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Fatal Crash Report

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Crash #2015550014 Crash #2015550014
Fatalities 1
State WISCONSIN
County SHAWANO
City
Date Jan. 15, 2015
Time 1:55 p.m.
Location(44.8403444, -88.8882750) - Fatality Map - Google Maps
Street Name 1 ROOSEVELT RD
Street Name 2 nan
WeatherCloudy
Number of Vehicles 1
Number of Vehicles in Transport 1
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 1
Number of Persons in Motor Vehicles in Transport 1
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing Township
Rural / Urban Rural
Functional System Local
Road Owner Town or Township Highway Agency
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 0
First Harmful Event Tree (Standing Only)
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection No
Relation to Junction Driveway Access Related
Type of Intersection Not an Intersection
Relation to Road On Roadside
Work Zone None
Light Condition Daylight
Atmospheric Condition Cloudy
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 14
EMS Notified Minute 4
EMS Arrived Hour 14
EMS Arrived Minute 13
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
Crash Related FactorStopped Vehicle Set in Motion by Non-Driver
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 75 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionRiding on Vehicle Exterior
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNonmotorist
EjectionNot Applicable
Ejection PathEjection Path Not Applicable
ExtricationExtricated
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest Not Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathJanuary
Day of Death15
Year of Death2015
Hour of Death13
Minute of Death55
Lag Hours0
Lag Minutes0
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race White
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Ford
Body Type Light Pickup
NCSA Model 481
Registration State Wisconsin
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 1FDKF37M8NNB
Model Year 1992
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 00000000000
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 0
Travel Speed 10
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 9 O'Clock
Extent of Damage Minor Damage
Vehicle Towed Towed
Most Harmful Event Tree (Standing Only)
Fire Occurence False
Driver Drinking No Drinking
Driver Present No Driver Present/Not Applicable
Drivers License State No Driver Present (Since 2010)
Driver Zip Code 99997
Non CDL License Type No Driver Present/Unknown if Driver Present
Non CDL License Status No Driver Present/Unknown if Driver
CDL License Status No Driver Present/Unknown if Driver Present
CDL Endorsements No Driver Present/Unknown if Driver Present
License Compliance With Class of Vehicle No Driver Present/Unknown if Driver Present
Compliance with LIcense Restrictions No Driver Present/Unknown if Driver Present
Driver Height 998
Driver Weight 997
Previous Recorded Crashes 998
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 998
Previous Speeding Convictions 998
Previous Other Moving Violations 998
Month of Oldest Violation No Driver Present/Unknown if Driver Present
Year of Oldest Violation 9998
Month of Newest Violation No Driver Present/Unknown if Driver Present
Year of Newest Violation 9998
Speeding Related No Driver Present/Unknown if Driver Present
Trafficway Description Non-Trafficway or Driveway Access
Total Lanes in Roadway Non-Trafficway or Driveway Access
Roadway Alignment Non-Trafficway or Driveway Access
Roadway Grade Non-Trafficway or Driveway Access
Roadway Surface Type Non-Trafficway or Driveway Access
Roadway Surface Condition Non-Trafficway Area or Driveway Access
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement No Driver Present/Unknown if Driver Present
Critical Precrash Event OTHER Other Critical Precrash Event
Attempted Avoidance Maneuver No Driver Present/Unknown if Driver Present
Precrash Stability No Driver Present/Unknown if Driver Present
Pre-impact Location No Driver Present/Unknown if Driver Present
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Visibility Obstructions No Driver Present/Unknown if Driver Present
Moving Violations No Driver Present/Unknown if Driver Present
Driver Maneuvered to Avoid No Driver Present/Unknown if Driver Present
Vehicle Factors None Noted
Damaged Areas 9 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Driver Distracted No Driver Present/Unknown if Driver Present
Driver Impaired No Driver Present/Unknown if Driver
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsCross Centerline
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsEnd Departure
Event #3 Event #3
VehicleVehicle #1
Area Of Impact9 O'Clock
Sequence of EventsTree (Standing Only)

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