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20190525 rogers-huber19052515 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ75 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 01 Total Units 02 Time Notified 11:00 AM Date Notified 05/25/2019 Time Arrived 11:00 AM Date Arrived 05/25/2019 Crash Time 10:30 AM Crash Date 05/25/2019 Investigating Officer/Deputy DEPUTY CHARLES LOGAN Agency Crash NumberPrimary Crash Document #Document Number Override 6VL131BQ75Additional InformationPHOTOS Photos ByC.LOGAN Reconstruction BySAWYER COUNTY SHERIFFDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. DEPUTY LOGAN WAS ON PATROL ON HWY 77 AND WAS FLAGGED DOWN BY UNIT 2. UNIT 2 STATED THAT A PICKUP TRUCK COLLIDED WITH THEM. UNIT 2 STATED THAT UNIT 1 WAS IN FRONT OF THE THEM AND WAS DRIVING ERRATICALLY. UNIT 1 TURNED ITS TURN SIGNAL ON BUT THEN TURNED IT OFF AN KEPT GOING. UNIT 1 THEN BEGAN TO MOVE OVER TO THE RIGHT SIDE OF THE ROAD AND SLOW DOWN AS IF TO LET UNIT 2 PASS. AS UNIT 2 BEGAN TO GO AROUND UNIT 1, UNIT 1 SWERVED BACK ONTO THE ROADWAY AND TOWARDS UNIT 2. UNIT 2 SWERVED INTO THE OPPOSITE LANE OF TRAVEL TO AVOID A CRASH HOWEVER UNIT 1 SWERVED INTO THAT LANE AS WELL. THERE WAS AN INTERSECTION FURTHER UP THE ROAD HOWEVER UNIT 1 WOULD NOT HAVE BEEN TURNING THAT FAR BACK. UNIT 1 STRUCK UNIT 2 CAUSING UNIT 2 TO CRASH AND TIP OVER. UNIT 1 STOPPED BRIEFLY AND GAVE HIS NAME AND INSURANCE COMPANY. UNIT 1 THEN LEFT THE SCENE BEFORE LAW ENFORCEMENT WAS NOTIFIED OR ARRIVED ON SCENE. THE DRIVER OF UNIT 2 HAD SOME CUTS AND SCRAPES ON HIS ARM HOWEVER DID NOT WISH FOR AN AMBULANCE. DEPUTY LOGAN MADE SEVERAL ATTEMPTS TO CONTACT THE DRIVER OF UNIT HOWEVER NO ONE WOULD ANSWER THE PHONE OR CALL HIM BACK. DEPUTY LOGAN WILL ISSUE THE DRIVER OF UNIT 1 A CITATION FOR LEAVING THE SCENE OF AN ACCIDENT. Crash Time 10:30 AM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 7 This report does not include any CJIS data. 19052515 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ75 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5110162 X Coordinate 183630.5625 Longitude -91.091173764 Latitude 46.071757598 ON STH77 EB 149 FT W OF LARSON RD IN THE TOWN OF SPIDER LAKE 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) CLEAR Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DAYLIGHT Manner of Collision 05--SIDESWIPE/SAME DIRECTION First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type T-INTERSECTION Junction Location INTERSECTION 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 MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 55 Pre CrashTire Mark Direction Of Travel EASTBOUND 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 UNKNOWN Vehicle Damage 9--LEFT SIDE MIDDLE, 10--LEFT SIDE FRONT Initial Contact Point 11--LEFT FRONT CORNER Bus Use NOT A BUS Body Style TK - TRUCK Color GRY - GRAY Model F150 Year 2013 Make FORD Vehicle Identification Number 38340101 Country of Issuance UNITED STATES St MN Plate Type LTK - LIGHT TRUCK License Plate Number VEHICLEUNIT Vehicle Crash Time 10:30 AM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 7 This report does not include any CJIS data. 19052515 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ75 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address MINNEAPOLIS, MN 55414 , US Owner Name01Driver Distractions UNKNOWN IF DISTRACTED 01Driver Actions FAILED TO KEEP IN DESIGNATED LANE Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing SLOW/STOPPING Vehicle Removed By OPERATOR Towed Due To Damage NOT TOWED UNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04IndividualInsurance Company ACUITY,-A-MUTUAL-INSURANCE-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 RESTRAINT USE UNKNOWN On Duty Crash Driver License Number STATE: MINNESOTA COUNTRY: UNITED STATES Address MINNEAPOLIS, MN 55414 , US RaceDate of Birth 10/26/ Sex MALE Citations Issued 0 Driver ITEquipment Individual UNINDIVIDUALCrash Time 10:30 AM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 7 This report does not include any CJIS data. 19052515 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ75 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition NOT OBSERVED 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 INDIVIDUALTruck 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 MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 55 Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type MOTORCYCLE02 Unit Type MOTORCYCLE Vehicle Operating As Classification M CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage DISABLING DAMAGE Vehicle Damage 2--RIGHT SIDE FRONT, 7--LEFT REAR CORNER, 8--LEFT SIDE REAR, 9--LEFT SIDE MIDDLE, 10--LEFT SIDE FRONT, 11--LEFT FRONT CORNER, 12--FRONT Initial Contact Point 2--RIGHT SIDE FRONT Bus Use NOT A BUS Body Style MC - MOTORCYCLE Color BLK - BLACK Model ROAD KING Year 2007 Make HARLEY DAVIDSON Vehicle Identification Number 31940202 Country of Issuance UNITED STATES St MN Plate Type CYC - CYCLE License Plate Number VEHICLEUNIT Vehicle Crash Time 10:30 AM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 7 This report does not include any CJIS data. 19052515 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ75 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address SHAFER, MN 55074 , US Owner Name02Driver Distractions NOT DISTRACTED 02Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing OVERTAKE LEFT Vehicle Removed ByTowed Due To Damage TOWED DUE TO DISABLING DAMAGE UNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event 02Event 03Event 04IndividualInsurance Company PROGRESSIVE-CLASSIC-INS-CO Policy Holder UNITInjury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT APPLICABLE Airbag NON DEPLOYED Injury Severity SUSPECTED MINOR INJURY00202 Tint Compliance YES Eye Protection YES: WORN Helmet Compliance UNKNOWN Helmet Use NO Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Protective Gear BOOTS, JACKET, LONG PANTS On Duty Crash Driver License Number STATE: MINNESOTA COUNTRY: UNITED STATES Address SHAFER, MN 55074 , US RaceDate of Birth 01/07/ Sex MALE Citations Issued 0 Driver ITEquipment Individual UNINDIVIDUALCrash Time 10:30 AM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 7 This report does not include any CJIS data. 19052515 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ75 WISCONSIN MOTOR VEHICLE CRASH REPORT 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 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 APPLICABLE Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00302 Tint Compliance YES Eye Protection YES: WORN Helmet Compliance UNKNOWN Helmet Use NO Seat Position 2--FRONT SEAT-MIDDLE Protective Gear BOOTS, JACKET, LONG PANTS On Duty Crash Driver License Number STATE: MINNESOTA COUNTRY: UNITED STATES Address SHAFER, MN 55074 , US RaceDate of Birth 08/18/ Sex FEMALE Citations Issued 0 Passenger ITEquipment Non Motorist Individual UNINDIVIDUALCrash Time 10:30 AM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 6 of 7 This report does not include any CJIS data. 19052515 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL131BQ75 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 UNITINDIVIDUALCrash Time 10:30 AM Crash Date 05/25/2019Wisconsin Motor Vehicle Crash Form DT4000 7 of 7 This report does not include any CJIS data.