HomeMy WebLinkAbout20180808 FROEMEL-RIVET.pdf18080811037
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HKX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
DT4000 (STANDARD CRASH)Reportable
TagsSchool Bus Related
NOActive School ZoneGovernment
Property
Trailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
02
Total Units
02
Time Notified
01:14 PM
Date Notified
08/08/2018
Time Arrived
01:15 PM
Date Arrived
08/08/2018
Crash Time
01:12 PM
Crash Date
08/08/2018
Investigating Officer/Deputy
DEPUTY AMBER ALMOGHRABI
Agency Crash Number
18080803
Primary Crash Document #Document Number Override
6V
L
1
3
W
8
H
K
X
Additional InformationPHOTOS
Photos ByDEPUTY AMBER AL-MOGHRABI
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON AUGUST 8, 2018, I DEPUTY AMBER AL-MOGHRABI WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S DEPT. AT APPROXIMATELY 13:14, I HEARD DISPATCH PAGE FOR AN AMBULANCE AND FIRE DEPT FOR A 2 VEHICLE ACCIDENT AT COUNTY ROAD B AND STATE HWY 27
UNKNOWN INJURIES. I ADVISED DISPATCH THAT I WAS ABOUT A MINUTE AWAY AND THAT I WOULD BE EN ROUTE. UPON ARRIVAL AT 13:15 I
NOTICED TWO VEHICLES, ONE THAT HAD REAR ENDED THE OTHER ONE. I SPOKE TO A MALE IN THE FIRST VEHICLE THAT STATED HIS MOTHER
WAS WITH HIM AND WAS COMPLAINING OF HER NECK HURTING. I THEN SPOKE TO THE DRIVER OF THE OTHER VEHICLE WHO STATED HE HAD
SOME CHEST PAINS BUT HIS WIFE WHO WAS THE PASSENGER WAS OK. I ADVISED DISPATCH THAT THEY COULD CANCEL THE FIRE DEPT, BUT TO
KEEP EMS COMING. I RAN BOTH PLATES FOR DISPATCH AND GOT ALL INDIVIDUALS INFORMATION. UPON SPEAKING WITH GLEN FROEMEL, THE DRIVER OF UNIT ONE, HE STATED THE STOP LIGHT ON COUNTY ROAD B TURNING RIGHT ONTO STATE HWY 27 TURNED RED SO HE STOPPED. HE
STATED AFTER THAT THE VEHICLE BEHIND HIM RAN INTO HIM. HE STATED THAT HIS MOTHER, , AND HIM WERE BOTH WEARING
THEIR SEATBELTS AND HAD NOT BEEN DRINKING. HE ALSO STATED THAT HE HAD STATEFARM INSURANCE. I THEN WENT TO SPEAK WITH THE
DRIVER OF THE OTHER VEHICLE WHO WAS IDENTIFIED AS ALBERT RIVET. HE STATED THAT HE WAS TRAVELING WESTBOUND ON CTY ROAD B
AND STARTED SLOWING WHEN HE SAW THE RED LIGHT. HE STATED THAT HE WAS GOING APPROXIMATELY 5 MPH AND LOOKED TO THE LEFT AND
Crash Time 01:12 PM
Crash Date 08/08/2018This report does not include any CJIS data.
8of1
Wisconsin Motor Vehicle Crash
Form DT4000
GOT DISTRACTED AND HIT THE VEHICLE IN FRONT OF HIM. HE STATED THAT HE AND HIS WIFE, WERE BOTH WEARING THEIR
SEATBELTS AND HAD NOT BEEN DRINKING AND THAT HE HAS PARTNERS MUTUAL FOR INSURANCE. AT THAT TIME EMS ARRIVED ON SCENE AND
WAS LOOKING AT BOTH PATIENTS WHO BOTH REFUSED TRANSPORT AND MEDICAL ATTENTION. I NOTICED MINOR DAMAGE TO BOTH VEHICLES AND TOOK PICTURES OF THE DAMAGE. I ADVISED BOTH PARTIES TO CONTACT THEIR INSURANCE COMPANIES AND INFORM THEM OF WHAT
HAPPENED AND...SEE REPORT FOR FURTHER.
18080811037
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HKX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5104614.5
X Coordinate
153066
Longitude
-91.481217193
Latitude
46.007167237
INTERSECTION
ON CTHBAT STH27 NB
IN THE CITY OF HAYWARD
IN SAWYER COUNTY
Location
Special StudyAccess Control
FULL CONTROL
Tribal Land
Crash Classification - Jurisdiction
NO SPECIAL JURISDICTION
Crash Classification - Location
PUBLIC PROPERTY
Relation To Trafficway
TRAFFICWAY - ON ROAD
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
02--FRONT TO REAR
First Harmful Event Location
ON ROADWAY
First Harmful Event
MOTOR VEH IN TRANSPORT
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Reporting Threshold
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
TRAFFIC SIGNAL
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTIONMost Harmful Event: Collision With
MOTOR VEH IN TRANSPORT
Total Lanes
4
Speed Limit
35Pre CrashTire
Mark
Direction Of Travel
WESTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
2
Operating As EndorsementsVehicle Type
PASSENGER CAR01
Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
Bus UseNOT A BUSBody Style
4D - 4DR
Color
BLK - BLACK
Model
A4
Year
2017
Make
AUDI
Vehicle Identification Number
573890101
Country of Issuance
UNITED STATES
St
MN
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 01:12 PM
Crash Date 08/08/2018This report does not include any CJIS data.
8of2
Wisconsin Motor Vehicle Crash
Form DT4000
18080811037
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HKX WISCONSIN MOTOR VEHICLE
CRASH REPORT
01
Driver DistractionsNOT DISTRACTED
01
Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
SLOW/STOPPING
Vehicle Removed By
OWNER
Towed Due To Damage
NOT TOWED
Extent Of Damage
MINOR DAMAGE
Vehicle Damage
6--REAR
Initial Contact Point
6--REAR
VE
H
I
C
L
E
UN
I
T
UN
I
T
VE
H
I
C
L
E
Address
MINNEAPOLIS, MN 55414 , US
Individual
VE
H
I
C
L
E
OW
N
E
R
UN
I
T
Vehicle Owner
Sequence Of Events
EventMOTOR VEH IN TRANSPORT01
Event
02
Event
03
Event
04
IndividualInsurance Company
STATE-FARM-GENERAL-INS-CO
Policy Holder
UN
I
T
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: MINNESOTA COUNTRY: UNITED STATES
Address
MINNEAPOLIS, MN 55414 , US
Race
WHITE
Date of Birth
11/01
Sex
MALE
Citations Issued
0
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 01:12 PM
Crash Date 08/08/2018This report does not include any CJIS data.
8of3
Wisconsin Motor Vehicle Crash
Form DT4000
18080811037
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HKX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Injury
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
1
01
Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug UseSuspected Alcohol Use
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00
1
01
Tint ComplianceEye Protection
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Injury
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
POSSIBLE INJURY00
2
01
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
HAYWARD, WI 54843 , US
Race
WHITEDate of Birth
05/22
Sex
FEMALE
Citations Issued
0
Passenger
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 01:12 PM
Crash Date 08/08/2018This report does not include any CJIS data.
8of4
Wisconsin Motor Vehicle Crash
Form DT4000
18080811037
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HKX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
2
01
Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug UseSuspected Alcohol Use
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Reporting Threshold
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
TRAFFIC SIGNAL
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTIONMost Harmful Event: Collision With
MOTOR VEH IN TRANSPORT
Total Lanes
4
Speed Limit
35Pre CrashTire
Mark
Direction Of Travel
WESTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
2
Operating As EndorsementsVehicle Type
PASSENGER CAR02
Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
Extent Of Damage
MINOR DAMAGE
Vehicle Damage
12--FRONT
Initial Contact Point
12--FRONT
Bus UseNOT A BUSBody Style
4D - 4DR
Color
BRO - BROWN
Model
VERANO
Year
2014
Make
BUICK
Vehicle Identification Number
22320202
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
VE
H
I
C
L
E
UN
I
T
Vehicle
Crash Time 01:12 PM
Crash Date 08/08/2018This report does not include any CJIS data.
8of5
Wisconsin Motor Vehicle Crash
Form DT4000
18080811037
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HKX WISCONSIN MOTOR VEHICLE
CRASH REPORT
02
Driver DistractionsDISTRACTION/INATTENTION
02
Driver Actions
OTHER CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
SLOW/STOPPING
Vehicle Removed By
OWNER
Towed Due To Damage
NOT TOWED
UN
I
T
VE
H
I
C
L
E
Address
HAYWARD, WI 54843 , US
Individual
VE
H
I
C
L
E
OW
N
E
R
UN
I
T
Vehicle Owner
Sequence Of Events
EventMOTOR VEH IN TRANSPORT01
Event
02
Event
03
Event
04
IndividualInsurance Company
PARTNERS-MUTUAL-INS-CO
Policy Holder
UN
I
T
Injury Airbag
NON DEPLOYED
Injury Severity
POSSIBLE INJURY00
3
02
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
HAYWARD, WI 54843 , US
Race
WHITE
Date of Birth
02/11
Sex
MALE
Citations Issued
0
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 01:12 PM
Crash Date 08/08/2018This report does not include any CJIS data.
8of6
Wisconsin Motor Vehicle Crash
Form DT4000
18080811037
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HKX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
3
02
Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug UseSuspected Alcohol Use
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT EJECTED
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Injury
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00
4
02
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
HAYWARD, WI 54843 , US
Race
WHITEDate of Birth
06/17
Sex
FEMALE
Citations Issued
0
Passenger
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 01:12 PM
Crash Date 08/08/2018This report does not include any CJIS data.
8of7
Wisconsin Motor Vehicle Crash
Form DT4000
18080811037
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13W8HKX WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
4
02
Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug UseSuspected Alcohol Use
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Crash Time 01:12 PM
Crash Date 08/08/2018This report does not include any CJIS data.
8of8
Wisconsin Motor Vehicle Crash
Form DT4000