HomeMy WebLinkAbout20181109 MARTY.pdf18110904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
DT4000 (STANDARD CRASH)Reportable
TagsSchool Bus Related
NOActive School ZoneGovernment
Property
Reporting
ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
00
Total Units
01
Time Notified
05:38 PM
Date Notified
11/09/2018
Time Arrived
05:57 PM
Date Arrived
11/09/2018
Crash Time
05:35 PM
Crash Date
11/09/2018
Investigating Officer/Deputy
SERGEANT NICK ALMOGHRABI
Agency Crash Number
18110904
Primary Crash Document #Document Number Override
6V
L
1
5
G
5
W
S
2
Additional InformationPHOTOS, OTHER DOCUMENTS
Photos BySGT ALMOGHRABI
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
I, SGT. NICK AL-MOGHRABI, WAS DISPATCHED TO A ONE VEHICLE PROPERTY DAMAGE CRASH ON CTH G APPROXIMATELY 9/10 MILE NORTH OF
POLISH ROAD ON 11/09/18 AT 1738. UPON ARRIVAL, I OBSERVED A 2006 FORD RANGER THAT HAD STRUCK A "SCHOOL BUS STOP AHEAD" SIGN
DAMAGING THE SIGN POST AND HAD COME TO REST AGAINST A TREE. THE VEHICLE SUSTAINED DISABLING DAMAGE TO THE FRONT AND FRONT RIGHT CORNER. THE OPERATOR ADVISED HE HAD COME AROUND THE CORNER PRIOR TO THE STRAIGHT STRETCH THE CRASH OCCURRED ON
AND BEGAN TO LOSE CONTROL OF THE VEHICLE LEAVING THE ROAD ON THE RIGHT SHOULDER. THE OPERATOR ADVISED HE WAS MAYBE GOING
30 MPH. I EXPLAINED THAT BASED ON THE SNOW COVERED ROADWAY IT APPEARED THAT WAS TOO FAST FOR CONDITIONS AND THAT THIS
REPORT WOULD REFLECT SO HOWEVER NO CITATION WOULD BE ISSUED. THE OWNER WAS GOING TO CONTACT ROADRUNNER TOWING TO HAVE
IT REMOVED THE FOLLOWING MORNING.
Crash Time 05:35 PM
Crash Date 11/09/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
18110904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
Y Coordinate
5080823
X Coordinate
181716.625
Longitude
-91.096384708
Latitude
45.807486278
ON CTHG NB
0.81 MI E
OF POLISH RD
IN THE TOWN OF OJIBWA
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
Crash Classification - Jurisdiction
NO SPECIAL JURISDICTION
Crash Classification - Location
PUBLIC PROPERTY
Relation To Trafficway
TRAFFICWAY - ON ROAD
Animal Type
Weather Condition(s)
CLOUDY
Environment Factor(s)
NONE
Roadway Factor(s)
ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH,
ETC)
Road Surface Condition(s)
SNOW
Light Condition
DARK/UNLIT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
SHOULDER RIGHT
First Harmful Event
TRAFFIC SIGN POST
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTIONMost Harmful Event: Collision With
TREE
Total Lanes
2
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK01
Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
1--RIGHT FRONT CORNER, 12--FRONT
Initial Contact Point
1--RIGHT FRONT CORNER
Bus UseNOT A BUSBody Style
TK - TRUCK
Color
GRY - GRAY
Model
RANGER
Year
2006
Make
FORD
Vehicle Identification Number
23250101
Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VE
H
I
C
L
E
UN
I
T
Vehicle
Crash Time 05:35 PM
Crash Date 11/09/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
18110904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
WINTER, WI 54896 , US
Owner Name
01
Driver DistractionsUNKNOWN IF DISTRACTED
01
Driver Actions
SPEED TOO FAST/COND
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
SET FOR TOW FOLLOWING MORNING
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
UN
I
T
VE
H
I
C
L
E
Sequence Of Events
EventTRAFFIC SIGN POST01
EventTREE02
Event
03
Event
04
IndividualInsurance Company
AMERICAN-FAMILY-INS-CO
Policy Holder
UN
I
T
Injury
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00
1
01
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
WINTER, WI 54896 , US
Race
WHITE
Date of Birth
10/26/
Sex
MALE
Citations Issued
0
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 05:35 PM
Crash Date 11/09/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
18110904
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
1
01
Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug Use
NO
Suspected Alcohol Use
NO
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
HAYWARD, WI 54843 , US
PR
O
P
OW
N
E
R
01
Fixed Objects Struck
Property Owner
Damage Tag Number
314576
Structure NumberStruck Object
TRAFFIC SIGN POST
Striking Unit
0101
Crash Time 05:35 PM
Crash Date 11/09/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.