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HomeMy WebLinkAbout20150201 Brutger LovelandAgency Accident Number AC C I D E N T # PO L I C E # Police Number GE N E R A L I N F O R M A T I O N Reportable Accident On Emergency Amended GZDNRQP DOT Document Number Document Override Number 02/01/2015 4 - Accident Date 0215 5 - Time of Accident (Military Time) 02 6 - Total Units 00 7 - Total Injured 00 8 - Total Killed SAWYER - 572 - County ROUND LAKE - 13, TOWN3 - Municipality INTERSECTION11 - Accident Location 077 14 - On Hwy No. WB 14 - On Street Name 14 - Bus/Frnt/Rmp 15 - Est. Distance 15 - Hwy. Dir 16 - Fr/At Hwy No.UPPER A RD16 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 46.065205 12 - Latitude -91.19661413 - Longitude MOTOR VEHICLE IN TRANSPORT80 - First Harmful Event ANGLE93 - Manner of Collision NO CONTROL 112 - Access Control STRAIGHT 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 DAYLIGHT114 - Light Condition DRY116 - Road Surface Condition CLEAR118 - 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 OP E R A T O R / P E D E S T R I A N Unit Status MOTOR VEHICLE IN TRANSPORT 81 - Most Harmful Event: Collision With 23 - Dir Of Travel 5524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number MN 30 - State 2016 31 - Expiration Year 34 - On Duty Accident BRUTGER 25 - Operator/Pedestrian Last Name JEFFREY 25 - First Name W 25 - Middle Initial 25 - Suffix 10/06/ 32 - Date Of Birth MALE 33 - Sex 26 - Address Street & Number 26 - PO Box WOODBURY 27 - City MN 27 - State 55129 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 APPEARED NORMAL88 - Driver or Pedestrian Cond NEITHER-ALCOHOL-NOR-DRUGS-PRESENT 89 - Substance Presence TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test 01 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDNRQP 1 5 VE H I C L E VE H O W N E R Vehicle Vehicle Owner Insurance School Bus IN S 91 - Drugs Reported NOT-APPLICABLE 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 2 22 - Total Occupants 794KGU 56 - License Plate Number AUT57 - Plate Type MN 58 - State 2015 59 - Exp Year 8301 55 - Vehicle Identification Number 2011 50 - Year CHEV 51 - Make SILVERADO 52 - Model 4D - 4DR 53 - Body Style BLK 54 - Color 50100 - Skidmarks to Impact (Ft) FRONT PASSENGER SIDE, REAR DRIVER SIDE, MIDDLE DRIVER SIDE, REAR PASSENGER SIDE 94 - Vehicle Damage SEVERE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 97 - Vehicle Removed By TIRES, TURN-SIGNALS, STOP-LAMPS, SUSPENSION-SYSTEM 123 - Vehicle Factors 45 Vehicle Owner Same As Operator 46 - Vehicle Owner Last Name 46 - First Name 46 - Middle Initial 46 - Suffix Date Of Birth PAR 10 COMPANIES46 - Company Name 47- Address Street & Number 47 - PO Box MINNETONKA48 - City MN48 - State 5534348 - Zip Code 49 - Telephone Number OWNERS-INS-CO63 - Liability Insurance Company Policy Holder Same As Owner60 61 - Policy Holder Last Name 61 - Policy Holder First Name PAR 10 COMPANIES61 - Policy Holder Company 01 01 01 01 BU S FromTo Bus Travelling to/from School Name Body Make Seating Capacity School District Contracted With Operator/Pedestrian Unit Status MOTOR VEHICLE IN TRANSPORT 81 - Most Harmful Event: Collision With NORTH 23 - Dir Of Travel 0524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle Number WI 30 - State 2018 31 - Expiration Year 34 - On Duty Accident LOVELAND 25 - Operator/Pedestrian Last Name SHANE 25 - First Name A 25 - Middle Initial 25 - Suffix 07/13/ 32 - Date Of Birth MALE 33 - Sex Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDNRQP 2 525 VE H I C L E VE H O W N E R Vehicle Vehicle Owner Insurance OP E R A T O R / P E D E S T R I A N IN S 26 - Address Street & Number 26 - PO Box HAYWARD 27 - City WI 27 - State 54843 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 STOP-SIGN 120 - Traffic Control 162 - No. of Citations Issued 346.18(3) 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. FAIL-TO-YIELD-RIGHT-OF-WAY 122 - Driver Factors APPEARED NORMAL88 - Driver or Pedestrian Cond NEITHER-ALCOHOL-NOR-DRUGS-PRESENT 89 - Substance Presence TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test 91 - Drugs Reported NOT-APPLICABLE 124 - Highway Factors AUTOMOBILE 21 - Unit Type PICKUP/UTILITY-TRUCK Vehicle Type 1 22 - Total Occupants GT3687 56 - License Plate Number LTK57 - Plate Type WI 58 - State 2014 59 - Exp Year 9495 55 - Vehicle Identification Number 2001 50 - Year GMC 51 - Make SIERRA 52 - Model 4D - 4DR 53 - Body Style MAR 54 - Color 0100 - Skidmarks to Impact (Ft) FRONT, FRONT DRIVER SIDE, FRONT PASSENGER SIDE 94 - Vehicle Damage SEVERE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 OWNER 97 - Vehicle Removed By TURN-SIGNALS, STEERING-SYSTEM, HEAD-LAMPS, OTHER 123 - Vehicle Factors 45 Vehicle Owner Same As Operator LOVELAND 46 - Vehicle Owner Last Name SHANE 46 - First Name A 46 - Middle Initial 46 - Suffix 07/13 Date Of Birth 46 - Company Name 47 - PO Box HAYWARD48 - City WI48 - State 5484348 - Zip Code 49 - Telephone Number ERIE-INSURANCE-EXCHANGE63 - Liability Insurance Company Policy Holder Same As Owner60 LOVELAND 61 - Policy Holder Last Name SHANE 61 - Policy Holder First Name 61 - Policy Holder Company 02 02 02 02 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDNRQP 3 5 School Bus 02 BU S FromTo Bus Travelling to/from School Name Body Make Seating Capacity School District Contracted With Occupant Address Same As Operator OC C U P A N T 01 65 - Unit No B 66 - Occupant Last Name R 66 - First Name W 66 - Middle Initial 66 - Suffix 01 68 - Address Street & Number 68 - PO Box WOODBURY 68 - City MN 68 - State 55129 68 - Zip Code 67 - Date of Birth F 69 - Sex FRONT-SEAT-RIGHT-SIDE-(TRAIN ENGINEER) 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment N - NO APPARENT INJURY 70 - Injury Severity NON-DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Trailer 01 TR L 1 106 - Power Unit Number License Plate Number Plate Type State Expiration Year Trailer Make Unit Type Vehicle Identification Number 105 - Photos By DI A G R A M A N D N A R R A T I V E Diagram and Narrative ON 02012015 AT APPROXIMATELY 14:15 I, DEPUTY CHRIS LEVERTON WAS WORKING THE 7:00-15:00 PATROL SHIFT FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT WHEN I WAS DISPATCHED TO STH 77 AND CTH A FOR A TWO VEHICLE ACCIDENT WITHOUT INJURIES. AT THE TIME OF DISPATCH I WAS ON CTH F AND STH 48. I INFORMED DISPATCH THAT IT ON 02012015 AT APPROXIMATELY 14:15 I, DEPUTY CHRIS LEVERTON WAS WORKING THE 7:00-15:00 PATROL SHIFT FOR THE SAWYER COUNTY SHERIFF'S DEPARTMENT WHEN I WAS DISPATCHED TO STH 77 AND CTH A FOR A TWO VEHICLE ACCIDENT WITHOUT INJURIES. AT THE TIME OF DISPATCH I WAS ON CTH F AND STH 48. I INFORMED DISPATCH THAT IT Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDNRQP 4 5 WOULD BE APPROXIMATELY 45 MINUTES BEFORE I WOULD ARRIVE. LCO OFFICERS 502 AND 530 ASSISTED WITH THE CALL SINCE THEY WERE CLOSER. LCO OFFICERS ARRIVED ON SCENE AT 14:30 AND CONTACTED DISPATCH WITH WI REG GT3687 AND MN REG 794-KGU. LCO OFFICER 502 REQUESTED TWO TOW TRUCKS ONE FOR A PICKUP THAT WAS OPERATED BY JEFFERY WAYNE BRUTGER DOB: 10-06-1962. JEFFERYS VEHICLE WAS HAULING A SNOWMOBILE AND TRAILER. UNIT 2 WITH WI REG GT3687 WAS OPERATED BY SHANE A. LOVELAND DOB: 07131967. I ARRIVED ON SCENE AT APPROXIMATELY 14:55. I OBSERVED THE PICKUP AND TRAILER FACING SOUTHBOUND ON STH 77 IN THE NORTH-WEST BOUND LANE, WITH ITS TRAILER IN THE DITCH LINE ALONG WITH AN OVERTURNED SNOWMOBILE SITTING IN THE DITCH LINE AS WELL. I OBSERVED UNIT TWO TO BE PARKED IN THE PARKING LOT OF A BUSINESS WITH SIGNIFICANT FRONT END DAMAGE TO THE VEHICLE. SHANE INFORMED ME THAT HE WAS TRAVELING NORTH ON CTH A WHERE HE STOPPED AT THE INTERSECTION OF CTH A AND STH 77, SHANE STATED THAT HE LOOKED BOTH WAYS TWICE AND PROCEEDED ACROSS THE ROADWAY WHERE HE STRUCK JEFFERY'S VEHICLE DUE TO NOT SEEING IT. JEFFERY STATED HE TRIED TO SWERVE AROUND THE VEHICLE BUT IT WAS TOO LATE. SKID MARKS SHOW THIS ACTION. JEFFERY EXPLAINED THAT SHANE DID STOP AT THE STOP SIGN, THEN PROCEEDED TO ENTER THE INTERSECTION IN AN ATTEMPT TO ACCESS UPPER A RD. I ESTIMATE THE DAMAGE TO BOTH VEHICLES TO BE TOTALED ALONG WITH THE DAMAGE DONE TO THE SNOWMOBILE REGISTRATION : 7226AM. SHANE STATED HE WAS AT FAULT AND SIMPLY DID NOT SEE THE OTHER VEHICLE. I INFORMED SHANE THAT I WOULD BE ISSUING HIM A CITATION FOR WI STAT: 346.18(3) FYR FROM A STOP SIGN. SHANE STATED OKAY. WOULD BE APPROXIMATELY 45 MINUTES BEFORE I WOULD ARRIVE. LCO OFFICERS 502 AND 530 ASSISTED WITH THE CALL SINCE THEY WERE CLOSER. LCO OFFICERS ARRIVED ON SCENE AT 14:30 AND CONTACTED DISPATCH WITH WI REG GT3687 AND MN REG 794-KGU. LCO OFFICER 502 REQUESTED TWO TOW TRUCKS ONE FOR A PICKUP THAT WAS OPERATED BY JEFFERY WAYNE BRUTGER DOB: 10-06-1962. JEFFERYS VEHICLE WAS HAULING A SNOWMOBILE AND TRAILER. UNIT 2 WITH WI REG GT3687 WAS OPERATED BY SHANE A. LOVELAND DOB: 07131967. I ARRIVED ON SCENE AT APPROXIMATELY 14:55. I OBSERVED THE PICKUP AND TRAILER FACING SOUTHBOUND ON STH 77 IN THE NORTH-WEST BOUND LANE, WITH ITS TRAILER IN THE DITCH LINE ALONG WITH AN OVERTURNED SNOWMOBILE SITTING IN THE DITCH LINE AS WELL. I OBSERVED UNIT TWO TO BE PARKED IN THE PARKING LOT OF A BUSINESS WITH SIGNIFICANT FRONT END DAMAGE TO THE VEHICLE. SHANE INFORMED ME THAT HE WAS TRAVELING NORTH ON CTH A WHERE HE STOPPED AT THE INTERSECTION OF CTH A AND STH 77, SHANE STATED THAT HE LOOKED BOTH WAYS TWICE AND PROCEEDED ACROSS THE ROADWAY WHERE HE STRUCK JEFFERY'S VEHICLE DUE TO NOT SEEING IT. JEFFERY STATED HE TRIED TO SWERVE AROUND THE VEHICLE BUT IT WAS TOO LATE. SKID MARKS SHOW THIS ACTION. JEFFERY EXPLAINED THAT SHANE DID STOP AT THE STOP SIGN, THEN PROCEEDED TO ENTER THE INTERSECTION IN AN ATTEMPT TO ACCESS UPPER A RD. I ESTIMATE THE DAMAGE TO BOTH VEHICLES TO BE TOTALED ALONG WITH THE DAMAGE DONE TO THE SNOWMOBILE REGISTRATION : 7226AM. SHANE STATED HE WAS AT FAULT AND SIMPLY DID NOT SEE THE OTHER VEHICLE. I INFORMED SHANE THAT I WOULD BE ISSUING HIM A CITATION FOR WI STAT: 346.18(3) FYR FROM A STOP SIGN. SHANE STATED OKAY. OF F I C E R I N F O R M A T I O N 125 - First Name 125 - Middle Initial Officer Information LEVERTON 125 - Officer Last Name CHRIS 318 131 - 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 02/01/2015 132 - Date Notified 1415133 - Time Notified (Military Time)1455134 - Time Arrived (Military Time) 02/01/2015 135 - Date Of Report 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDNRQP 5 5