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Fatal Crash Report

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Crash #2021550187 Crash #2021550187
Fatalities 1
State WISCONSIN
County WINNEBAGO
City
Date June 25, 2021
Time 6:48 a.m.
Location(44.2028833, -88.4853972) - Fatality Map - Google Maps
Street Name 1 I-41
Street Name 2 nan
WeatherCloudy
Number of Vehicles 3
Number of Vehicles in Transport 3
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 3
Number of Persons in Motor Vehicles in Transport 3
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing Interstate
Rural / Urban Urban
Functional System Interstate
Road Owner State Highway Agency
National Highway System Part of the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 99998
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not an Intersection
Relation to Road On Roadway
Work Zone None
Light Condition Daylight
Atmospheric Condition Cloudy
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 6
EMS Notified Minute 50
EMS Arrived Hour 7
EMS Arrived Minute 0
Arrived At Hospital Hour 7
Arrived at Hospital Minute 12
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 38 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)
Person Related Factor None Noted
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 50 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)
Person Related Factor None Noted
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Person #1 in Vehicle #3 Person #1 in Vehicle #3
Age 55 year(s) old
SexFemale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseUnknown/Reported as Unknown (Since 2018)
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Combination
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeVitreous
Alcohol Test Result0.0
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Given
Transported To Medical Facility ByEMS Ground
Died En RouteNot Applicable
Month of DeathJune
Day of Death25
Year of Death2021
Hour of Death7
Minute of Death22
Lag Hours0
Lag Minutes34
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race White
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 Peterbilt
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 881
Registration State Wisconsin
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 1XPXD49X1ND7
Model Year 2022
VPIC Make ID 495
VPIC Model ID 2794
VPIC Body Class Truck-Tractor
Body Class Not Applicable
Lower Weight Rating Class 8: 33,001 lbs and above (14,969 kg and above)
Upper Weight Rating Class 8: 33,001 lbs and above (14,969 kg and above)
Vehicle Trailing One Trailer
Trailer VIN 1 5HTAM442977H
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 Not Reported
Trailer Weight Rating 2 No Trailing Units
Trailer Weight Rating 3 No Trailing Units
Jackknife No
Motor Carrier ID 571274553
Vehicle Configuration Truck Tractor/Semi-Trailer
Cargo Body Type Cargo Tank
Hazardous Material Involvement True
Hazardous Material Placard Yes
Hazardous Material ID 1203
Hazardous Material Class Number Flammable/Combustible Liquid
Relase of Hazardous Material No
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 70
Travel Speed 72
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Not Reported
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Automated Driving System Present Not Reported
Automated Driving System Level Not Reported
Automated Driving System Engaged Not Reported
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Wisconsin
Driver Zip Code 54165
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status Valid
CDL Endorsements Endorsements Required, Compliance Unknown
License Compliance With Class of Vehicle Valid License for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 999
Driver Weight 999
Previous Recorded Crashes 99
Previous BAC Suspensions (Underage) 99
Previous BAC Suspensions 99
Previous Other Suspensions 99
Previous DWI 99
Previous Speeding Convictions 99
Previous Other Moving Violations 99
Month of Oldest Violation Unknown
Year of Oldest Violation 9999
Month of Newest Violation Unknown
Year of Newest Violation 9999
Speeding Related No
Trafficway Description Two-Way, Divided, Positive Median Barrier
Total Lanes in Roadway Four Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Concrete
Roadway Surface Condition Dry
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Going Straight
Critical Precrash Event OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Adjacent Lane (Same Direction) Over Left Lane Line
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed on Roadway, but Left Original Travel Lane
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 2 O'Clock
Damaged Areas 12 O'Clock
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Ford
Body Type 4-Door Sedan/Hardtop
NCSA Model 23
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 3FA6P0H79HR1
Model Year 2017
VPIC Make ID 460
VPIC Model ID 1780
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
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 70
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Not Reported
Extent of Damage Minor Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Automated Driving System Present Not Reported
Automated Driving System Level Not Reported
Automated Driving System Engaged Not Reported
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Wisconsin
Driver Zip Code 54914
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 999
Driver Weight 999
Previous Recorded Crashes 99
Previous BAC Suspensions (Underage) 99
Previous BAC Suspensions 99
Previous Other Suspensions 99
Previous DWI 99
Previous Speeding Convictions 99
Previous Other Moving Violations 99
Month of Oldest Violation Unknown
Year of Oldest Violation 9999
Month of Newest Violation Unknown
Year of Newest Violation 9999
Speeding Related No
Trafficway Description Two-Way, Divided, Positive Median Barrier
Total Lanes in Roadway Four Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Concrete
Roadway Surface Condition Dry
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Changing Lanes
Critical Precrash Event OTHER MOTOR VEHICLE IN LANE Traveling in Same Direction With Lower Steady Speed
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Stayed on Roadway, but Left Original Travel Lane
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 2 O'Clock
Driver Distracted Not Reported
Driver Impaired None/Apparently Normal
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Vehicle #3 Vehicle #3
Fatalities 1
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type 5-Door/4-Door Hatchback
NCSA Model 28
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1G1JG6SB1F41
Model Year 2015
VPIC Make ID 467
VPIC Model ID 1835
VPIC Body Class Hatchback/Liftback/Notchback
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 70
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Not Reported
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Automated Driving System Present Not Reported
Automated Driving System Level Not Reported
Automated Driving System Engaged Not Reported
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Wisconsin
Driver Zip Code 54956
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 Unknown
Driver Height 999
Driver Weight 999
Previous Recorded Crashes 99
Previous BAC Suspensions (Underage) 99
Previous BAC Suspensions 99
Previous Other Suspensions 99
Previous DWI 99
Previous Speeding Convictions 99
Previous Other Moving Violations 99
Month of Oldest Violation Unknown
Year of Oldest Violation 9999
Month of Newest Violation Unknown
Year of Newest Violation 9999
Speeding Related No
Trafficway Description Two-Way, Divided, Positive Median Barrier
Total Lanes in Roadway Four Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Concrete
Roadway Surface Condition Dry
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Going Straight
Critical Precrash Event OTHER MOTOR VEHICLE IN LANE Traveling in Same Direction With Lower Steady Speed
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 Related Factor None Noted
Driver Related Factor Reported as Unknown
Visibility Obstructions Reported as Unknown
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 4 O'Clock
Damaged Areas 5 O'Clock
Damaged Areas 6 O'Clock
Damaged Areas 7 O'Clock
Damaged Areas 8 O'Clock
Driver Distracted Not Reported
Driver Impaired Reported as Unknown if Impaired
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Crash Events

Event #1 Event #1
VehicleVehicle #2
Area Of ImpactNot Reported
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #3
Area Of ImpactNot Reported
Event #2 Event #2
VehicleVehicle #3
Area Of ImpactNot Reported
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #1
Area Of ImpactNot Reported

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