUNICIPAL
Government Property Type
RADISSON
85 - Address Street & Number 85 - PO Box
RADISSON
86 - City
WI
86 - State
54867
86 - Zip Code 87 - Telephone Number
UNKNOWN
83 - Government Damage Tag Number
01
82 - Striking Unit
CULVERT
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 RESPONDED TO A CALL OF A VEHICLE IN A DITCH NEAR A STREAM. DEPUTY ARRIVED TO THE SCENE AND FOUND A FULL
SIZE TRUCK IN THE MUD NEXT TO THE STREAM. THE VEHICLE APPEARED UNDAMAGED. THE VEHICLE WAS ALSO UNOCCUPIED.
DEPUTY OBSERVED SLIGHT DAMAGE TO THE CULVERT ON THE WEST SIDE OF THE ROADWAY. DEPUTY WAS UNABLE TO MAKE
CONTACT WITH THE VEHICLE OWNER. THE VEHICLE WAS REMOVED WHILE THE DEPUTY WAS ON ANOTHER CALL.
DEPUTY RESPONDED TO A CALL OF A VEHICLE IN A DITCH NEAR A STREAM. DEPUTY ARRIVED TO THE SCENE AND FOUND A FULL
SIZE TRUCK IN THE MUD NEXT TO THE STREAM. THE VEHICLE APPEARED UNDAMAGED. THE VEHICLE WAS ALSO UNOCCUPIED.
DEPUTY OBSERVED SLIGHT DAMAGE TO THE CULVERT ON THE WEST SIDE OF THE ROADWAY. DEPUTY WAS UNABLE TO MAKE
CONTACT WITH THE VEHICLE OWNER. THE VEHICLE WAS REMOVED WHILE THE DEPUTY WAS ON ANOTHER CALL.
Officer Information
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125 - First Name 125 - Middle Initial
SIMPSON
125 - Officer Last Name
MICHAEL 357
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
11/23/2016
132 - Date Notified 2152133 - Time Notified (Military Time)2212134 - Time Arrived (Military Time)
11/23/2016
135 - Date Of Report
16112307 19 - Special Study
18 - Agency Space
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