20190301 hoag19030107
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13C7141 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
01
Time Notified
09:42 PM
Date Notified
03/01/2019
Time Arrived
09:45 PM
Date Arrived
03/01/2019
Crash Time
09:42 PM
Crash Date
03/01/2019
Investigating Officer/Deputy
DEPUTY RYAN SCHICK
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL13C7141Additional InformationNONE
Photos By
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON MARCH 1, 2019, I, DEPUTY RYAN SCHICK OF THE SAWYER COUNTY SHERIFF'S DEPT WAS ON PATROL. I OVERHEARD DISPATCH CALL OUT A
ONE VEHICLE ROLLOVER ON USH 63 NEAR PIZZA HUT IN THE CITY OF HAYWARD WITH UNKNOWN INJURIES. I RESPONDED TO THE SCENE ALONG
WITH STATE PATROL, OTHER DEPUTIES, AND A CITY OF HAYWARD POLICE OFFICER. WE ARRIVED ON SCENE AND WITNESSED AN OVERTURNED
PICKUP ON USH 63 JUST SOUTH OF HOSPITAL RD IN THE TOWN OF HAYWARD. THE LONE OCCUPANT WAS OUT AND WALKING AROUND WITH NO
APPARENT INJURY. EMS ARRIVED ON SCENE AND CHECKED OUT THE MALE SUBJECT. STATE PATROL WAS ALSO ON SCENE AND ADVISED THEY
WOULD BE DOING FIELD SOBRIETY ON THE MALE AS THERE WAS A STRONG ODOR OF INTOXICANTS COMING FROM THE MALE AND HE SLURRED
HIS SPEECH AND STRUGGLED TO BALANCE. I ADVISED STATE PATROL I CAN DO THE CRASH REPORT AS THEY WERE GOING TO DO THE OWI
PORTION. THE ABOVE MALE AND DRIVER ADVISED HE WAS TRAVELING SOUTH ON USH 63 WHERE HE LOST CONTROL IN THE SNOW COVERED
ROADS AND ENDED UP ROLLING HIS TRUCK. A-1 TOWING ARRIVED ON SCENE AND REMOVED THE VEHICLE WHILE STATE PATROL TRANSPORTED
THE ABOVE MALE TO THE SAWYER COUNTY JAIL. ALL UNITS WERE CLEAR WHEN THE VEHICLE WAS REMOVED.
Crash Time 09:42 PM
Crash Date 03/01/2019Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
19030107
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13C7141 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5106428.5
X Coordinate
154273.984375
Longitude
-91.466975497
Latitude
46.02405638
ON USH63 SB
0.29 MI W
OF HOSPITAL 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)
ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH,
ETC)
Road Surface Condition(s)
SNOW
Light Condition
DARK/UNLIT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
SHOULDER RIGHT
First Harmful Event
OVERTURN/ROLLOVER
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
STRAIGHT
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
DITCH
Total Lanes
2
Speed Limit
55
Pre CrashTire
Mark
Direction Of Travel
SOUTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
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
DISABLING DAMAGE
Vehicle Damage
TOP
Initial Contact Point
TOP
Bus Use
NOT A BUS
Body Style
4D - 4DR
Color
BLK - BLACK
Model
TUNDRA
Year
2006
Make
TOYOTA
Vehicle Identification Number
09830101 Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VEHICLEUNIT Vehicle
Crash Time 09:42 PM
Crash Date 03/01/2019Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
19030107
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13C7141 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name01Driver Distractions
UNKNOWN IF DISTRACTED
01Driver Actions
UNKNOWN
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
A1 TOWING
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
UNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
RUN OFF ROADWAY RIGHT02
Event
DITCH03
Event
OVERTURN/ROLLOVER04
IndividualInsurance Company
STATE-FARM-GENERAL-INS-CO
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
04/13/
Sex
MALE
Citations Issued
0
Driver
ITEquipment
Individual
UNINDIVIDUALCrash Time 09:42 PM
Crash Date 03/01/2019Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
19030107
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13C7141 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL
Drug Type
00101Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test Results
UNKNOWN
Alcohol Test Type
EVIDENTIARY BREATH TEST (E
Alcohol Test Given
TEST GIVEN
Suspected Drug Use
NO
Suspected Alcohol Use
YES
Action Other
Action
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
UNIT Non Motorist
INDIVIDUALCrash Time 09:42 PM
Crash Date 03/01/2019Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.