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Fatal Crash Report

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Crash #2023550216 Crash #2023550216
Fatalities 1
State WISCONSIN
County ROCK
City
Date June 21, 2023
Time 2:40 p.m.
Google Maps(42.6055639, -88.8280806)
Street Name 1 CARVERS ROCK RD
Street Name 2 CARVER ROEHL PARK RD
WeatherClear
Number of Vehicles 2
Number of Vehicles in Transport 2
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 2
Number of Persons in Motor Vehicles in Transport 2
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing Not Signed
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 Angle
At Intersection No
Relation to Junction Intersection
Type of Intersection T-Intersection
Relation to Road On Roadway
Work Zone None
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 14
EMS Notified Minute 42
EMS Arrived Hour 14
EMS Arrived Minute 48
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 16 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 UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseDOT-Compliant Motorcycle Helmet
Helmet MisuseNo Indication of Misuse
Airbag DeployedNot Deployed
EjectionNot Applicable
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 ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathJune
Day of Death21
Year of Death2023
Hour of Death15
Minute of Death2
Lag Hours0
Lag Minutes22
Non Motorist Device TypeNot Applicable
Non Motorist Device MotorizationNot Applicable
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 #1 in Vehicle #2 Person #1 in Vehicle #2
Age 74 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 Device TypeNot Applicable
Non Motorist Device MotorizationNot 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 1
Hit and Run No Hit and Run
NCSA Make Honda
Body Type Unknown Motored Cycle Type
NCSA Model 709
Registration State Not Reported
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN JH2HE0302GK5
Model Year 1986
VPIC Make ID 474
VPIC Model ID 12576
VPIC Body Class Motorcycle - Unknown Body Type
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 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 15
Travel Speed 40
Underride / Override Not Applicable
Rollover Not Applicable
Rollover Location Not Applicable
Initial Contact Point 12 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 53114
Non CDL License Type Intermediate 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 No Valid License for This Class Vehicle
Compliance with LIcense Restrictions Restrictions Not Complied With
Driver Height 66
Driver Weight 125
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 Yes, Too Fast for Conditions
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Curve Right
Roadway Grade Uphill
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Stop Sign
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Negotiating a Curve
Critical Precrash Event THIS VEHICLE TRAVELING Crossing Over (Passing Through) Intersection
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY V: INTERSECTING PATHS (VEHICLE DAMAGE) - Straight Paths, Striking from the Right
Vehicle Related Factor None Noted
Driver Related Factor Driver Has Not Complied With Physical or Other Imposed Restrictions
Driver Related Factor Operator Inexperience
Driver Related Factor Failure to Obey Actual Traffic Signs, Traffic Control Devices or Traffic Officers, Failure to Observe Safety Zone Traffic Laws
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Visibility Obstructions Trees, Crops, Vegetation
Visibility Obstructions Curve, Hill, or Other Roadway Design Features
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas 2 O'Clock
Damaged Areas 3 O'Clock
Damaged Areas 9 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 12 O'Clock
Driver Distracted Reported as Unknown if Distracted
Driver Impaired Reported as Unknown if Impaired
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Freightliner
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 881
Registration State Wisconsin
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1FUJA6CV67LZ
Model Year 2007
VPIC Make ID 450
VPIC Model ID 2482
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 5DMFABVB28C0
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 Class 8: 33,001 lbs and above (14,969 kg and above)
Trailer Weight Rating 2 No Trailing Units
Trailer Weight Rating 3 No Trailing Units
Jackknife No
Motor Carrier ID 571679009
Vehicle Configuration Truck Tractor/Semi-Trailer
Cargo Body Type Flatbed
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 55
Travel Speed 40
Underride / Override Not Applicable
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 3 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 53546
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status Valid
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 Complied With
Driver Height 73
Driver Weight 205
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 Curve Left
Roadway Grade Sag (Bottom)
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 Negotiating a Curve
Critical Precrash Event OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Crossing Street, Intended Path Not Known
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY V: INTERSECTING PATHS (VEHICLE DAMAGE) - Straight Paths, Struck on the Right
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas 3 O'Clock
Damaged Areas 4 O'Clock
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of Impact3 O'Clock

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