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HomeMy WebLinkAbout20151019 NortonAgency 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 GZDLK2Z DOT Document Number Document Override Number 15101909 15 1 0 1 9 0 9 15101909 15 1 0 1 9 0 9 10/19/2015 4 - Accident Date 1515 5 - Time of Accident (Military Time) 01 6 - Total Units 00 7 - Total Injured 00 8 - Total Killed SAWYER - 572 - County ROUND LAKE - 13, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location 14 - On Hwy No. MORGAN RD 14 - On Street Name 14 - Bus/Frnt/Rmp 721 FT15 - Est. Distance NORTH15 - Hwy. Dir 07716 - Fr/At Hwy No.16 - From/At Street Name 16 - Business/Frontage/Ramp 17 - Structure Type 17 - Structure Number 46.067423 12 - Latitude -91.16542813 - 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 OP E R A T O R / P E D E S T R I A N Unit Status DITCH 81 - Most Harmful Event: Collision With NORTH 23 - Dir Of Travel 4524 - 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 NORTON 25 - Operator/Pedestrian Last Name GREGORY 25 - First Name BRIAN 25 - Middle Initial 25 - Suffix 05/20/ 32 - Date Of Birth MALE 33 - Sex 26 - Address Street & Number 26 - PO Box DULUTH 27 - City MN 27 - State 55808 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 NOT APPLICABLE 41 - Airbag NOT-EJECTED 42 - Ejected 44 Medical Transport NOT-TRAPPED 43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action NEGOTIATING-CURVE 119 - What Driver Was Doing NO-CONTROL 120 - Traffic Control 062 - No. of Citations Issued 64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No. FAILURE-TO-HAVE-CONTROL 122 - Driver Factors APPEARED NORMAL88 - 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 GZDLK2Z 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 TRUCK 21 - Unit Type PICKUP/UTILITY-TRUCK Vehicle Type 1 22 - Total Occupants YBJ7849 56 - License Plate Number LTK57 - Plate Type MN 58 - State 2016 59 - Exp Year 3508 55 - Vehicle Identification Number 1999 50 - Year FRHT 51 - Make ICCHA 52 - Model VN - VAN 53 - Body Style WHI 54 - Color 100 - Skidmarks to Impact (Ft) FRONT, FRONT PASSENGER SIDE, MIDDLE PASSENGER SIDE, REAR PASSENGER SIDE, REAR, FRONT DRIVER SIDE, UNDERCARRIAGE 94 - Vehicle Damage SEVERE 95 - Extent Of Damage Vehicle Towed Due To Damage 96 ROY'S ENTERPRISES 97 - Vehicle Removed By NOT-APPLICABLE 123 - Vehicle Factors 45 Vehicle Owner Same As Operator 46 - Vehicle Owner Last Name 46 - First Name 46 - Middle Initial 46 - Suffix Date Of Birth SPEE DEE DELIVERY SERVICE INC46 - Company Name 47- Address Street & Number 47 - PO Box DULUTH48 - City MN48 - State 5580848 - Zip Code 49 - Telephone Number APOLLO63 - Liability Insurance Company Policy Holder Same As Owner60 61 - Policy Holder Last Name 61 - Policy Holder First Name SPEE DEE DELIVERY SERVICE INC61 - 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 GZDLK2Z 2 424 Fixed Objects Struck PR O P E R T Y O W N E R Property GOVERNMENT Organization Type 84 - Property Owner Last Name 84 - First Name 84 - Middle Initial 84 - Suffix 01 TOWN OF SPIDER LAKE 84 - Company Name COUNTY/MUNICIPAL Government Property Type 85 - Address Street & Number 85 - PO Box HAYWARD 86 - City WI 86 - State 54843 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 Fixed Objects Struck PR O P E R T Y O W N E R Property ORGANIZATION Organization Type 84 - Property Owner Last Name 84 - First Name 84 - Middle Initial 84 - Suffix 02 JUMP RIVER ELECTRIC CO-OP84 - Company Name Government Property Type 13895W CTH B 85 - Address Street & Number 85 - PO Box HAYWARD86 - City WI86 - State 5484386 - Zip Code (715) 634-4575 EXT.87 - Telephone Number 83 - Government Damage Tag Number 01 82 - Striking Unit UTILITY-POLE 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 Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDLK2Z 3 4 105 - Photos By DI A G R A M A N D N A R R A T I V E Diagram and Narrative SGT NICK ALMOGHRABI I, SGT. NICK AL-MOGHRABI, WAS DISPATCHED TO A ONE VEHICLE PROPERTY DAMAGE ROLLOVER ON MORGAN ROAD IN THE TOWNSHIP OF SPIDER LAKE ON 10/19/15 AT 15:31. UPON MY ARRIVAL 2/10 MILE NORTH OF STH 77 ON MORGAN ROAD, I OBSERVED A SPEE-DEE DELIVERY TRUCK ROLLED OVER ON THE PASSENGER SIDE IN THE EAST DITCH DOWN AN EMBANKMENT. UPON CHECKING THE CAB BY CRAWLING ONTO THE DRIVER'S SIDE OF THE VAN, I DID NOT LOCATE ANYONE. I WAS ADVISED SOON AFTER THAT THE OPERATOR HAD GOTTEN A RIDE AND A TOW SERVICE WAS BRINGING HIM TO THE SCENE. WHILE WAITING FOR THE OPERATOR TO ARRIVE, I OBSERVED WHERE THE VEHICLE TRACKS ENTERED THE EAST SHOULDER LEADING TO THE DITCH. THERE WAS A THIN TIRE MARK ON THE ROADWAY FROM THE DRIVER'S SIDE FRONT TIRE LEADING ME TO BELIEVE THE OPERATOR HAD TAKEN THE CORNER TOO FAST. I ALSO OBSERVED WHERE THE PASSENGER SIDE OF THE TRUCK STRUCK A JUMP RIVER ELECTRIC POLE CAUSING MINOR DAMAGE TO IT. UPON THE ARRIVAL OF THE OPERATOR, IDENTIFIED AS GREGORY NORTON OF DULUTH, HE ADVISED HE THE TRUCK WAS NEAR EMPTY AND WAS NOT HAULING ANY HAZARDOUS MATERIALS. WHEN ASKED, I WAS TOLD THERE WAS 1/2 TANK OF FUEL IN A 22 GALLON TANK. I DID NOT OBSERVE ANY FUEL LEAKAGE. NORTON TOLD ME THAT HE HAS BRONCHITIS AND HAD A COUGHING ATTACK WHILE NEGOTIATING THE CORNER AT WHAT HE ESTIMATED WAS 30 MPH. NORTON STATED ONCE HE LEFT THE ROADWAY HE TRIED TO CORRECT THE TRUCK BUT KEPT GETTING PULLED FURTHER OFF THE ROAD DOWN INTO THE DITCH. I HAD OBSERVED A LARGE BOULDER THE VEHICLE STRUCK IN THE EMBANKMENT WHICH WAS BELIEVED TO BE THE CAUSE OF ROLLING ONTO THE PASSENGER SIDE. NORTON ADDED THAT THE TRUCK HAS A MANUAL TRANSMISSION AND THAT HE DOESN'T USUALLY DRIVE A CLUTCH. DUE TO THE TRUCK BEING APPROXIMATELY 15 FEET OFF THE ROADWAY AND 15 FEET DOWN AN EMBANKMENT, A MEDIUM DUTY WRECKER WAS CALLED TO REMOVE IT. FROM THE TIME NORTON EXITED THE ROADWAY, HE TRAVELED 145 FEET BEFORE COMING TO A REST. NO INJURIES WERE SUSTAINED. I, SGT. NICK AL-MOGHRABI, WAS DISPATCHED TO A ONE VEHICLE PROPERTY DAMAGE ROLLOVER ON MORGAN ROAD IN THE TOWNSHIP OF SPIDER LAKE ON 10/19/15 AT 15:31. UPON MY ARRIVAL 2/10 MILE NORTH OF STH 77 ON MORGAN ROAD, I OBSERVED A SPEE-DEE DELIVERY TRUCK ROLLED OVER ON THE PASSENGER SIDE IN THE EAST DITCH DOWN AN EMBANKMENT. UPON CHECKING THE CAB BY CRAWLING ONTO THE DRIVER'S SIDE OF THE VAN, I DID NOT LOCATE ANYONE. I WAS ADVISED SOON AFTER THAT THE OPERATOR HAD GOTTEN A RIDE AND A TOW SERVICE WAS BRINGING HIM TO THE SCENE. WHILE WAITING FOR THE OPERATOR TO ARRIVE, I OBSERVED WHERE THE VEHICLE TRACKS ENTERED THE EAST SHOULDER LEADING TO THE DITCH. THERE WAS A THIN TIRE MARK ON THE ROADWAY FROM THE DRIVER'S SIDE FRONT TIRE LEADING ME TO BELIEVE THE OPERATOR HAD TAKEN THE CORNER TOO FAST. I ALSO OBSERVED WHERE THE PASSENGER SIDE OF THE TRUCK STRUCK A JUMP RIVER ELECTRIC POLE CAUSING MINOR DAMAGE TO IT. UPON THE ARRIVAL OF THE OPERATOR, IDENTIFIED AS GREGORY NORTON OF DULUTH, HE ADVISED HE THE TRUCK WAS NEAR EMPTY AND WAS NOT HAULING ANY HAZARDOUS MATERIALS. WHEN ASKED, I WAS TOLD THERE WAS 1/2 TANK OF FUEL IN A 22 GALLON TANK. I DID NOT OBSERVE ANY FUEL LEAKAGE. NORTON TOLD ME THAT HE HAS BRONCHITIS AND HAD A COUGHING ATTACK WHILE NEGOTIATING THE CORNER AT WHAT HE ESTIMATED WAS 30 MPH. NORTON STATED ONCE HE LEFT THE ROADWAY HE TRIED TO CORRECT THE TRUCK BUT KEPT GETTING PULLED FURTHER OFF THE ROAD DOWN INTO THE DITCH. I HAD OBSERVED A LARGE BOULDER THE VEHICLE STRUCK IN THE EMBANKMENT WHICH WAS BELIEVED TO BE THE CAUSE OF ROLLING ONTO THE PASSENGER SIDE. NORTON ADDED THAT THE TRUCK HAS A MANUAL TRANSMISSION AND THAT HE DOESN'T USUALLY DRIVE A CLUTCH. DUE TO THE TRUCK BEING APPROXIMATELY 15 FEET OFF THE ROADWAY AND 15 FEET DOWN AN EMBANKMENT, A MEDIUM DUTY WRECKER WAS CALLED TO REMOVE IT. FROM THE TIME NORTON EXITED THE ROADWAY, HE TRAVELED 145 FEET BEFORE COMING TO A REST. NO INJURIES WERE SUSTAINED. 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 ALMOGHRABI125 - Officer Last Name NICK 392131 - Officer ID 129 - Law Enforcement Agency No. SAWYER COUNTY SHERIFFS DEPT 130 - Law Enforcement Agency Name 15880 EAST FIFTH STREET126 - Law Enforcement Agency Address Street & Number HAYWARD 127 - City WI 127 - State 54843 127 - Zip Code (715) 634-4858 EXT. 128 - Telephone Number 10/19/2015132 - Date Notified 1531133 - Time Notified (Military Time)1544134 - Time Arrived (Military Time)10/19/2015135 - Date Of Report 15101909 15101909 19 - Special Study 18 - Agency Space Accident Report of MV4000e 01/2005 Page PK2012 Wisconsin Motor Vehicle GZDLK2Z 4 4