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Fatal Crash Report

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Crash #2021550004 Crash #2021550004
Fatalities 1
State WISCONSIN
County ROCK
City BELOIT
Date Jan. 3, 2021
Time 8:30 p.m.
Location(42.5191972, -89.0379250) - Fatality Map - Google Maps
Street Name 1 HENRY AVE
Street Name 2 nan
WeatherSnow
Number of Vehicles 3
Number of Vehicles in Transport 1
Number of Parked Vehicles 2
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 Municipal
Rural / Urban Urban
Functional System Minor Arterial
Road Owner City or Municipal 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 Parked Motor Vehicle (Not In-Transport)
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 Roadway
Work Zone None
Light Condition Dark - Lighted
Atmospheric Condition Snow
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 20
EMS Notified Minute 31
EMS Arrived Hour 20
EMS Arrived Minute 38
Crash Related FactorIndication of a Stalled/Disabled Vehicle
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Persons

Person #1 (Pedestrian) Person #1 (Pedestrian)
Age 24 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 a Motor Vehicle Occupant
Helmet MisuseNot a Motor Vehicle Occupant
Airbag DeployedNot a Motor Vehicle Occupant
EjectionNot Applicable
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Not Given
Transported To Medical Facility ByEMS Ground
Died En RouteNot Applicable
Month of DeathJanuary
Day of Death3
Year of Death2021
Hour of Death21
Minute of Death22
Lag Hours0
Lag Minutes52
Non Motorist LocationNon at Intersection-On Roadway, Not in Marked Crosswalk
At WorkNo
HispanicNon-Hispanic
Race White
Person Related Factor None Noted
Nonmotorist Bicycle HelmetNo
Nonmotorist PadsNo
Nonmotorist LightsNo
Nonmotorist ReflectorsNo
Nonmotorist Other Protective EquipmentNo
Nonmotorist Other Preventative EquipmentNo
Nonmotorist Marked Crosswalk PresentNone Noted
Nonmotorist Sidewalk PresentYes
Nonmotorist In School ZoneNone Noted
Pedestrian Crash TypeNot at Intersection - Other/Unknown
Bicycle Crash TypeNot a Cyclist
Pedestrian LocationNot at Intersection
Pedestrian PositionTravel Lane
Pedestrian DirectionNot Applicable
Bicycle LocationNot a Cyclist
Bicycle PositionNot a Cyclist
Bicycle DirectionNot a Cyclist
Motorist DirectionNot Applicable
Nonmotorist Prior Action Disabled Vehicle Related (Working on, Pushing, Leaving/Approaching)
Nonmotorist Impaired None/Apparently Normal
Nonmotorist Distracted Not Reported
Nonmotorist Contributing Circumstance Other
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Person #2 (Pedestrian) Person #2 (Pedestrian)
Age 25 year(s) old
SexMale
Person TypePedestrian
Injury SeveritySuspected Minor Injury (B)
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 a Motor Vehicle Occupant
Helmet MisuseNot a Motor Vehicle Occupant
Airbag DeployedNot a Motor Vehicle Occupant
EjectionNot Applicable
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Not Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Non Motorist LocationNon at Intersection-On Roadway, Not in Marked Crosswalk
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
Person Related Factor None Noted
Nonmotorist Bicycle HelmetNot Reported
Nonmotorist PadsNot Reported
Nonmotorist LightsYes
Nonmotorist ReflectorsYes
Nonmotorist Other Protective EquipmentNot Reported
Nonmotorist Other Preventative EquipmentNot Reported
Nonmotorist Marked Crosswalk PresentNone Noted
Nonmotorist Sidewalk PresentYes
Nonmotorist In School ZoneNone Noted
Pedestrian Crash TypeDisabled Vehicle-Related
Bicycle Crash TypeNot a Cyclist
Pedestrian LocationNot at Intersection
Pedestrian PositionTravel Lane
Pedestrian DirectionNot Applicable
Bicycle LocationNot a Cyclist
Bicycle PositionNot a Cyclist
Bicycle DirectionNot a Cyclist
Motorist DirectionNot Applicable
Nonmotorist Prior Action Disabled Vehicle Related (Working on, Pushing, Leaving/Approaching)
Nonmotorist Impaired None/Apparently Normal
Nonmotorist Distracted Not Reported
Nonmotorist Contributing Circumstance Other
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Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 27 year(s) old
SexFemale
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 GivenNot Reported
Alcohol Test TypeNot Reported
Alcohol Test ResultNot Reported
Police Reported Drug InvolvementYes (Drugs 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)
Person Related Factor None Noted
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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 Hyundai
Body Type Compact Utility (ANSI D-16 Utility Vehicle Categories “Small” and “Midsize”)
NCSA Model 401
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN KM8SC73E23U5
Model Year 2003
VPIC Make ID 498
VPIC Model ID 2057
VPIC Body Class Sport Utility Vehicle (SUV)/Multi-Purpose Vehicle (MPV)
Body Class Not Applicable
Lower Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
Upper Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
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 25
Travel Speed 50
Underride / Override Not Reported
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Parked Motor Vehicle
Fire Occurence False
Automated Driving System Present Not Reported
Automated Driving System Level Not Reported
Automated Driving System Engaged Not Reported
Driver Drinking Drinking
Driver Present Driver Present
Drivers License State Wisconsin
Driver Zip Code 53511
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 155
Previous Recorded Crashes 1
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 0
Previous DWI 0
Previous Speeding Convictions 2
Previous Other Moving Violations 0
Month of Oldest Violation June
Year of Oldest Violation 2018
Month of Newest Violation October
Year of Newest Violation 2020
Speeding Related Yes, Too Fast for Conditions
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Four Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Concrete
Roadway Surface Condition Wet
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Going Straight
Critical Precrash Event OTHER MOTOR VEHICLE IN LANE Other Vehicle Stopped
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Vehicle Related Factor None Noted
Driver Related Factor Vehicle in Road
Driver Related Factor Failure to Observe Warnings or Instructions on Vehicle Displaying Them
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Visibility Obstructions No Obstruction Noted
Moving Violations Manslaughter or Homicide
Moving Violations Alcohol, Drug or Impairment Violations Generally
Moving Violations Speed-Related Violations Generally
Moving Violations Vehicle Registration Violations
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
Driver Distracted Not Distracted
Driver Impaired Under the Influence of Alcohol, Drugs, or
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 0
NCSA Make Ford
Body Type 4-Door Sedan/Hardtop
Hit and Run No Hit and Run
NCSA Model 17
Registration State Wisconsin
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 1FAHP2D87DG2
Model Year 2013
VPIC Make ID 460
VPIC Model ID 1782
VPIC Body Class Sedan/Saloon
Body Class Not Applicable
Lower Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
Upper Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
Vehicle Trailing No Trailers
Trailer VIN 1 777777777777
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 No Trailing Units
Trailer Weight Rating 2 No Trailing Units
Trailer Weight Rating 3 No Trailing Units
Motor Carrier ID 0
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 No Special Use Noted
Emergency Vehicle Use Not Applicable
Underride / Override No Underride or Override
Initial Contact Point 6 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Pedestrian
Fire Occurence False
Related Factors None Noted
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Vehicle #3 Vehicle #3
Fatalities 0
Number of Occupants 0
NCSA Make Ford
Body Type Light Pickup
Hit and Run No Hit and Run
NCSA Model 481
Registration State Wisconsin
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 1FTPW14V59FA
Model Year 2009
VPIC Make ID 460
VPIC Model ID 1801
VPIC Body Class Pickup
Body Class Not Applicable
Lower Weight Rating Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)
Upper Weight Rating Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)
Vehicle Trailing No Trailers
Trailer VIN 1 777777777777
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 No Trailing Units
Trailer Weight Rating 2 No Trailing Units
Trailer Weight Rating 3 No Trailing Units
Motor Carrier ID 0
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 No Special Use Noted
Emergency Vehicle Use Not Applicable
Underride / Override No Underride or Override
Initial Contact Point 6 O'Clock
Extent of Damage Functional Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Related Factors None Noted
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsParked Motor Vehicle
Vehicle Vehicle #2
Area Of Impact6 O'Clock
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 EventsPedestrian
Event #4 Event #4
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsParked Motor Vehicle
Vehicle Vehicle #3
Area Of Impact6 O'Clock

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