HomeMy WebLinkAbout20181108 MATTSON.pdfON NOVEMBER 1, 2018, I, DEPUTY AMBER AL-MOGHRABI WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPT. AT APPROXIMATELY
11:05, DISPATCH ADVISED ALL OF THE PATROL OFFICERS THAT THEY RECEIVED A PHONE CALL OF A WHITE TRUCK WITH A TOPPER ALL OVER THE
ROADWAY NEAR COUNTY ROAD B AND STATE HWY 27. A FEW MIN LATER DISPATCH ADVISED THAT THE VEHICLE WAS NOW ON COUNTY ROAD B NEAR CHIPPEWA VALLEY BANK AND HAD HIT SOME SORT OF POLE OFF THE ROADWAY. DISPATCH ASKED IF I COULD RESPOND TO THAT AREA.
WHILE EN ROUTE FROM THE SAWYER COUNTY SHERIFF'S DEPT I NOTICED A WHITE TRUCK WITH A TOPPER PARKED ACROSS THE ENTRANCE OF
THE BIG FISH PARKING LOT. I PARKED IN THE PARKING LOT AND APPROACHED THE PASSENGER SIDE OF THE VEHICLE. UPON APPROACHING THE
VEHICLE I RAN THE LICENSE PLATE WHICH CAME BACK TO . WHEN I GOT UP TO THE PASSENGER DOOR I ASKED THE MALE IF
HE WAS , HE STATED HE WAS. I ASKED HIM WHAT HAD HAPPENED. HE STATED HE THINKS HE HIT SOMETHING ON COUNTY ROAD B NEAR
M&M RENTAL, BUT HE WASNT SURE. I ASKED IF HE HIT ANY SORT OF POLE AND HE STATED HE DIDNT BELIEVE SO AND HE THINKS HE JUST HIT THE CURB. I ADVISED THAT HE WAS CALLED IN JUST BEFORE THIS ACCIDENT AS AN ERRATIC DRIVER AND THEN WE WERE TOLD HE HIT
SOMETHING. I ASKED HIM IF HE DRIVES MUCH AND HE STATED HE DID NOT. HE STATED ONLY WHEN HE NEEDS SOMETHING FROM TOWN AND
18110115606
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL3 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
11:10 AM
Date Notified
11/01/2018
Time Arrived
11:19 AM
Date Arrived
11/01/2018
Crash Time
11:08 AM
Crash Date
11/01/2018
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash Number
18110103
Primary Crash Document #Document Number Override
6V
L
1
3
W
8
H
L
3
Additional InformationPHOTOS
Photos ByDEPUTY AMBER AL-MOGHRABI
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 11:08 AM
Crash Date 11/01/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
THAT HE HAD A MEETING AT NORSKE NOOK TODAY AND THEN HAD TO GO TO THE SENIOR CENTER. I ADVISED THAT I DIDNT THINK HE
SHOULD DRIVE ANYMORE AS HE JUST GOT INTO AN ACCIDENT AND WE DIDNT WANT HIM OR ANYONE ELSE TO GET HURT. I LOOKED AT THE
DAMAGE TO THE FRONT OF TRUCK. THE FRONT BUMPER WAS TORN OFF AND PULLED UNDERNEATH HIS TRUCK AND HIS PASSENGER SIDE FRONT TIRE WAS FLAT. I ADVISED THAT HIS TRUCK WAS NOT DRIVEABLE ANYMORE AND ASKED WHAT TOW COMPANY HE WANTED.
HE STATED A-1 TOWING WAS FINE. I ADVISED DISPATCH TO SEND ME A-1 TOWING. SEE REPORT FOR MORE INFORMATION.
18110115606
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL3 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5104609.5
X Coordinate
153070.84375
Longitude
-91.481151316
Latitude
46.007126552
ON CTHB WB
65 FT E
OF STH27 NB
IN THE CITY OF HAYWARD
IN SAWYER COUNTY
Location
Special StudyAccess Control
FULL 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)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
ON ROADWAY
First Harmful Event
CURB
Crash Scene
Intersection Type
T-INTERSECTION
Junction Location
INTERSECTION
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
TRAFFIC SIGNAL
Traffic Way
TWO-WAY, DIVIDED, UNPROTECTED (PAINTED >
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTIONMost Harmful Event: Collision With
CURB
Total Lanes
4
Speed Limit
35Pre CrashTire
Mark
Direction Of Travel
WESTBOUND
Insurance?
UNKNOWN
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
Model
S10
Year
2003
Make
CHEVROLET
Vehicle Identification Number
01
Country of Issuance
UNITED STATES
St
WI
Plate Type
MLG - MILITARY GROUP
License Plate Number
Vehicle
Crash Time 11:08 AM
Crash Date 11/01/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
18110115606
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL3 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
OJIBWA, WI 54862 , US
Owner Name
01
Driver DistractionsNOT DISTRACTED
01
Driver Actions
FAILURE TO CONTROL, RAN OFF ROADWAY
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
A-1 TOWING
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
1--RIGHT FRONT CORNER, 12--FRONT
Initial Contact Point
12--FRONT
Bus UseNOT A BUSBody Style
PK - PICKUP
Color
WHI - WHITE
VE
H
I
C
L
E
UN
I
T
UN
I
T
VE
H
I
C
L
E
Sequence Of Events
EventCURB01
Event
02
Event
03
Event
04
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
OJIBWA, WI 54862 , US
Race
WHITE
Date of Birth
09/12/1
Sex
MALE
Citations Issued
0
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 11:08 AM
Crash Date 11/01/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
18110115606
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL3 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Injury
Drug & Alcohol
Individual Condition
OTHER
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
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00
1
01
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Crash Time 11:08 AM
Crash Date 11/01/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.