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Fatal Crash Report

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Crash #2011550109 Crash #2011550109
Fatalities 1
State WISCONSIN
County WASHINGTON
City
Date April 19, 2011
Time 2:27 p.m.
Location(43.4236889, -88.3362583) - Fatality Map - Google Maps
Street Name 1 US-41
Street Name 2 SR-33
WeatherSleet or Hail
Number of Vehicles 4
Number of Vehicles in Transport 2
Number of Parked Vehicles 2
Number of Persons in Motor Vehicles 4
Number of Persons in Motor Vehicles in Transport 2
Number of Persons in Parked Vehicles 2
Number of Nonmotorists 1
Route Signing U.S. Highway
Rural / Urban Rural
Functional System Other Principal Arterial
Road Owner Unknown
National Highway System Part of the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 0
First Harmful Event Parked Motor Vehicle (Not In-Transport)
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection Yes
Relation to Junction Other Location Within Interchange Area
Type of Intersection Not an Intersection
Relation to Road On Shoulder
Work Zone None
Light Condition Daylight
Atmospheric Condition Sleet, Hail
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 14
EMS Notified Minute 28
EMS Arrived Hour 14
EMS Arrived Minute 43
Arrived at Hospital Minute 96
Crash Related FactorRecent Previous Crash Scene Nearby
Crash Related FactorIndication of a Stalled/Disabled Vehicle
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Persons

Person #1 (Pedestrian) Person #1 (Pedestrian)
Age 58 year(s) old
SexMale
Person TypePedestrian
Injury SeverityFatal Injury (K)
Vehicle which Struck Non MotoristVehicle #1
Seating PositionNot a Motor Vehicle Occupant (2005-Later)
Restraint System UseNot a Motor Vehicle Occupant
Restraint System MisuseNot a Motor Vehicle Occupant
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot a Motor Vehicle Occupant
EjectionNot Applicable
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementYes (Alcohol Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeOther Test Type
Alcohol Test Result0.0
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Given
Transported To Medical Facility ByEMS Unknown Mode
Died En RouteDied En Route
Month of DeathApril
Day of Death19
Year of Death2011
Hour of Death15
Minute of Death15
Lag Hours0
Lag Minutes48
Non Motorist LocationNon at Intersection-On Roadway, Not in Marked Crosswalk
At WorkYes
HispanicNon-Hispanic
Race White
Nonmotorist Bicycle HelmetNo
Nonmotorist PadsNo
Nonmotorist LightsNo
Nonmotorist ReflectorsNo
Nonmotorist Other Protective EquipmentNo
Nonmotorist Other Preventative EquipmentNot Reported
Nonmotorist Prior Action In Roadway-Other (Working, Playing, etc.)
Nonmotorist Prior Action Working in Trafficway (Incident Response)
Nonmotorist Prior Action Disabled Vehicle Related (Working on, Pushing, Leaving/Approaching)
Nonmotorist Impaired None/Apparently Normal
Nonmotorist Contributing Circumstance None Noted
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Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 21 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 MisuseNo Indication of Misuse
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 GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Given
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)
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 52 year(s) old
SexMale
Person TypeOccupant of a Motor Vehicle Not In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
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 GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
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)
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Person #2 in Vehicle #2 Person #2 in Vehicle #2
Age 24 year(s) old
SexFemale
Person TypeOccupant of a Motor Vehicle Not In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionSecond Seat, Left Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNonmotorist
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
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)
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Person #1 in Vehicle #4 Person #1 in Vehicle #4
Age 58 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 MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNonmotorist
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Given
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)
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Jeep/Kaiser-Jeep/Willys Jeep
Body Type Compact Utility (ANSI D-16 Utility Vehicle Categories “Small” and “Midsize”)
NCSA Model 404
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1J4GZ58S6SC6
Model Year 1995
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
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 65
Travel Speed 65
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Right
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Pedestrian
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Wisconsin
Driver Zip Code 53220
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 69
Driver Weight 200
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 0
Month of Oldest Violation No Record
Year of Oldest Violation 0
Month of Newest Violation No Record
Year of Newest Violation 0
Speeding Related Yes
Trafficway Description Two-Way, Divided, Positive Median Barrier
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Downhill
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Ice/Frost
Traffic Control Device Warning Sign
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Going Straight
Critical Precrash Event PEDESTRIAN OR PEDALCYCLIST OR OTHER NON-MOTORIST Pedestrian in Road
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Departed Roadway
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Driver Related Factor Ice, Water, Snow, Slush, Sand, Dirt, Oil, Wet Leaves on Road
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors Tires
Damaged Areas Right
Damaged Areas 12 O'Clock
Driver Distracted Not Reported
Driver Impaired None/Apparently Normal
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Vehicle #4 Vehicle #4
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Other Make
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 804
Registration State Florida
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 2WKEDDXJ8YK9
Model Year 2000
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 571738236
Vehicle Configuration Truck Tractor/Semi-Trailer
Cargo Body Type Van/Enclosed Box
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 65
Travel Speed 60
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Unknown
Extent of Damage No Damage
Vehicle Towed Towed
Most Harmful Event Pedestrian
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Florida
Driver Zip Code 32446
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status Valid
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 999
Previous Recorded Crashes 0
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 January
Year of Oldest Violation 2010
Month of Newest Violation June
Year of Newest Violation 2010
Speeding Related No
Trafficway Description Two-Way, Divided, Positive Median Barrier
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Downhill
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Ice/Frost
Traffic Control Device Warning Sign
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Going Straight
Critical Precrash Event PEDESTRIAN OR PEDALCYCLIST OR OTHER NON-MOTORIST Pedestrian in Road
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas Damage Areas Unknown
Driver Distracted Not Reported
Driver Impaired None/Apparently Normal
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 2
NCSA Make Chevrolet
Body Type 4-Door Sedan/Hardtop
Hit and Run No Hit and Run
NCSA Model 2
Registration State Wisconsin
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 2G1WS57M2912
Model Year 2009
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
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
Motor Carrier ID 00000000000
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Hazardous Material Involvement False
Hazardous Material Placard Not Applicable
Hazardous Materia ID 0
Hazardous Material Class Number Not Applicable
Relase of Hazardous Material Not Applicable
Bus Use Not a Bus
Special Vehicle Use Police
Emergency Vehicle Use Yes
Underride / Override Not Reported
Initial Contact Point Left
Extent of Damage Minor Damage
Vehicle Towed Not Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Related Factors Police Fire or EMS Vehicle Working at the Scene of an Emergency or Performing Other Traffic Control Activities
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Vehicle #3 Vehicle #3
Fatalities 0
Number of Occupants 0
NCSA Make International Harvester/Navistar
Body Type Single-Unit Straight Truck or Cab-Chassis (GVWR range 19,501 to 26,000 lbs) (Since 2011)
Hit and Run No Hit and Run
NCSA Model 881
Registration State Wisconsin
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 1HTSCAAM9XH6
Model Year 1999
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
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
Motor Carrier ID 77777777777
Vehicle Configuration Single-Unit Truck (2 Axles and GVWR More Than 10,000 lbs)
Cargo Body Type Other
Hazardous Material Involvement False
Hazardous Material Placard Not Applicable
Hazardous Materia ID 0
Hazardous Material Class Number Not Applicable
Relase of Hazardous Material Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Underride / Override Not Reported
Initial Contact Point Left-Front Side
Extent of Damage Functional Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Related Factors Other Working Vehicle (Not Construction, Maintenance, Utility, Police, Fire, or EMS Vehicle)
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactRight
Sequence of EventsParked Motor Vehicle
Vehicle Vehicle #2
Area Of ImpactLeft
Event #2 Event #2
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsPedestrian
Event #3 Event #3
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsParked Motor Vehicle
Vehicle Vehicle #3
Area Of ImpactLeft-Front Side
Event #4 Event #4
VehicleVehicle #4
Area Of ImpactReported as Unknown
Sequence of EventsPedestrian

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