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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