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Home My WebLink About20150709 LeopoldAgency 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 GZDWFQT DOT Document Number Document Override Number 15070905 15 0 7 0 9 0 5 07/09/2015 4 - Accident Date 1026 5 - Time of Accident (Military Time) 03 6 - Total Units 00 7 - Total Injured 00 8 - Total Killed SAWYER - 572 - County LENROOT - 08, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location 063 14 - On Hwy No. NB 14 - On Street Name 14 - Bus/Frnt/Rmp 1003 FT15 - Est. Distance SOUTH15 - Hwy. Dir 16 - Fr/At Hwy No.TN RD 8816 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 46.109006 12 - Latitude -91.37388713 - 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 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 MOTOR VEHICLE IN TRANSPORT 81 - Most Harmful Event: Collision With NORTH 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 MN 30 - State 2018 31 - Expiration Year 34 - On Duty Accident LEOPOLD 25 - Operator/Pedestrian Last Name MARISSA 25 - First Name LYN 25 - Middle Initial 25 - Suffix 03/28/ 32 - Date Of Birth FEMALE 33 - Sex 26 - Address Street & Number 26 - PO Box HASTINGS 27 - City MN 27 - State 55033 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-RIGHT-TURN 119 - What Driver Was Doing NO-CONTROL 120 - Traffic Control 162 - No. of Citations Issued 346.34(1)(A)2 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. IMPROPER-TURN 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 of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQT 1 7 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 565RAL 56 - License Plate Number AUT57 - Plate Type MN 58 - State 2016 59 - Exp Year 9730 55 - Vehicle Identification Number 2009 50 - Year CHEV 51 - Make IMPALA 52 - Model 4D - 4DR 53 - Body Style GRY 54 - Color 100 - Skidmarks to Impact (Ft) REAR 94 - Vehicle Damage MINOR 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 LEOPOLD 46 - Vehicle Owner Last Name SHARON 46 - First Name KAY 46 - Middle Initial 46 - Suffix 12/16 Date Of Birth 46 - Company Name 47 - PO Box HASTINGS48 - City MN48 - State 5503348 - Zip Code 49 - Telephone Number TRAVELERS-CASUALTY-&-SURETY-CO63 - Liability Insurance Company Policy Holder Same As Owner60 LEOPOLD 61 - Policy Holder Last Name SHARON 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 Operator/Pedestrian Unit Status MOTOR VEHICLE IN TRANSPORT 81 - Most Harmful Event: Collision With NORTH 23 - Dir Of Travel 5524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle A051087888206 29 - Driver's License Number MN 30 - State 2015 31 - Expiration Year 34 - On Duty Accident STIER 25 - Operator/Pedestrian Last Name NICOLE 25 - First Name RENEE 25 - Middle Initial 25 - Suffix 08/05/1997 32 - Date Of Birth 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 GZDWFQT 2 727 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 19605 INGA AVE 26 - Address Street & Number 26 - PO Box HASTINGS 27 - City MN 27 - State 55033 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 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. NOT-APPLICABLE 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 91 - Drugs Reported NOT-APPLICABLE 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 2 22 - Total Occupants 080RCR 56 - License Plate Number AUT57 - Plate Type MN 58 - State 2015 59 - Exp Year 1FADP3J2XEL420620 55 - Vehicle Identification Number 2010 50 - Year FORD 51 - Make FUSION 52 - Model 4D - 4DR 53 - Body Style RED 54 - Color 100 - Skidmarks to Impact (Ft) FRONT, REAR 94 - Vehicle Damage MINOR 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 STIER 46 - Vehicle Owner Last Name GREGORY 46 - First Name CHARLES 46 - Middle Initial 46 - Suffix 12/22/1971 Date Of Birth 46 - Company Name 19605 INGA AVE 47- Address Street & Number 47 - PO Box HASTINGS48 - City MN48 - State 5503348 - Zip Code 49 - Telephone Number AMERICAN-FAMILY63 - Liability Insurance Company Policy Holder Same As Owner60 STIER 61 - Policy Holder Last Name GREGORY 61 - Policy Holder First Name 61 - Policy Holder Company 02 02 02 02 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQT 3 7 School Bus 02 BU S FromTo Bus Travelling to/from School Name Body Make Seating Capacity School District Contracted With VE H I C L E Operator/Pedestrian Vehicle Vehicle Owner OP E R A T O R / P E D E S T R I A N Unit Status MOTOR VEHICLE IN TRANSPORT81 - Most Harmful Event: Collision With NORTH23 - Dir Of Travel 5524 - Speed Limit D CLASS 36 - Operating as Classified 37 - Endorsements 35 Operating Commercial Motor Vehicle 29 - Driver's License Number MN30 - State 201731 - Expiration Year 34 - On Duty Accident BECKER 25 - Operator/Pedestrian Last Name LINSEY 25 - First Name ELIZABETH 25 - Middle Initial 25 - Suffix 08/28/32 - Date Of Birth FEMALE33 - Sex 26 - Address Street & Number 26 - PO Box HASTINGS27 - City MN27 - State 5503327 - 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 INJURY38 - Injury Severity NON-DEPLOYED41 - Airbag NOT-EJECTED42 - Ejected 44 Medical Transport NOT-TRAPPED 43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action GOING-STRAIGHT119 - What Driver Was Doing NO-CONTROL120 - 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. NOT-APPLICABLE 122 - Driver Factors APPEARED NORMAL88 - Driver or Pedestrian Cond UNKNOWN 89 - Substance Presence TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN 91 - Drug Test 91 - Drugs Reported NOT-APPLICABLE 124 - Highway Factors AUTOMOBILE 21 - Unit Type PASSENGER-CAR Vehicle Type 1 22 - Total Occupants 442MXU56 - License Plate Number AUT57 - Plate Type MN58 - State 201659 - Exp Year 9700055 - Vehicle Identification Number 2003 50 - Year GM 51 - Make ENVOY 52 - Model UT - SPORT UTILITY 53 - Body Style TAN 54 - Color 100 - Skidmarks to Impact (Ft) FRONT 94 - Vehicle Damage VERY-MINOR 95 - Extent Of Damage Vehicle Towed Due To Damage 96 OPERATOR 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 03 03 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQT 4 7 VE H O W N E R Insurance School Bus IN S 45 Vehicle Owner Same As Operator BECKER 46 - Vehicle Owner Last Name BRUCE 46 - First Name ALLEN 46 - Middle Initial 46 - Suffix 02/18 Date Of Birth 46 - Company Name 47- Address Street & Number 47 - PO Box ALEXANDRIA 48 - City MN48 - State 56308 48 - Zip Code 49 - Telephone Number WEST-BEND-MUTUAL-INS-CO 63 - Liability Insurance Company Policy Holder Same As Owner 60 BECKER 61 - Policy Holder Last Name BRUCE 61 - Policy Holder First Name 61 - Policy Holder Company 03 03 03 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 L 66 - Occupant Last Name L 66 - First Name 66 - Middle Initial 66 - Suffix 01 68 - Address Street & Number 68 - PO Box PRESCOTT 68 - City WI 68 - State 54021 68 - Zip Code 0 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 N - NO APPARENT INJURY 70 - Injury Severity NON-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 02 65 - Unit No MILLER 66 - Occupant Last Name ERICA 66 - First Name M 66 - Middle Initial 66 - Suffix 02 68 - Address Street & Number 68 - PO Box HASTINGS 68 - City MN 68 - State 55033 68 - Zip Code 04/09 7 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 N - NO APPARENT INJURY 70 - Injury Severity NON-DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Occupant Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQT 5 7 Address Same As Operator OC C U P A N T 01 65 - Unit No MOYNIHAN 66 - Occupant Last Name MATTHEW 66 - First Name SHAWN 66 - Middle Initial 66 - Suffix 03 68 - PO Box HASTINGS 68 - City MN 68 - State 55033 68 - Zip Code 06/1967 - Date of Birth M69 - Sex SECOND-SEAT-LEFT-SIDE-(MC/BIKE PASSENGER, TRAIN BREAKMA 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment N - NO APPARENT INJURY70 - Injury Severity NON-DEPLOYED73 - Airbag NOT-EJECTED75 - Ejected Medical Transport77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space Occupant Address Same As Operator OC C U P A N T 01 65 - Unit No STOFFEL 66 - Occupant Last Name ALLISON 66 - First Name JEAN 66 - Middle Initial 66 - Suffix 04 68 - Address Street & Number 68 - PO Box HASTINGS 68 - City MN 68 - State 55033 68 - Zip Code 07/06/ 67 - Date of Birth F 69 - Sex SECOND-SEAT-MIDDLE 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment N - NO APPARENT INJURY 70 - Injury Severity NON-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 ALPIN 66 - Occupant Last Name SEAN 66 - First Name THOMAS 66 - Middle Initial 66 - Suffix 05 68 - Address Street & Number 68 - PO Box HASTINGS 68 - City MN 68 - State 55033 68 - Zip Code 11/09 67 - Date of Birth M 69 - Sex SECOND-SEAT-RIGHT 71 - Seat Position SHOULDER-BELT-AND-LAP-BELT-USED 72 - Safety Equipment N - NO APPARENT INJURY 70 - Injury Severity NON-DEPLOYED 73 - Airbag NOT-EJECTED 75 - Ejected Medical Transport 77 NOT-TRAPPED 76 - Trapped/Extricated 78 - Agency Space 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 GZDWFQT 6 7 105 - Photos By DI A G R A M A N D N A R R A T I V E Diagram and Narrative DEPUTY JEFF CAIN UNITS ONE, TWO AND THREE WERE ALL TRAVELING NORTHBOUND ON US HWY 63 TOGETHER. THEY MISSED THEIR TURN OFF AND WHEN UNIT ONE SAW A DRIVEWAY TO TURN AROUND IN SHE BRAKED HARD AND BEGAN TO TURN WITHOUT USING HER TURN SIGNAL TO ALERT THE OTHER CARS. UNIT TWO COLLIDED WITH THE BACK OF UNIT ONE AND UNIT THREE COLLIDED WITH THE BACK OF UNIT TWO. ALL THREE UNITS THEN DROVE ONTO THE SHOULDER AND AWAITED POLICE. UNITS ONE, TWO AND THREE WERE ALL TRAVELING NORTHBOUND ON US HWY 63 TOGETHER. THEY MISSED THEIR TURN OFF AND WHEN UNIT ONE SAW A DRIVEWAY TO TURN AROUND IN SHE BRAKED HARD AND BEGAN TO TURN WITHOUT USING HER TURN SIGNAL TO ALERT THE OTHER CARS. UNIT TWO COLLIDED WITH THE BACK OF UNIT ONE AND UNIT THREE COLLIDED WITH THE BACK OF UNIT TWO. ALL THREE UNITS THEN DROVE ONTO THE SHOULDER AND AWAITED POLICE. 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 CAIN 125 - Officer Last Name JEFF 314 131 - 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 07/09/2015 132 - Date Notified 1026133 - Time Notified (Military Time)1039134 - Time Arrived (Military Time) 07/09/2015 135 - Date Of Report 15070905 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDWFQT 7 7