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Home My WebLink About20150213 Pieper DutcherAgency 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 GZDTZ9D DOT Document Number Document Override Number 15021301 15 0 2 1 3 0 1 15021301 15 0 2 1 3 0 1 02/13/2015 4 - Accident Date 1029 5 - Time of Accident (Military Time) 02 6 - Total Units 00 7 - Total Injured 00 8 - Total Killed SAWYER - 572 - County HAYWARD - 06, TOWN3 - Municipality INTERSECTION11 - Accident Location 063 14 - On Hwy No. NB 14 - On Street Name 14 - Bus/Frnt/Rmp 15 - Est. Distance 15 - Hwy. Dir 16 - Fr/At Hwy No.ELECTRIC AVE16 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 46.004304 12 - Latitude -91.49737313 - Longitude MOTOR VEHICLE IN TRANSPORT80 - First Harmful Event REAR-END93 - 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 SNOW/SLUSH116 - Road Surface Condition SNOW118 - 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 NORTH 23 - Dir Of Travel 4524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number WI 30 - State 2019 31 - Expiration Year 34 - On Duty Accident PIEPER 25 - Operator/Pedestrian Last Name MARTIN 25 - First Name W 25 - Middle Initial 25 - Suffix 08/24/ 32 - Date Of Birth MALE 33 - Sex 26 - Address Street & Number 26 - PO Box KNAPP 27 - City WI 27 - State 54749 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 TRAFFIC-CONTROL-PERSON 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 GZDTZ9D 1 4 VE H I C L E VE H O W N E R Vehicle Vehicle Owner Insurance School Bus IN S 91 - Drugs Reported SNOW,-ICE,-OR-WET 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 1 22 - Total Occupants KH4921 56 - License Plate Number AUT57 - Plate Type WI 58 - State 2015 59 - Exp Year 3333 55 - Vehicle Identification Number 2013 50 - Year FORD 51 - Make VAN 52 - Model 4H - HATCHBACK 4 53 - Body Style WHI 54 - Color 100 - Skidmarks to Impact (Ft) REAR, REAR PASSENGER SIDE 94 - Vehicle Damage MODERATE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 OPERATOR 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 45 Vehicle Owner Same As Operator PIEPER 46 - Vehicle Owner Last Name MARTIN 46 - First Name W 46 - Middle Initial 46 - Suffix 08/24 Date Of Birth 46 - Company Name 47 - PO Box KNAPP48 - City WI48 - State 5474948 - Zip Code 49 - Telephone Number FIRST ASSOCIATED INS.63 - Liability Insurance Company Policy Holder Same As Owner60 GREAT STATE BANK 61 - Policy Holder Last Name STOFFEL CO. 61 - Policy Holder First Name STOFFEL EQUIPMENT61 - 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 4524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number WI 30 - State 2018 31 - Expiration Year 34 - On Duty Accident DUTCHER 25 - Operator/Pedestrian Last Name SAMANTHA 25 - First Name A 25 - Middle Initial 25 - Suffix 01/05/FEMALE 33 - Sex Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDTZ9D 2 424 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 SLOWING-OR-STOPPING 119 - What Driver Was Doing TRAFFIC-CONTROL-PERSON 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 91 - Drugs Reported SNOW,-ICE,-OR-WET 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 1 22 - Total Occupants 259SEL 56 - License Plate Number AUT57 - Plate Type WI 58 - State 2015 59 - Exp Year 4963 55 - Vehicle Identification Number 2002 50 - Year CHRY 51 - Make VOYAGER 52 - Model 2D - 2DR 53 - Body Style GRN 54 - Color 100 - Skidmarks to Impact (Ft) FRONT DRIVER SIDE, FRONT 94 - Vehicle Damage MODERATE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 OPERATOR 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 45 Vehicle Owner Same As Operator DUTCHER 46 - Vehicle Owner Last Name SAMANTHA 46 - First Name A 46 - Middle Initial 46 - Suffix 01/05/ Date Of Birth 46 - Company Name 47- Address Street & Number 47 - PO Box HAYWARD48 - City WI48 - State 5484348 - Zip Code 49 - Telephone Number BADGER MUTUAL63 - Liability Insurance Company Policy Holder Same As Owner60 DUTCHER 61 - Policy Holder Last Name SAMANTHA 61 - Policy Holder First Name 61 - Policy Holder Company 02 02 02 02 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDTZ9D 3 4 School Bus 02 BU S FromTo Bus Travelling to/from School Name Body Make Seating Capacity School District Contracted With Trailer 01 TR L 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 ROB HOUSE UNIT 1 (PEIPER) WAS TRAVELLING NORTH ON HIGHWAY 63. UNIT 2 (DUTCHER) WAS ALSO TRAVELLING NORTH ON 63. WHEN PASSING ELECTRIC DRIVE UNIT 1 STARTED TO SLOW DOWN FOR A VEHICLE IN FRONT OF HIM FOR ITWAS ABOUT TO TURN OFF ROADWAY. WHILE DOING SO, UNIT 2 APPLIED BRAKES AS WELL. DUE TO SNOW COVERED CONDITIONS, UNIT 2 STRUCK UNIT 1 IN TH REAR OF VEHICLE. BOTH VEHICLES SUSTAINED MODERATE DAMAGE. BOTH VEHICLES WERE DRIVABLE FROM THE SCENE UNIT 1 (PEIPER) WAS TRAVELLING NORTH ON HIGHWAY 63. UNIT 2 (DUTCHER) WAS ALSO TRAVELLING NORTH ON 63. WHEN PASSING ELECTRIC DRIVE UNIT 1 STARTED TO SLOW DOWN FOR A VEHICLE IN FRONT OF HIM FOR ITWAS ABOUT TO TURN OFF ROADWAY. WHILE DOING SO, UNIT 2 APPLIED BRAKES AS WELL. DUE TO SNOW COVERED CONDITIONS, UNIT 2 STRUCK UNIT 1 IN TH REAR OF VEHICLE. BOTH VEHICLES SUSTAINED MODERATE DAMAGE. BOTH VEHICLES WERE DRIVABLE FROM THE SCENE 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 HOUSE 125 - Officer Last Name ROB 317 131 - 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 02/13/2015 132 - Date Notified 1029133 - Time Notified (Military Time)1047134 - Time Arrived (Military Time) 02/20/2015 135 - Date Of Report 15021301 15021301 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDTZ9D 4 4