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