roadway.report

Fatal Crash Report

Print QR Code

Crash #2004550444 Crash #2004550444
Fatalities 1
State WISCONSIN
County GREEN
City
Date Aug. 28, 2004
Time 8:08 p.m.
Location(42.7285722, -89.5986833) - Fatality Map - Google Maps
Street Name 1 SR-69
Street Name 2 99999999999999999999
WeatherClear
Number of Vehicles 0
Number of Vehicles in Transport 2
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 6
Number of Persons in Motor Vehicles in Transport 0
Number of Persons in Parked Vehicles 6
Number of Nonmotorists 0
Route Signing State Highway
Rural / Urban Rural
Functional System Other Principal Arterial
Road Owner Unknown
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 0
First Harmful Event Motor Vehicle In-Transport Strikes or Is Struck by Cargo, Persons or Objects Setin-Motion From/by Another Motor Vehicle In-Transport
Manner of Collision Other (End-Swipes and Others)
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not Reported
Relation to Road On Roadway
Work Zone None
Light Condition Dark - Not Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 20
EMS Notified Minute 9
EMS Arrived Hour 20
EMS Arrived Minute 19
Arrived At Hospital Hour 20
Arrived at Hospital Minute 43
Crash Related FactorMotor Vehicle Struck by Falling Cargo or Something That Came Loose From or Something That Was Set in Motion by a Vehicle
Collapse TableCollapse Table

Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 46 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
Collapse TableCollapse Table
Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 47 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathAugust
Day of Death28
Year of Death2004
Hour of Death20
Minute of Death46
Lag Hours0
Lag Minutes38
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race White
Collapse TableCollapse Table
Person #2 in Vehicle #2 Person #2 in Vehicle #2
Age 33 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionFront Seat, Right Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
Collapse TableCollapse Table
Person #3 in Vehicle #2 Person #3 in Vehicle #2
Age 3 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionSecond Seat, Left Side
Restraint System UseChild Restraint - Type Unknown
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
Collapse TableCollapse Table
Person #4 in Vehicle #2 Person #4 in Vehicle #2
Age 9 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionSecond Seat, Middle
Restraint System UseChild Restraint - Type Unknown
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
Collapse TableCollapse Table
Person #5 in Vehicle #2 Person #5 in Vehicle #2
Age 6 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionSecond Seat, Right Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
Collapse TableCollapse Table

Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type Light Pickup
NCSA Model 481
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1GCDK14K2LE1
Model Year 1990
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing One Trailer
Trailer VIN 1 None
Trailer VIN 2 None
Trailer VIN 3 None
Trailer Weight Rating 1 Not Reported
Trailer Weight Rating 2 Not Reported
Trailer Weight Rating 3 Not Reported
Jackknife No
Motor Carrier ID 0.0
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 55
Travel Speed 40
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point Cargo/Vehicle Parts Set-in-Motion
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Wisconsin
Driver Zip Code 53566
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle Valid License for This Class Vehicle
Compliance with LIcense Restrictions Restrictions, Compliance Unknown
Driver Height 71
Driver Weight 215
Previous Recorded Crashes 2
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 1
Month of Oldest Violation September
Year of Oldest Violation 2002
Month of Newest Violation May
Year of Newest Violation 2003
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Three Lanes
Roadway Alignment Straight
Roadway Grade Grade, Unknown Slope
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Unknown
Critical Precrash Event OTHER Unknown
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Unknown
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Vehicle Factors Truck Coupling/Trailer Hitch/Safety Chains
Damaged Areas Cargo/Vehicle Parts Set-in-Motion
Vehicle Event 1 Separation of Units
Vehicle Event 2 Cross Median
Vehicle Event 3 Motor Vehicle In-Transport Strikes or Is Struck by Cargo, Persons or Objects Set-in-Motion From/by Another Motor Vehicle In-Transport
Vehicle Event 4 Motor Vehicle In-Transport
Vehicle Event 5 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 6 Unknown/Reported as Unknown (Since 2018)
Collapse TableCollapse Table
Vehicle #2 Vehicle #2
Fatalities 1
Number of Occupants 5
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type Large Utility (ANSI D-16 Utility Vehicle Categories “Full Size” and “Large”)
NCSA Model 421
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1GNEK13Z32J2
Model Year 2002
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 0.0
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 55
Travel Speed 55
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event MotorMotor Vehicle In-Transport Strikes or Is Struck by Cargo, Persons or Objects Setin-Motion From/by Another Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Wisconsin
Driver Zip Code 53566
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle Valid License for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 68
Driver Weight 200
Previous Recorded Crashes 1
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 2
Previous Other Moving Violations 0
Month of Oldest Violation April
Year of Oldest Violation 2002
Month of Newest Violation June
Year of Newest Violation 2003
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Three Lanes
Roadway Alignment Straight
Roadway Grade Grade, Unknown Slope
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Unknown
Critical Precrash Event OTHER Unknown
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Unknown
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Damaged Areas 12 O'Clock
Vehicle Event 1 Motor Vehicle In-Transport Strikes or Is Struck by Cargo, Persons or Objects Set-in-Motion From/by Another Motor Vehicle In-Transport
Vehicle Event 2 Ran off Road - Right
Vehicle Event 3 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 4 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 5 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 6 Unknown/Reported as Unknown (Since 2018)
Collapse TableCollapse Table

Comments

Date Comment