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Fatal Crash Report

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Crash #2015550409 Crash #2015550409
Fatalities 2
State WISCONSIN
County WOOD
City
Date Nov. 20, 2015
Time 5:59 p.m.
Location(44.5015528, -89.9694500) - Fatality Map - Google Maps
Street Name 1 CR-HH
Street Name 2 nan
WeatherClear
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 2
Route Signing County
Rural / Urban Rural
Functional System Local
Road Owner County 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 Ridden Animal or Animal-Drawn Conveyance (Since 1998)
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not an Intersection
Relation to Road On Shoulder
Work Zone None
Light Condition Dark - Not Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 18
EMS Notified Minute 0
EMS Arrived Hour 18
EMS Arrived Minute 19
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Persons

Person #1 (Pedestrian) Person #1 (Pedestrian)
Age 31 year(s) old
SexMale
Person TypeOccupant of a Non-Motor Vehicle Transport Device
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 InvolvementReported as Unknown
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest Given
Transported To Medical Facility ByEMS Air
Died En RouteNot Applicable
Month of DeathNovember
Day of Death21
Year of Death2015
Hour of Death13
Minute of Death20
Lag Hours19
Lag Minutes21
Non Motorist LocationShoulder/Roadside
At WorkNo
HispanicNon-Hispanic
Race White
Nonmotorist Bicycle HelmetNo
Nonmotorist PadsNo
Nonmotorist LightsNo
Nonmotorist ReflectorsNo
Nonmotorist Other Protective EquipmentYes
Nonmotorist Other Preventative EquipmentNot Reported
Nonmotorist Prior Action Stationary and Adjacent to Roadway (e.g., Shoulder, Median, Sidewalk)
Nonmotorist Impaired Reported as Unknown if Impaired
Nonmotorist Contributing Circumstance Failing to Have Lights on When Required
Nonmotorist Contributing Circumstance Operating Without Required Equipment
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Person #2 (Pedestrian) Person #2 (Pedestrian)
Age 10 year(s) old
SexMale
Person TypeOccupant of a Non-Motor Vehicle Transport Device
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 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 ByEMS Air
Died En RouteNot Applicable
Month of DeathDecember
Day of Death1
Year of Death2015
Hour of Death22
Minute of Death7
Lag Hours268
Lag Minutes8
Non Motorist LocationShoulder/Roadside
At WorkNo
HispanicNon-Hispanic
Race White
Nonmotorist Bicycle HelmetNo
Nonmotorist PadsNo
Nonmotorist LightsNo
Nonmotorist ReflectorsNo
Nonmotorist Other Protective EquipmentYes
Nonmotorist Other Preventative EquipmentNot Reported
Nonmotorist Prior Action Stationary and Adjacent to Roadway (e.g., Shoulder, Median, Sidewalk)
Nonmotorist Impaired Reported as Unknown if Impaired
Nonmotorist Contributing Circumstance Failing to Have Lights on When Required
Nonmotorist Contributing Circumstance Operating Without Required Equipment
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Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 31 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 DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementYes (Alcohol Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.13
Police Reported Drug InvolvementNot Reported
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 Chevrolet
Body Type Light Pickup
NCSA Model 481
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1GCEK19Z37E1
Model Year 2007
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 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 55
Travel Speed 66
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Ridden Animal or Animal-Drawn Conveyance (Since 1998)
Fire Occurence False
Driver Drinking Drinking
Driver Present Driver Present
Drivers License State Wisconsin
Driver Zip Code 54646
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 70
Driver Weight 216
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 No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
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 Going Straight
Critical Precrash Event PEDESTRIAN OR PEDALCYCLIST OR OTHER NON-MOTORIST Pedalcyclist/Other Non-Motorist in Road
Attempted Avoidance Maneuver Braking and Steering Left
Precrash Stability Skidding Laterally - Counterclockwise Rotation
Pre-impact Location Departed Roadway
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION C: FORWARD IMPACT - Pedestrian/Animal
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Driver Related Factor Non-Traffic Violation Charged (Manslaughter, Homicide, or Other Assault Offense Committed Without Malice, Since 1986)
Visibility Obstructions No Obstruction Noted
Moving Violations Manslaughter or Homicide
Moving Violations Driving While Intoxicated (Alcohol or Drugs) or BAC Above Limit (Any Detectable BAC for CDLs)
Driver Maneuvered to Avoid Pedestrian, Pedalcyclist or Other Non-Motorist
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 2 O'Clock
Damaged Areas 3 O'Clock
Damaged Areas 9 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
Damaged Areas Undercarriage
Driver Distracted Reported as Unknown if Distracted
Driver Impaired Under the Influence of Alcohol, Drugs, or
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsRidden Animal or Animal-Drawn Conveyance

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