HomeMy WebLinkAbout20181024 ZIENTY.pdfON OCTOBER 24, 2018, I DEPUTY AMBER AL-MOGHRABI WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPT. AT APPROXIMATELY
15:43 I WAS DISPATCHED TO COUNTY ROAD B AT CHIPPEWA TRAIL FOR A 1 VEHICLE ACCIDENT WITH UNKNOWN INJURIES. I ACTIVATED MY
EMERGENCY LIGHTS AND SIREN AND WENT EN ROUTE FROM STATE HWY 27 AND COUNTY ROAD K. DISPATCH ALSO ADVISED ME THAT EMS WAS EN ROUTE. UPON ARRIVAL AT 15:48, I NOTICED A GRAY SUBARU THAT HAD HIT A TREE HEAD ON. THERE WAS A FEMALE OUTSIDE THE VEHICLE
WITH HER BABY THAT WAS BEING TALKED TO BY THE EMS CREW ON THE SAWYER COUNTY AMBULANCE. I RAN THE LICENSE PLATE ON THE
VEHICLE WHICH DISPATCH ADVISED ME CAME BACK TO FROM HAYWARD. ONE OF THE EMT'S CAME UP TO ME AND ADVISED ME
THAT AND HER BABY DID NOT HAVE ANY INJURIES, BUT THAT THEY WERE CONCERNED AS SHE STATED SHE FELL ASLEEP AT THE WHEEL.
WE WENT OVER TO WHO WAS GETTING HER VITALS TAKEN BY ANOTHER EMT. I ASKED HER FOR HER DRIVER'S LICENSE WHICH I RAN
THROUGH OUR DISPATCHER. THE EMT ASKED IF THEY COULD TAKE INTO THE AMBULANCE TO TAKE HER BLOOD SUGAR AS SHE WAS VERY SHAKY. I STATED THEY COULD AS I STOOD WITH HER BABY, WHO SHE IDENTIFIED TO ME AS . BEFORE THEY TOOK INTO THE
AMBULANCE I ASKED HER WHO SHE WANTED TO TOW HER VEHICLE. SHE STATED THAT SHE HAD NO PREFERENCE. I ADVISED DISPATCH TO
18102415175
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL1 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
03:43 PM
Date Notified
10/24/2018
Time Arrived
03:48 PM
Date Arrived
10/24/2018
Crash Time
03:40 PM
Crash Date
10/24/2018
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash Number
18102404
Primary Crash Document #Document Number Override
6V
L
1
3
W
8
H
L
1
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 03:40 PM
Crash Date 10/24/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
SEND ME THE NEXT AVAILABLE TOW TRUCK. THEY ADVISED ME IT WOULD BE A-1 TOWING. AFTER 15 MIN OF BEING IN THE AMBULANCE I
ASKED IF COULD GO IN WITH THEM SO I COULD TAKE PICTURES OF THE ACCIDENT SCENE BEFORE THE TOW TRUCK CAME. THEY STATED
THAT WAS FINE. I WAS ABLE TO GET THE PHOTOGRAPHS OF THE VEHICLE, WHICH I ENTERED INTO EVIDENCE AS ITEM NUMBER 1800755-0001. I THEN WENT INTO THE AMBULANCE TO TALK TO . UPON SPEAKING WITH , SHE STATED THAT SHE WAS TRAVELING WESTBOUND ON
CHIPPEWA TRAIL AT APPROXIMATELY 35 MPH. SHE STATED THAT SHE SAW THE CURVE COMING UP FOLLOWED BY THE STOP SIGN SO SHE
STARTED TO SLOW DOWN. SEE REPORT FOR MORE..
18102415175
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL1 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5104075.5
X Coordinate
154525.734375
Longitude
-91.462030742
Latitude
46.003067985
ON CHIPPEWA TRL
106 FT N
OF CTHB WB
IN THE TOWN 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 - NOT 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
ROADSIDE
First Harmful Event
TREE
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
CURVE LEFT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
OTHER
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
35Pre CrashTire
Mark
Direction Of Travel
WESTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
2
Operating As EndorsementsVehicle Type
(SPORT) UTILITY VEHICLE01
Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
Model
OUTBACK
Year
2013
Make
SUBARU
Vehicle Identification Number
01
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 03:40 PM
Crash Date 10/24/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
18102415175
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL1 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name
01
Driver DistractionsNOT DISTRACTED
01
Driver Actions
FAILURE TO CONTROL
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
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, 11--LEFT FRONT CORNER, 12--FRONT
Initial Contact Point
12--FRONT
Bus UseNOT A BUSBody Style
UT - SPORT UTILITY VEHICLE
Color
GRY - GRAY
VE
H
I
C
L
E
UN
I
T
UN
I
T
VE
H
I
C
L
E
Sequence Of Events
EventTREE01
Event
02
Event
03
Event
04
IndividualInsurance Company
AMERICAN-FAMILY-INS-CO
Policy Holder
UN
I
T
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
HAYWARD, WI 54843 , US
Race
WHITEDate of Birth
12/11/
Sex
FEMALE
Citations Issued
0
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 03:40 PM
Crash Date 10/24/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
18102415175
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL1 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Injury
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
1
01
Drug Test ResultsDrug Test TypeDrug Test Given
TEST 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
Tint ComplianceEye Protection
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Injury
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00
2
01
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
6--SECOND SEAT-RIGHT SIDE
Safety Equipment
CHILD RESTRAINT SYSTEM - REAR FACING
On Duty Crash
Driver License NumberAddress
HAYWARD, WI 54843 , US
Race
WHITEDate of Birth
05/14/
Sex
MALE
Citations Issued
0
Passenger
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 03:40 PM
Crash Date 10/24/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
18102415175
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HL1 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
2
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
Crash Time 03:40 PM
Crash Date 10/24/2018Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.