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Fatal Crash Report

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Crash #2021550485 Crash #2021550485
Fatalities 1
State WISCONSIN
County CALUMET
City
Date Nov. 13, 2021
Time 6:12 p.m.
Location(44.1987111, -88.2609611) - Fatality Map - Google Maps
Street Name 1 SCHAEFER RD
Street Name 2 nan
WeatherCloudy
Number of Vehicles 2
Number of Vehicles in Transport 2
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 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 Motor Vehicle In-Transport
Manner of Collision Sideswipe - Opposite Direction
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 - Not Lighted
Atmospheric Condition Cloudy
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 18
EMS Notified Minute 30
EMS Arrived Hour 18
EMS Arrived Minute 45
Arrived At Hospital Hour 19
Arrived at Hospital Minute 30
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 82 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
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 InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Reported
Alcohol Test ResultNot Reported
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedNot Reported
Transported To Medical Facility ByEMS Ground
Died En RouteNot Applicable
Month of DeathNovember
Day of Death15
Year of Death2021
Hour of Death13
Minute of Death58
Lag Hours43
Lag Minutes46
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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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 78 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionFront Seat, Right 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 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 ByEMS Ground
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 41 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 UseNot Reported
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Reported
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Reported
Alcohol Test ResultNot Reported
Police Reported Drug InvolvementReported as Unknown
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 1
Number of Occupants 2
Hit and Run No Hit and Run
NCSA Make Hyundai
Body Type 4-Door Sedan/Hardtop
NCSA Model 33
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 5NPEU46F09H4
Model Year 2009
VPIC Make ID 498
VPIC Model ID 2459
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 55
Travel Speed Unknown
Underride / Override Not Reported
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 11 O'Clock
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 53042
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 70
Driver Weight 210
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 0
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 THIS VEHICLE TRAVELING Over the Lane Line on Left Side of Travel Lane
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed on Roadway, but Left Original Travel Lane
Crash Type CATEGORY III: SAME TRAFFICWAY, OPPOSITE DIRECTION - CONFIGURATION I: SIDESWIPE/ANGLE - Lateral Move (Left/Right)
Vehicle Related Factor None Noted
Driver Related Factor Improper Lane Usage
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas 9 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 11 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 Other Make
Body Type Farm Equipment Other Than Trucks
NCSA Model 998
Registration State Not Applicable
Registered Vehicle Owner Not Applicable, Vehicle Not Registered
VIN 000000000000
Model Year 9999
VPIC Make ID 99997
VPIC Model ID 99997
VPIC Body Class Off-Road Vehicle - Farm Equipment
Body Class Not Applicable
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing One Trailer
Trailer VIN 1 888888888888
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 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 55
Travel Speed Unknown
Underride / Override Not Reported
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 8 O'Clock
Extent of Damage Minor Damage
Vehicle Towed Not 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 54126
Non CDL License Type Not Licensed
Non CDL License Status Not Licensed
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle No License Required for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 67
Driver Weight 180
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 0
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 OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Opposite Direction Over Left Lane Line
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY III: SAME TRAFFICWAY, OPPOSITE DIRECTION - CONFIGURATION I: SIDESWIPE/ANGLE - Lateral Move (Going Straight)
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 8 O'Clock
Driver Distracted Reported as Unknown if Distracted
Driver Impaired Reported as Unknown if Impaired
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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 Impact11 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of Impact8 O'Clock

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