HomeMy WebLinkAbout20150526 HartwigAgency Accident Number
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Reportable Accident On Emergency Amended GZDVPJ8
DOT Document Number Document Override Number
15052606787
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15052601
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05/26/2015
4 - Accident Date
1243
5 - Time of Accident (Military Time)
01
6 - Total Units
00
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County WINTER - 17, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location
B
14 - On Hwy No.14 - On Street Name 14 - Bus/Frnt/Rmp
1.05 MI15 - Est. Distance EAST15 - Hwy. Dir
W16 - Fr/At Hwy No.16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
45.898687
12 - Latitude -91.00537813 - Longitude
DITCH80 - First Harmful Event NO COLLISION WITH MOTOR VEHICLE IN TRANSPORT93 - Manner of Collision
NO CONTROL
112 - Access Control
CURVE
113 - Road Curvature
LEVEL/FLAT
113 - Road Terrain
BLACKTOP, BITUMINOUS, OR ASPHALT - 2
Surface Type
NOT-PHYSICALLY-DIVIDED-(2-WAY TRAFFIC)115 - Traffic Way
OUTSIDE-SHOULDER-RIGHT
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
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Unit Status
DITCH
81 - Most Harmful Event: Collision With
EAST
23 - Dir Of Travel
5524 - Speed Limit
A CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number
WI
30 - State
2020
31 - Expiration Year 34 - On Duty Accident
HARTWIG
25 - Operator/Pedestrian Last Name
KOLE
25 - First Name
J
25 - Middle Initial 25 - Suffix
09/18/
32 - Date Of Birth
MALE
33 - Sex
26 - Address Street & Number 26 - PO Box
MEDFORD
27 - City
WI
27 - State
54451
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
MAKING-LEFT-TURN
119 - What Driver Was Doing
NO-CONTROL
120 - Traffic Control 162 - No. of Citations Issued
346.34(1)(A)3
64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
FAILURE-TO-HAVE-CONTROL, OTHER
122 - Driver Factors
APPEARED NORMAL88 - Driver or Pedestrian Cond UNKNOWN
89 - Substance Presence
TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test
01
Accident Report
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MV4000e 01/2005
Page
PK2012
Wisconsin Motor Vehicle GZDVPJ8 1 4
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Vehicle
Vehicle Owner
Insurance
School Bus
IN
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91 - Drugs Reported
NOT-APPLICABLE
124 - Highway Factors
TRUCK
21 - Unit Type
TRUCK-TRACTOR- (SEMI-ATTACHED)
Vehicle Type
1
22 - Total Occupants
QB15974
56 - License Plate Number
STL57 - Plate Type WI
58 - State
2015
59 - Exp Year
5644
55 - Vehicle Identification Number
2012
50 - Year
PTRB
51 - Make 52 - Model
TK - TRUCK
53 - Body Style
RED
54 - Color 100 - Skidmarks to Impact (Ft)
NONE
94 - Vehicle Damage
NONE
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
HARTWIG
46 - Vehicle Owner Last Name
KOLE
46 - First Name
J
46 - Middle Initial 46 - Suffix
09/18/
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
MEDFORD48 - City WI48 - State 5445148 - Zip Code 49 - Telephone Number
ACUITY,-A-MUTUAL-INSURANCE-CO63 - Liability Insurance Company Policy Holder Same As Owner60
61 - Policy Holder Last Name 61 - Policy Holder First Name
HARTWIG TRUCKING INC61 - Policy Holder Company
01
01
01
01
BU
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FromTo
Bus Travelling to/from School Name Body Make Seating Capacity
School District Contracted With
Trailer
01
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1
106 - Power Unit Number
KR3835
License Plate Number
TRL
Plate Type
WI
State
2015
Expiration Year
POLAR MFG
Trailer Make
TRLR
Unit Type
4230480
Vehicle Identification Number
Accident Report
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MV4000e 01/2005
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PK2012
Wisconsin Motor Vehicle
Accident Report
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MV4000e 01/2005
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PK2012
Wisconsin Motor Vehicle GZDVPJ8 2 424
Fixed Objects Struck
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Property
UNKNOWN
Organization Type 84 - Property Owner Last Name 84 - First Name 84 - Middle Initial 84 - Suffix
01
84 - Company Name Government Property Type
85 - Address Street & Number 85 - PO Box
86 - City 86 - State 86 - Zip Code 87 - Telephone Number
83 - Government Damage Tag Number
01
82 - Striking Unit
DITCH
82 - Object Struck 82 - Striking Unit 82 - Object Struck
82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck
82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck
105 - Photos By
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Diagram and Narrative
POPLIN
UNIT 1 WAS GOING EAST ON COUNTY HWY B. THE DRIVER TOLD ME HE WAS TALKING ON THE CB RADIO TO THE TRUCK IN FRONT
OF HIM AS HE WAS GOING AROUND A LEFT HAND CURVE. THE DRIVER TOLD ME HIS TIRES LEFT THE ROADWAY AND HE LOST
CONTROL OF THE PUP TRAILER WHICH OVER TURNED SPILLING THE LOGS OUT OF IT. THE PUP TRAILER STAYED ATTACH TO THE
TRUCK BUT WAS OVERTURNED AND SUSTAINED MODERATE DAMAGE. THE DRIVER OF THE TRUCK IN FRONT OF UNIT 1 SAID HE
TOOK THE CORNER AT 40 MPH. THE DRIVER OF UNIT 1 SAID HE TOOK THE CORNER AT 52 MPH.
UNIT 1 WAS GOING EAST ON COUNTY HWY B. THE DRIVER TOLD ME HE WAS TALKING ON THE CB RADIO TO THE TRUCK IN FRONT
OF HIM AS HE WAS GOING AROUND A LEFT HAND CURVE. THE DRIVER TOLD ME HIS TIRES LEFT THE ROADWAY AND HE LOST
CONTROL OF THE PUP TRAILER WHICH OVER TURNED SPILLING THE LOGS OUT OF IT. THE PUP TRAILER STAYED ATTACH TO THE
TRUCK BUT WAS OVERTURNED AND SUSTAINED MODERATE DAMAGE. THE DRIVER OF THE TRUCK IN FRONT OF UNIT 1 SAID HE
TOOK THE CORNER AT 40 MPH. THE DRIVER OF UNIT 1 SAID HE TOOK THE CORNER AT 52 MPH.
Officer Information
Accident Report
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PK2012
Wisconsin Motor Vehicle GZDVPJ8 3 4
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125 - First Name 125 - Middle Initial
POPLIN
125 - Officer Last Name
JAY 352
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
05/26/2015
132 - Date Notified 1243133 - Time Notified (Military Time)1308134 - Time Arrived (Military Time)
05/28/2015
135 - Date Of Report
15052606787 15052601 19 - Special Study
18 - Agency Space
Accident Report
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MV4000e 01/2005
Page
PK2012
Wisconsin Motor Vehicle GZDVPJ8 4 4