HomeMy WebLinkAbout20190202 SHIMKO.pdfI, SGT. AL-MOGHRABI, WAS DISPATCHED TO A SINGLE VEHICLE CRASH ON STH 40 NORTH OF STH 48 ON 02/02/19. PRIOR TO MY ARRIVAL, EXELAND
FIRE AND SAWYER COUNTY EMS HAD ARRIVED AND ADVISED THE OPERATOR WAS REFUSING TREATMENT OR TRANSPORT. UPON MY ARRIVAL, I
OBSERVED A BLACK FORD F150 UP AGAINST A TREE ON THE WEST SIDE OF STH 40. I WAS DIRECTED TO THE OPERATOR WHO WAS SITTING ON HIS TAILGATE AND IDENTIFIED BY WI DL AS , THE VEHICLE OWNER. UPON SPEAKING WITH , I DETECTED THE ODOR OF
INTOXICANTS AS WELL AS SLOW SPEECH. TOLD ME HE HAD BEEN FISHING ALL DAY AND WAS HEADED HOME AND DIDN'T KNOW HOW
FAST HE WAS TRAVELING (POSTED 55 MPH ROAD). STATED, "IT GOT OUT OF CONTROL, HIT THE DITCH, AND I TRIED TO CORRECT IT BUT
STRUCK THE TREE". ADVISED HE HAD HIS SEAT BELT ON WHICH WAS WHAT CAUSED HIS LEFT SHOULDER PAIN AND THAT THE AIRBAG
DEPLOYED. I WAS ASKED BY AN EMT TO STEP ASIDE TO SPEAK WITH THEM. UPON DOING SO, I WAS ADVISED THAT WHEN THEY FOUND
AT HIS FAMILIES RESIDENCE ACROSS THE STREET FROM THE CRASH SCENE, HE HAD ALREADY CONSUMED SEVERAL TWISTED TEAS AND EVEN WAS DRINKING ANOTHER BACK AT THE VEHICLE PRIOR TO MY ARRIVAL. I MET WITH AGAIN AND TOLD HIM I HAD A GOOD IDEA OF WHY HE
LOST CONTROL HOWEVER THAT I UNDERSTOOD HIM TO HAVE CONSUMED MULTIPLE INTOXICATING BEVERAGES IMMEDIATELY FOLLOWING THE
19020203
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS4 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
01
Total Units
01
Time Notified
04:21 PM
Date Notified
02/02/2019
Time Arrived
04:55 PM
Date Arrived
02/02/2019
Crash Time
04:20 PM
Crash Date
02/02/2019
Investigating Officer/Deputy
SERGEANT NICK ALMOGHRABI
Agency Crash Number
19020203
Primary Crash Document #Document Number Override
6V
L
1
5
G
5
W
S
4
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.
Crash Time 04:20 PM
Crash Date 02/02/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
CRASH. I ADVISED THAT JERRY'S AMOCO WAS RESPONDING TO REMOVE HIS TOTALED PICKUP TRUCK AND THAT I WOULD BE ISSUING
MULTIPLE CITATIONS THAT HE WILL RECEIVE VIA MAIL. I PHOTOGRAPHED THE VEHICLE AND CLEARED AFTER IT WAS REMOVED.
19020203
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS4 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5066470
X Coordinate
171730.46875
Longitude
-91.214839221
Latitude
45.673974072
ON STH40 SB
391 FT S
OF WHITLOCK LN
IN THE TOWN OF WEIRGOR
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)
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
SHOULDER RIGHT
First Harmful Event
DITCH
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
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
SOUTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
1
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
Initial Contact Point
Bus UseNOT A BUSBody Style
TK - TRUCK
Color
BLK - BLACK
Model
F150
Year
2013
Make
FORD
Vehicle Identification Number
53440101
Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
Vehicle
Crash Time 04:20 PM
Crash Date 02/02/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
19020203
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS4 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
LADYSMITH, WI 54848 , US
Owner Name
01
Driver DistractionsNOT DISTRACTED
01
Driver Actions
FAILURE TO CONTROL, RAN OFF ROADWAY, OVER-CORRECTING/OVER-STEERING
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
Vehicle Removed By
JERRY'S AMOCO
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
12--FRONT
VE
H
I
C
L
E
UN
I
T
UN
I
T
VE
H
I
C
L
E
Sequence Of Events
EventDITCH01
EventTREE02
Event
03
Event
04
IndividualInsurance Company
PROGRESSIVE-CASUALTY-INS-CO
Policy Holder
UN
I
T
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
LADYSMITH, WI 54848 , US
Race
WHITE
Date of Birth
02/13/
Sex
MALE
Citations Issued
1
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 04:20 PM
Crash Date 02/02/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
19020203
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WS4 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Injury
Drug & Alcohol
Individual Condition
UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL
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
YES
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
DEPLOYED-FRONT
Injury Severity
POSSIBLE INJURY00
1
01
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Violations
DescriptionFAILURE TO KEEP VEHICLE UNDER CONTROLSeq Num007Statute Number346.57(2)Issue To?
001
UTC Number
BD19120801
Crash Time 04:20 PM
Crash Date 02/02/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.