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HomeMy WebLinkAbout20150703 GangadharAgency 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 GZDT731 DOT Document Number Document Override Number 15070308778 15 0 7 0 3 0 8 7 7 8 15070307 15 0 7 0 3 0 7 07/03/2015 4 - Accident Date 1506 5 - Time of Accident (Military Time) 01 6 - Total Units 03 7 - Total Injured 00 8 - Total Killed SAWYER - 572 - County SPIDER LAKE - 15, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location 077 14 - On Hwy No. EB 14 - On Street Name 14 - Bus/Frnt/Rmp 247 FT15 - Est. Distance EAST15 - Hwy. Dir S16 - Fr/At Hwy No.16 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 46.073776 12 - Latitude -91.05791613 - Longitude OVERTURN80 - First Harmful Event NO COLLISION WITH MOTOR VEHICLE IN TRANSPORT93 - 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 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 OP E R A T O R / P E D E S T R I A N Unit Status OVERTURN 81 - Most Harmful Event: Collision With EAST 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 WI 30 - State 2016 31 - Expiration Year 34 - On Duty Accident GANGADHAR 25 - Operator/Pedestrian Last Name VINAY 25 - First Name NMI 25 - Middle Initial 25 - Suffix 11/25/ 32 - Date Of Birth MALE 33 - Sex 26 - Address Street & Number 26 - PO Box MADISON 27 - City WI 27 - State 53705 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 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 62 - No. of Citations Issued 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. INATTENTIVE-DRIVING 122 - Driver Factors NOT OBSERVED88 - 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 GZDT731 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 NOT-APPLICABLE 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 5 22 - Total Occupants 511XTW 56 - License Plate Number AUT57 - Plate Type WI 58 - State 2016 59 - Exp Year 8888 55 - Vehicle Identification Number 2005 50 - Year HOND 51 - Make ACCORD EX 52 - Model 4D - 4DR 53 - Body Style BLU 54 - Color 100 - Skidmarks to Impact (Ft) TOTAL (DAMAGE TO ALL AREAS) 94 - Vehicle Damage VERY-SEVERE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 45 Vehicle Owner Same As Operator GANGADHAR 46 - Vehicle Owner Last Name VINAY 46 - First Name NMI 46 - Middle Initial 46 - Suffix 11/25/1 Date Of Birth 46 - Company Name 47- Address Street & Number 47 - PO Box MADISON48 - City WI48 - State 5370548 - Zip Code 49 - Telephone Number PROGRESSIVE-CLASSIC-INS-CO63 - Liability Insurance Company Policy Holder Same As Owner60 GANGADHAR 61 - Policy Holder Last Name VINAY 61 - Policy Holder First Name 61 - Policy Holder Company 01 01 01 01 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 VASUDER 66 - Occupant Last Name CHANDINI 66 - First Name P 66 - Middle Initial 66 - Suffix 01 UNKNOWN68 - Address Street & Number 68 - PO Box 68 - City 68 - State 68 - Zip Code 08/0467 - Date of Birth F69 - Sex SECOND-SEAT-RIGHT 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDT731 2 424 N - NO APPARENT INJURY 70 - Injury Severity DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Occupant Address Same As Operator OC C U P A N T 01 65 - Unit No PACHPINDE 66 - Occupant Last Name AKANKSHA 66 - First Name NMI 66 - Middle Initial 66 - Suffix 02 68 - Address Street & Number 68 - PO Box MADISON 68 - City WI 68 - State 53705 68 - Zip Code 09/19/ 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 C - POSSIBLE INJURY 70 - Injury Severity DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Occupant Address Same As Operator OC C U P A N T 01 65 - Unit No NOWATCKI 66 - Occupant Last Name ANTHONY 66 - First Name J 66 - Middle Initial 66 - Suffix 03 68 - Address Street & Number 68 - PO Box MADISON 68 - City WI 68 - State 53705 68 - Zip Code 06/19 67 - Date of Birth M 69 - Sex SECOND-SEAT-MIDDLE 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment C - POSSIBLE INJURY 70 - Injury Severity DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Occupant Address Same As Operator OC C U P A N T 01 65 - Unit No ARDALANI 66 - Occupant Last Name NEWSHA 66 - First Name NMI 66 - Middle Initial 66 - Suffix 04 68 - Address Street & Number 68 - PO Box MADISON 68 - City WI 68 - State 53705 68 - Zip Code 03/21/ 67 - Date of Birth F 69 - Sex SECOND-SEAT-LEFT-SIDE-(MC/BIKE PASSENGER, TRAIN BREAKMA 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment C - POSSIBLE INJURY 70 - Injury Severity DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDT731 3 4 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 DEPUTY AMBER AL-MOGHRABI ON JULY 3, 2015, I WAS DISPATCHED TO A ONE VEHICLE ROLLOVER ON STATE HIGHWAY 77 NEAR COUNTY ROAD S. UPON ARRIVAL AT 15:23 I NOTICED A VEHICLE THAT HAD BEEN OVERTURNED ON THE SOUND SIDE OF THE ROAD. UPON SPEAKING WITH THE FIRST DEPUTY ON SCENE HE STATED THAT THE DRIVER, VINAY GANGADHAR, STATED HE WAS HEADED EAST BOUND AND LOOKING AT HIS MAP WHILE DRIVING. HE STATED HE HIT THE SHOULDER OF HIGHWAY 77 AND COULD NOT CONTROL THE VEHICLE. HE STATED HE DID NOT KNOW HOW MANY TIMES THEY FLIPPED, BUT LOOKING AT THE SCENE IT APPEARED TO BE 2 TIMES. DEPUTY DEPEW GOT ALL THE INFORMATION FOR THE DRIVER AND OCCUPANTS AS I TOOK PICTURES OF THE SCENE. 3 OF THE 4 PASSENGERS WERE INJURED AND TRANSPORTED BY AMBULANCE TO HAYWARD AREA MEMORIAL HOSPITAL. THE VEHICLE, WHICH WAS TOTALED WITH VERY SEVERE DAMAGE, WAS TOWED BY A-1 TOWING. I CLEARED THE SCENE AT 16:30 AND ENTERED THE PHOTOGRAPHS INTO EVIDENCE. THIS IS ALL THE INFORMATION I HAVE AT THIS TIME. ON JULY 3, 2015, I WAS DISPATCHED TO A ONE VEHICLE ROLLOVER ON STATE HIGHWAY 77 NEAR COUNTY ROAD S. UPON ARRIVAL AT 15:23 I NOTICED A VEHICLE THAT HAD BEEN OVERTURNED ON THE SOUND SIDE OF THE ROAD. UPON SPEAKING WITH THE FIRST DEPUTY ON SCENE HE STATED THAT THE DRIVER, VINAY GANGADHAR, STATED HE WAS HEADED EAST BOUND AND LOOKING AT HIS MAP WHILE DRIVING. HE STATED HE HIT THE SHOULDER OF HIGHWAY 77 AND COULD NOT CONTROL THE VEHICLE. HE STATED HE DID NOT KNOW HOW MANY TIMES THEY FLIPPED, BUT LOOKING AT THE SCENE IT APPEARED TO BE 2 TIMES. DEPUTY DEPEW GOT ALL THE INFORMATION FOR THE DRIVER AND OCCUPANTS AS I TOOK PICTURES OF THE SCENE. 3 OF THE 4 PASSENGERS WERE INJURED AND TRANSPORTED BY AMBULANCE TO HAYWARD AREA MEMORIAL HOSPITAL. THE VEHICLE, WHICH WAS TOTALED WITH VERY SEVERE DAMAGE, WAS TOWED BY A-1 TOWING. I CLEARED THE SCENE AT 16:30 AND ENTERED THE PHOTOGRAPHS INTO EVIDENCE. THIS IS ALL THE INFORMATION I HAVE AT THIS TIME. 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 ALMOGHRABI 125 - Officer Last Name AMBER 340 131 - Officer ID 129 - Law Enforcement Agency No.SAWYER COUNTY SHERIFFS DEPT130 - Law Enforcement Agency Name 15880 EAST FIFTH STREET 126 - Law Enforcement Agency Address Street & Number HAYWARD127 - City WI127 - State 54843127 - Zip Code (715) 634-4858 EXT.128 - Telephone Number 07/03/2015 132 - Date Notified 1507133 - Time Notified (Military Time)1523134 - Time Arrived (Military Time) 07/05/2015 135 - Date Of Report 15070308778 15070307 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDT731 4 4