HomeMy WebLinkAbout180812 BECKWITH.pdfI, SGT. AL-MOGHRABI, WAS MADE AWARE OF A MOTORCYCLE VS DEER CRASH ON USH 63 NORTH OF CTH OO ON 8/12/18 AT 2143. I WAS ADVISED
THE OPERATOR WAS BEING BROUGHT IN TO HAYWARD HOSPITAL VIA PRIVATE PARTY WITH A POSSIBLE BROKEN LEG AND THAT THE BIKE WAS
OFF THE ROADWAY. I ARRIVED AT HAYWARD HOSPITAL FOLLOWED SHORTLY BY THE PARTY DELIVERING THE OPERATOR, TO THE ER. UPON MEETING WITH BECKWITH, HE ADVISED HE HAD BEEN TRAVELING ALONE AROUND 55 MPH N/B ON USH 63 ABOUT 1.5 MILES NORTH
OF CTH OO WHEN A DEER ENTERED THE ROADWAY. ADVISED HE DROVE THROUGH THE DEER AND AFTER GOING ANOTHER
APPROXIMATE MILE HE WENT TO STOP AND PUT HIS FOOT DOWN AT WHICH TIME HE FOUND HE COULDN'T PUT WEIGHT ON HIS RIGHT LEG.
ADVISED HE BELIEVE HE BROKE HIS RIGHT TIBIA OR FIBULA. ADVISED HE WAS NOT WEARING A HELMET BUT WAS WEARING
EYE PROTECTION WITH THE MOTORCYCLE BEING INSURED BY AMERICAN FAMILY. STATED TO THE ER PHYSICIAN THAT HE HAD ONE
MIXED DRINK AT THE SAWMILL. WHILE SPEAKING WITH BECKWITH, I DID NOT BELIEVE ALCOHOL WAS A FACTOR. I WAS ADVISED THAT FRIENDS HAD ALREADY REMOVED THE MOTORCYCLE HOWEVER THE DEER WAS STILL IN THE ROADWAY. UPON LEAVING TO REMOVE THE DEER, A
RECORDS CHECK INDICATED BECKWITH WAS ONLY OPERATING ON A MOTORCYCLE PERMIT WITH NO OPERATING DURING HOURS OF DARKNESS
18081206
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WRW WISCONSIN MOTOR VEHICLE
CRASH REPORT
Secondary
CrashAmendedCrash Type
DT4000 (STANDARD CRASH)Reportable
TagsSchool Bus Related
NOActive School ZoneGovernment
Property
Reporting
ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
01
Total Units
01
Time Notified
09:43 PM
Date Notified
08/12/2018
Time Arrived
09:51 PM
Date Arrived
08/12/2018
Crash Time
09:43 PM
Crash Date
08/12/2018
Investigating Officer/Deputy
SERGEANT NICK ALMOGHRABI
Agency Crash Number
18081206
Primary Crash Document #Document Number Override
6V
L
1
5
G
5
W
R
W
Additional InformationOTHER DOCUMENTS
Photos By
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 09:43 PM
Crash Date 08/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
WITHOUT A VALID CLS M SUBJECT OVER 25 YOA WITH TWO YEARS EXPERIENCE. WILL RECEIVE A CITATION BY MAIL FOR OPERATING A
MOTORCYCLE WITHOUT A VALID DL. THE DEER WAS LOCATED NORTH OF COOK ROAD.
18081206
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WRW WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5118737
X Coordinate
164406.578125
Longitude
-91.345122106
Latitude
46.139554301
ON USH63 NB
0.40 MI W
OF NORTHERN LIGHTS RD
IN THE TOWN OF LENROOT
IN SAWYER COUNTY
Location
Special StudyAccess Control
NO CONTROL
Tribal Land
Crash Classification - Jurisdiction
NO SPECIAL JURISDICTION
Crash Classification - Location
PUBLIC PROPERTY
Relation To Trafficway
TRAFFICWAY - ON ROAD
Animal Type
DEER
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DARK/UNLIT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
ON ROADWAY
First Harmful Event
NON DOMESTICATED ANIMAL (ALIVE)
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle UseNOT APPLICABLESpecial FunctionNO SPECIAL FUNCTIONMost Harmful Event: Collision With
NON DOMESTICATED ANIMAL (ALIVE)
Total Lanes
2
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
1
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
MOTORCYCLE01
Unit Type
MOTORCYCLE
Vehicle Operating As Classification
M CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
Bus UseNOT A BUSBody Style
MC - MOTORCYCLE
Color
BLK - BLACK
Model
UNKNOWN
Year
2001
Make
HONDA
Vehicle Identification Number
015830101
Country of Issuance
UNITED STATES
St
WI
Plate Type
CYC - CYCLE
License Plate Number
Vehicle
Crash Time 09:43 PM
Crash Date 08/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
18081206
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WRW WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
SPRINGBROOK, WI 54875 , US
Owner Name
01
Driver DistractionsUNKNOWN IF DISTRACTED
01
Driver Actions
NO CONTRIBUTING ACTION, UNKNOWN
Driver Prior Action Other
Vehicle Factors
UNKNOWN
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed ByTowed Due To Damage
NOT TOWED
Extent Of Damage
UNKNOWN
Vehicle Damage
UNKNOWN
Initial Contact Point
12--FRONT
VE
H
I
C
L
E
UN
I
T
UN
I
T
VE
H
I
C
L
E
Sequence Of Events
EventNON DOMESTICATED ANIMAL (ALIVE)01
Event
02
Event
03
Event
04
IndividualInsurance Company
AMERICAN-FAMILY-INS-CO
Policy Holder
UN
I
T
Tint Compliance
UNKNOWN
Eye Protection
YES: WORN
Helmet Compliance
UNKNOWN
Helmet Use
NO
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Protective Gear
BOOTS, LONG PANTS
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
SPRINGBROOK, WI 54875 , US
Race
WHITE
Date of Birth
08/24/
Sex
MALE
Citations Issued
1
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 09:43 PM
Crash Date 08/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
18081206
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15G5WRW WISCONSIN MOTOR VEHICLE
CRASH REPORT
Injury
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
1
01
Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug Use
NO
Suspected Alcohol Use
YES
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 APPLICABLE
Airbag
NOT APPLICABLE
Injury Severity
SUSPECTED SERIOUS INJUR00
1
01
UN
I
T
Non Motorist
IN
D
I
V
I
D
U
A
L
Violations
DescriptionOPERATE MOTORCYCLE W/O VALID LICENSESeq Num001Statute Number343.05(3)(b)Issue To?
001
UTC Number
AE539052301
Crash Time 09:43 PM
Crash Date 08/12/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.