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HomeMy WebLinkAbout20150709 BillerAgency 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 GZDVPJC DOT Document Number Document Override Number 15070909130 15 0 7 0 9 0 9 1 3 0 15070903 15 0 7 0 9 0 3 07/09/2015 4 - Accident Date 0430 5 - Time of Accident (Military Time) 01 6 - Total Units 00 7 - Total Injured 00 8 - Total Killed SAWYER - 572 - County COUDERAY - 02, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location 027 14 - On Hwy No. SB 14 - On Street Name 14 - Bus/Frnt/Rmp 737 FT15 - Est. Distance SOUTH15 - Hwy. Dir 16 - Fr/At Hwy No.BUTLER RD16 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 45.801022 12 - Latitude -91.38929813 - Longitude TREE80 - 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-LEFT 117 - Relation To Roadway DARK-NOT-LIGHTED114 - 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 TREE 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 BILLER 25 - Operator/Pedestrian Last Name 25 - First Name R 25 - Middle Initial 25 - Suffix 03/01 32 - Date Of Birth MALE 33 - Sex 26 - Address Street & Number 206 26 - PO Box WINTER 27 - City WI 27 - State 54896 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 162 - No. of Citations Issued 343.05(3)(A) 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. INATTENTIVE-DRIVING, FAILURE-TO-HAVE-CONTROL 122 - Driver Factors REDUCED ALERTNESS88 - Driver or Pedestrian Cond NEITHER-ALCOHOL-NOR-DRUGS-PRESENT 89 - Substance Presence TEST GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test 01 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDVPJC 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 1 22 - Total Occupants 590NNT 56 - License Plate Number AUT57 - Plate Type MN 58 - State 2016 59 - Exp Year 5577 55 - Vehicle Identification Number 2009 50 - Year CHEV 51 - Make 52 - Model 4D - 4DR 53 - Body Style SIL 54 - Color 0100 - Skidmarks to Impact (Ft) TOTAL (DAMAGE TO ALL AREAS) 94 - Vehicle Damage 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 NAUMAN 46 - Vehicle Owner Last Name CLARK 46 - First Name HOWARD 46 - Middle Initial 46 - Suffix 02/26 Date Of Birth 46 - Company Name 47- Address Street & Number 206 47 - PO Box WINTER48 - City WI48 - State 5489648 - Zip Code (715) 945-2192 EXT.49 - Telephone Number PROGRESSIVE-CASUALTY-INS-CO63 - Liability Insurance Company Policy Holder Same As Owner60 NAUMAN 61 - Policy Holder Last Name CLARK 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 Trailer 01 TR L 106 - Power Unit Number License Plate Number Plate Type State Expiration Year Trailer Make Unit Type Vehicle Identification Number Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDVPJC 2 424 Fixed Objects Struck PR O P E R T Y O W N E R 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 TREE 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 DI A G R A M A N D N A R R A T I V E Diagram and Narrative POPLIN ON JULY 9TH, 2015 I DEPUTY POPLIN WAS DISPATCHED TO A CRASH ON STATE HWY 27/70 NEAR SIGNOR DR. I ARRIVE AND OBSERVED A VEHICLE DEEP IN THE WOODS ON THE NORTH SIDE OF THE ROADWAY, HOWEVER THE VEHICLE WAS FACING EAST BOUND. THIS VEHICLE WILL BE UNIT 1. AFTER LOOKING AT THE CRASH FURTHER I OBSERVED UNIT 1 CROSSED THE ENTIRE ROADWAY AND ENTERED THE DITCH WHERE IT CONTINUED THROUGH THE WOOD STRIKING MULTIPLE SMALL TREES AND SHRUBS UNTIL IT CAME TO A STOP. UPON TALKING TO THE DRIVER I LEARNED THE DRIVER SAID HE FELL ASLEEP. I ALSO LEARNED THE DRIVER WAS 15 YEARS OLD AND DIDN'T HAVE A DRIVER'S LICENSE. THE DRIVER WAS GIVEN FIELD SOBRIETY TESTS AND A PBT WAS GIVEN AS WELL AS HE SEEMED DISORIENTED. THE DRIVER PASS THE TESTS AND WAS GIVEN A CITATION FOR OPERATING WITHOUT A LICENSE. ON JULY 9TH, 2015 I DEPUTY POPLIN WAS DISPATCHED TO A CRASH ON STATE HWY 27/70 NEAR SIGNOR DR. I ARRIVE AND OBSERVED A VEHICLE DEEP IN THE WOODS ON THE NORTH SIDE OF THE ROADWAY, HOWEVER THE VEHICLE WAS FACING EAST BOUND. THIS VEHICLE WILL BE UNIT 1. AFTER LOOKING AT THE CRASH FURTHER I OBSERVED UNIT 1 CROSSED THE ENTIRE ROADWAY AND ENTERED THE DITCH WHERE IT CONTINUED THROUGH THE WOOD STRIKING MULTIPLE SMALL TREES AND SHRUBS UNTIL IT CAME TO A STOP. UPON TALKING TO THE DRIVER I LEARNED THE DRIVER SAID HE FELL ASLEEP. I ALSO LEARNED THE DRIVER WAS 15 YEARS OLD AND DIDN'T HAVE A DRIVER'S LICENSE. THE DRIVER WAS GIVEN FIELD SOBRIETY TESTS AND A PBT WAS GIVEN AS WELL AS HE SEEMED DISORIENTED. THE DRIVER PASS THE TESTS AND WAS GIVEN A CITATION FOR OPERATING WITHOUT A LICENSE. Officer Information Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDVPJC 3 4 OF F I C E R I N F O R M A T I O N 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 07/09/2015 132 - Date Notified 0532133 - Time Notified (Military Time)0617134 - Time Arrived (Military Time) 07/09/2015 135 - Date Of Report 15070909130 15070903 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDVPJC 4 4