HomeMy WebLinkAbout20180927 thorp - blomgren.pdf18092713816
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13SSFB5 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
00
Total Units
02
Time Notified
02:26 PM
Date Notified
09/27/2018
Time Arrived
02:31 PM
Date Arrived
09/27/2018
Crash Time
12:15 PM
Crash Date
09/27/2018
Investigating Officer/Deputy
DEPUTY CRAIG DEPEW
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
S
S
F
B
5
Additional InformationPHOTOS
Photos ByDEPUTY DARIN JENSEN
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
UNIT #1 WAS TRAVELING ON KRUGER RD APPROACHING A SET OF RAILROAD TRACKS THAT CROSS KRUGER RD. THE OPERATOR OF UNIT ONE SAID THAT HE DID NOT SEE THE SOUTHBOUND TRAIN ON THE TRACKS UNTIL IT WAS TOO LATE AS THE TRACTOR/TRAILER HE WAS OPERATING
WAS ALREADY ON THE TRAIN TRACKS. THE TRAIN WHO WAS OWNED BY WISCONSIN GREAT NORTHERN , HAD STRUCK THE AXLE OF THE SEMI
TRAILER CAUSING THE TRACTOR TRAILER TO BE DRUG APPROXIMATELY 30 FEET AND ONE OF THE CARS ON THE TRAIN TO PARTIALLY DE-RAIL.
Crash Time 12:15 PM
Crash Date 09/27/2018This report does not include any CJIS data.
7of1
Wisconsin Motor Vehicle Crash
Form DT4000
18092713816
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13SSFB5 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
Y CoordinateX Coordinate
LongitudeLatitudeINTERSECTION
ON KRUGER RD
AT USH63 SB
IN THE TOWN OF BASS LAKE
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)
CLOUDY
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
08--FRONT TO SIDE
First Harmful Event Location
ON ROADWAY
First Harmful Event
MOTOR VEH IN TRANSPORT
Crash Scene
Intersection Type
OTHER
Junction Location
INTERSECTION
Within Interchange Area
NO
Time Roadway RepairedDate Roadway RepairedTime All Lanes Open
05:15 PM
Date All Lanes Open
09/27/2018
Time Initial Lane/Rd Closed
02:26 PM
Date Initial Lane/Rd Closed
09/27/2018
Reasons for Closure
LAW ENFORCEMENT
Closure Type
FULL CLOSURE
Reporting Threshold
NO
Truck Bus or HazMat
TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
YIELD SIGN
Traffic Way
TWO-WAY, NOT DIVIDED
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTION
Most Harmful Event: Collision With
RAILWAY VEHICLE (TRAIN, ENGINE)
Total Lanes
2
Speed Limit
N/A
Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
1
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
TRUCK TRACTOR (SEMI ATTACHED)01
Unit Type
TRUCK
Vehicle Operating As Classification
A CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
Model
TRACTOR
Year
1986
Make
FREIGHTLINER CORP
Vehicle Identification Number
83920101
Country of Issuance
UNITED STATES
St
WI
Plate Type
TOR - TRACTOR
License Plate Number
Vehicle
Crash Time 12:15 PM
Crash Date 09/27/2018This report does not include any CJIS data.
7of2
Wisconsin Motor Vehicle Crash
Form DT4000
18092713816
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13SSFB5 WISCONSIN MOTOR VEHICLE
CRASH REPORT
01
Driver DistractionsCARELESS/INATTENTION
01
Driver Actions
FAILED TO YIELD RIGHT-OF-WAY
Driver Prior Action Other
NONE
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
OTHER
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
6--REAR
Initial Contact Point
6--REAR
Bus UseNOT A BUSBody Style
TC - TRACTOR
Color
MUL - MULTICOLOR
VE
H
I
C
L
E
UN
I
T
UN
I
T
VE
H
I
C
L
E
Address
GLIDDEN, WI 54527 , US
Organization/CompanyFNA SERVICES LLC
VE
H
I
C
L
E
OW
N
E
R
UN
I
T
Vehicle Owner
Sequence Of Events
EventMOTOR VEH IN TRANSPORT01
EventRAILWAY VEHICLE (TRAIN, ENGINE)02
Event
03
Event
04
IndividualInsurance Company
MAUCK INS AGENCY
Policy Holder
UN
I
T
Trailer/Towed
Vehicle Identification Number
9230
Address
GLIDDEN, WI 54527 , US
Organization/Company Unit Type
SEMI TRAILER
TR
A
I
L
E
R
/
TO
W
E
D
Country of Issuance
UNITED STATES
State
WI
Make
GREAT LAKE
Plate Type
STL - SEMI
Trailer Plate #
01
UN
I
T
Race
WHITEDate of Birth
01/10/
Sex
MALE
Citations Issued
0
Driver
IT
Individual
ID
U
A
L
Crash Time 12:15 PM
Crash Date 09/27/2018This report does not include any CJIS data.
7of3
Wisconsin Motor Vehicle Crash
Form DT4000
18092713816
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13SSFB5 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 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
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
GLIDDEN, WI 54527 , US
UN
I
T
Equipment
Non Motorist
UN
IN
D
I
V
I
D
U
A
L
IN
D
I
V
Permitted LoadCarrier TypeUS DOT #
Cargo Body TypeVehicle Configuration GVWR
01
Address
, ,
Name
01
SourceUse Vehicle Owner Same as Carrier
Carrier
IT
UN
BU
S
CK
Crash Time 12:15 PM
Crash Date 09/27/2018This report does not include any CJIS data.
7of4
Wisconsin Motor Vehicle Crash
Form DT4000
18092713816
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13SSFB5 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Measured WeightMeasured WidthMeasured LengthMeasured Height
Escort Vehicle PresentEscort Vehicle Required
By Permit
Permitted Vehicle On
Permitted Route
WI Permit NumberOS/OW LoadTR
U
Reporting Threshold
NO
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
OTHER
Traffic Control Inoperative/Missing
NO
Traffic Control
NO CONTROL
Traffic Way
UNKNOWN
Emergency Motor Vehicle Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTIONMost Harmful Event: Collision With
MOTOR VEH IN TRANSPORT
Total Lanes
2
Speed LimitPre CrashTire
Mark
Direction Of Travel
SOUTHBOUND
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # Injured
0
Total Occs
1
Operating As Endorsements
T - DOUBLES/TRIPLES
Vehicle Type
RAILWAY TRAIN02
Unit Type
EQUIPMENT
Vehicle Operating As Classification
O CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
02
Driver DistractionsNOT DISTRACTED
02
Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed ByTowed Due To Damage
NOT TOWED
Extent Of Damage
NO DAMAGE
Vehicle Damage
NO DAMAGE
Initial Contact Point
UNKNOWN
Bus UseNOT A BUSBody StyleColor
ModelYearMakeVehicle Identification Number
0202
Country of IssuanceStPlate TypeLicense Plate Number
VE
H
I
C
L
E
UN
I
T
Vehicle
UN
I
T
VE
H
I
C
L
E
Crash Time 12:15 PM
Crash Date 09/27/2018This report does not include any CJIS data.
7of5
Wisconsin Motor Vehicle Crash
Form DT4000
18092713816
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13SSFB5 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Address
TREGO, WI 54888 , US
Organization/Company
VE
H
I
C
L
E
OW
N
E
R
UN
I
T
Vehicle Owner
Sequence Of Events
EventRAILWAY VEHICLE (TRAIN, ENGINE)01
EventMOTOR VEH IN TRANSPORT02
Event
03
Event
04
Injury
Drug & Alcohol
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 APPLICABLE
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00
2
02
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER
Safety Equipment
RESTRAINT USE UNKNOWN
On Duty Crash
Driver License Number
STATE: MINNESOTA COUNTRY: UNITED STATES
Address
ROCHESTER, MN 55904 , US
Race
WHITEDate of Birth
03/16/
Sex
MALE
Citations Issued
0
Driver
UN
I
T
IT
Equipment
Non Motorist
Individual
UN
IN
D
I
V
I
D
U
A
L
IN
D
I
V
ID
U
A
L
Crash Time 12:15 PM
Crash Date 09/27/2018This report does not include any CJIS data.
7of6
Wisconsin Motor Vehicle Crash
Form DT4000
18092713816
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13SSFB5 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Individual Condition
APPEARED NORMAL
Drug Type
00
2
02
Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN
Address
, ,
Unknown
PR
O
P
OW
N
E
R
01
Fixed Objects Struck
Property Owner
Damage Tag NumberStruck Object
TRAFFIC SIGN POST
Striking Unit
0101
Crash Time 12:15 PM
Crash Date 09/27/2018This report does not include any CJIS data.
7of7
Wisconsin Motor Vehicle Crash
Form DT4000