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.