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20190210 horsman-leonard19021004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55L2 WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type DT4000 (STANDARD CRASH)Reportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 00 Total Units 02 Time Notified 05:21 PM Date Notified 02/10/2019 Time Arrived 05:27 PM Date Arrived 02/10/2019 Crash Time 05:20 PM Crash Date 02/10/2019 Investigating Officer/Deputy DEPUTY AMANDA REED Agency Crash NumberPrimary Crash Document #Document Number Override 6VL13J55L2Additional InformationPHOTOS Photos ByDEPUTY NATHAN FREY Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON FEBRUARY 10TH, 2019, I, DEPUTY REED RESPONDED TO A TWO VEHICLE CRASH ON CHIPPEWA TRAIL NEAR COUNTY HIGHWAY B. I ARRIVED ON SCENE AND SPOKE WITH THE DRIVERS OF THE VEHICLE WHO INDICATED MR. HAD BEEN TRAVELING WESTBOUND ON CHIPPEWA TRAIL, AND HAD LOST CONTROL OF HIS VEHICLE FAILING TO NEGOTIATE A CURVE IN THE ROAD, AT THAT TIME THE SUV BEING DRIVEN BY MS. HAD BEEN NEGOTIATING THE CORNER AND WAS STRUCK IN THE SIDE OF HER VEHICLE BY THE LARGE PLOW ATTACHED TO MR. TRUCK. MR. TRUCK THEN PUSHED MS. VEHICLE ABOUT 20 YARDS DOWN THE ROAD AND TO BOTH THEIR RESTING POSITIONS IN THE SOUTH SIDE DITCH. MR. WAS SUBSEQUENTLY CITED FOR DRIVING TOO FAST FOR CONDITIONS. Crash Time 05:20 PM Crash Date 02/10/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. 19021004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55L2 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5103949.5 X Coordinate 154933.078125 Longitude -91.456694972 Latitude 46.002144282 ON CHIPPEWA TRL 450 FT W OF SCOTT RD IN THE TOWN OF HAYWARD IN SAWYER COUNTY Location Special StudyAccess Control NO CONTROL Tribal Land Crash Classification - Jurisdiction NO SPECIAL JURISDICTION Crash Classification - Location PUBLIC PROPERTY Relation To Trafficway TRAFFICWAY - ON ROAD Animal Type Weather Condition(s) SNOW Environment Factor(s) WEATHER CONDITIONS Roadway Factor(s) NONE Road Surface Condition(s) SNOW Light Condition DARK/UNLIT Manner of Collision 08--FRONT TO SIDE First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade LEVEL Road Curvature CURVE LEFT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 35 Pre CrashTire Mark Direction Of Travel WESTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage NO DAMAGE Vehicle Damage NO DAMAGE Initial Contact Point 12--FRONT Bus Use NOT A BUS Body Style 4D - 4DR Color WHI - WHITE Model F250 Year 2006 Make FORD Vehicle Identification Number 72500101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number VEHICLEUNIT Vehicle Crash Time 05:20 PM Crash Date 02/10/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. 19021004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55L2 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name01Driver Distractions NOT DISTRACTED 01Driver Actions SPEED TOO FAST/COND Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed ByTowed Due To Damage TOWED BUT NOT DUE TO DISABLING DAMAG UNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event MOTOR VEH IN TRANSPORT02 Event 03Event 04IndividualInsurance Company PROGRESSIVE-MUTUAL-INS-CO-(ATTN:-AUTO-U Policy Holder UNITInjury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00101 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 10/20/ Sex MALE Citations Issued 1 Driver ITEquipment Individual UNINDIVIDUALCrash Time 05:20 PM Crash Date 02/10/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. 19021004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55L2 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00101Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED UNIT Non Motorist INDIVIDUAL Violations DescriptionDRIVING TOO FAST FOR CONDITIONSSeq Num001Statute Number346.57(3)Issue To? 001 UTC Number AE53887601 Truck Bus or HazMat NO Road Grade LEVEL Road Curvature CURVE RIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 35 Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 3 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITBus Use NOT A BUS Body Style 4D - 4DR Color GRY - GRAY Model JEEP Year 2018 Make JEEP Vehicle Identification Number 49030202 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 05:20 PM Crash Date 02/10/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. 19021004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55L2 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name02Driver Distractions NOT DISTRACTED 02Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed ByTowed Due To Damage TOWED DUE TO DISABLING DAMAGE Extent Of Damage DISABLING DAMAGE Vehicle Damage 8--LEFT SIDE REAR, 9--LEFT SIDE MIDDLE, 10--LEFT SIDE FRONT, 11--LEFT FRONT CORNER Initial Contact Point 10--LEFT SIDE FRONT VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event MOTOR VEH IN TRANSPORT02 Event 03Event 04Individual MICHELLE LEONARD Insurance Company WISCONSIN-COUNTY-MUTUAL-INS-CORP Policy Holder UNITTint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 05/16/ Sex FEMALE Citations Issued 0 Driver ITEquipment Individual UNINDIVIDUALCrash Time 05:20 PM Crash Date 02/10/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. 19021004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55L2 WISCONSIN MOTOR VEHICLE CRASH REPORT Injury Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00202Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00202 UNIT Non Motorist INDIVIDUALInjury EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00302 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position UNKNOWN Safety Equipment RESTRAINT USE UNKNOWN On Duty Crash Driver License NumberAddress 16790 HWY 63 HAYWARD, WI 54843 , US Race WHITE Date of Birth 08/23/2011 Sex MALE Citations Issued 0 Passenger COLT W ACHTOR (715) 558-0240 ITEquipment Individual UNINDIVIDUALCrash Time 05:20 PM Crash Date 02/10/2019Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. 19021004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55L2 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00302Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital UNIT Non Motorist INDIVIDUALInjury To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00402 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position UNKNOWN Safety Equipment RESTRAINT USE UNKNOWN On Duty Crash Driver License NumberAddress 16790 HWY 63 HAYWARD, WI 54843 , US Race WHITE Date of Birth 05/26/2010 Sex MALE Citations Issued 0 Passenger EASTON A ACHTOR (715) 558-0240 ITEquipment Non Motorist Individual UNINDIVIDUALCrash Time 05:20 PM Crash Date 02/10/2019Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. 19021004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55L2 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00402Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action UNITINDIVIDUALCrash Time 05:20 PM Crash Date 02/10/2019Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.