Professional Documents
Culture Documents
Accident
Accident
Accident
622 Compliance: Required MSP UD-10E Penalty: $100 and/or 90 days (Rev 11/2006)
External #
Crash ID
0129906
8306856
Closed
Reviewer
MI 2336700
Crash Date Crash Time No. of Units
PAUL MALEWSKI
None Hit and Run Weather Deer Fleeing Police Special Checks Fatal Area Non-Traffic Area ORV/Snowmobile
03/23/2012
County
15:15 None
02
Rear End
Relation to Roadway
Traffic Control
23 - Eaton
City/Twsp
On Road
Light Lane Closed Activity
Rain
Road Condition
09 - Intersection related-othr
Total Lanes Speed Limit Posted
Daylight
Wet
Suffix
02
25
Divided Roadway
No
Road Name
Road Type
E
Distance
KNIGHT
Traffic Way
ST
Access Control
15 Feet E
Prefix Intersecting Road
01 - No access control
Divided Roadway
MILL
Unit Number Unit Known State Driver License Number
ST
Date of Birth (Age)
01
Unit Type
Yes
MI C640135564901
11/25/1974 (37)
Sex
02
12 - Unable to stop
Driver Information
U N I T / D R I V E R
MV
O (517) 628-2169
Interlock 9 99 Ejected Trapped
01
04
NONE
Ambulance
Driver Condition 1 2 3
Airbag Deployed
No
Test Results Urine Drugs Yes Test Type Towed To/By
Yes
No Blood Urine
NONE
Test Results Citation Issued Hazardous Other
Alcohol Yes No Refused Not offered Test Type Field PBT Breath Blood Vehicle Registration State Insurance / Policy #
CE32744
VIN
MI
0
Year Vehicle Type
3GCEK13328G281575
Location of Greatest Damage
CHEVROLET
Driveable
SILVERADO
Vehicle Direction Vehicle Use
GRY 01 - Private
Third
2008
Action Prior
Pickup truck
First Impact
02
02
Extent of Damage
No
Second
10/28/1972 (39)
Injury Airbag Deployed
03
Ejected
04
Trapped
NONE
Ambulance
Yes
Sex Position Restraint
NONE
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
PASSENGERS
Passenger Information
Sex
Position Restraint
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
Passenger Information
Sex
Position Restraint
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
Passenger Information
Sex
Position Restraint
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
Passenger Information
Sex
Position Restraint
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
TRUCK/BUS
Carrier Information
Carrier Source
GVWR
ICCMC
USDOT
MPSC
Endorsements H N P S T X
CDL Restrictions 28 29 30 ID # 35 36
Interstate/Intrastate
Vehicle Type
Medical Card
Class #
OWNERS
Owner Information
Owner Information
Person Advised of Damaged Traffic Control Contact Name: Contact Date: Contact Time:
Damaged Property
Public
02
Unit Type
Yes
MI V525101429592
07/28/1971 (40)
Sex
02
00 - None
Driver Information
U N I T / D R I V E R
MV
C (517) 392-2836
Interlock Ejected Trapped
01
04
NONE
Ambulance
Driver Condition 1 2 3
Airbag Deployed
No
Test Results Urine Drugs Yes Test Type Towed To/By
No
No Blood Urine
NONE
Test Results Citation Issued Hazardous Other
Alcohol Yes No Refused Not offered Test Type Field PBT Breath Blood Vehicle Registration State Insurance / Policy #
CAG6070
VIN
MI
PARKED
Color
0
Year Vehicle Type
1GCEC14W1YE143927
Location of Greatest Damage
CHEVROLET
Driveable
TRUCK
Vehicle Direction Vehicle Use
SIL 01 - Private
Third
2003
Action Prior
Pickup truck
First Impact
06
06
Extent of Damage
Yes
Second
08 - Slowing/stop on roadway
Fourth
03
Ejected
04
Trapped
NONE
Ambulance
No
Sex Position Restraint
NONE
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
PASSENGERS
Passenger Information
Sex
Position Restraint
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
Passenger Information
Sex
Position Restraint
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
Passenger Information
Sex
Position Restraint
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
Passenger Information
Sex
Position Restraint
Hospital
Injury
Airbag Deployed
Ejected
Trapped
Ambulance
TRUCK/BUS
Carrier Information
Carrier Source
GVWR
ICCMC
USDOT
MPSC
Endorsements H N P S T X
CDL Restrictions 28 29 30 ID # 35 36
Interstate/Intrastate
Vehicle Type
Medical Card
Class #
WITNESS OWNERS
Owner Information
Owner Information
Witness Information
Witness Information
Investigated Reported Date (Time) 1st Investigator Name (Badge) at Scene Yes 03/23/2012 (15:18) MICHAEL SEELEY (4637) Narrative
Photos By
SEELEY
Diagram
#1 & #2 are both EB on E. Knight St. #2 was slowing/stopping to make a right turn into City Lot #6. #2 slowed due to vehicle A exiting Lot 6. #1 was momentarily distracted and did not realize #2 had slowed, stopped to allow A to exit. #1 drive into rear of #2. Driver #2's head bounced off back window and was causing pain, was transported to ERMC for treatment. #1 at fault, cited for Failing to Stop in an Assured Clear Distance.