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20190704 olson19070412 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0HWRB03 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 02 Total Units 01 Time Notified 02:02 PM Date Notified 07/04/2019 Time Arrived 02:14 PM Date Arrived 07/04/2019 Crash Time 02:01 PM Crash Date 07/04/2019 Investigating Officer/Deputy DEPUTY DARIN JENSEN Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0HWRB03Additional InformationPHOTOS Photos ByD. JENSEN Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON JULY 4TH, MR. WAS OPERATING A MOTORCYCLE SOUTHBOUND ON HIGHWAY C. MR. SUFFERS FROM EPILEPSY AND SUFFERED A SEIZURE WHILE DRIVING CAUSING MR. TO LOSE CONTROL OF THE MOTORCYCLE GOING STRAIGHT INTO A DITCH INSTEAD OF NAVIGATING A CURVE. MR. MOTORCYCLE STRUCK SEVERAL TREES THEN ROLLED DOWN THE HILL TURNING NORTHBOUND. MR. AND THE PASSENGER, MS. , WERE TRANSPORTED TO , WISCONSIN. Crash Time 02:01 PM Crash Date 07/04/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 19070412 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0HWRB03 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y CoordinateX Coordinate LongitudeLatitudeON CTHC SB 0.24 MI S OF ORTWIG LN IN THE TOWN OF COUDERAY 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 NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location ROADSIDE First Harmful Event DITCH 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 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 TREE Total Lanes 2 Speed Limit 45 Pre CrashTire Mark Direction Of Travel SOUTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type MOTORCYCLE01 Unit Type MOTORCYCLE Vehicle Operating As Classification M CLASS Unit Status IN TRANSIT Unit Summary UNITExtent Of Damage FUNCTIONAL DAMAGE Vehicle Damage 12--FRONT Initial Contact Point 12--FRONT Bus Use NOT A BUS Body Style MC - MOTORCYCLE Color GRY - GRAY Model FLHXS STRE Year 2014 Make HARLEY DAVIDSON Vehicle Identification Number 60640101 Country of Issuance UNITED STATES St WI Plate Type CYC - CYCLE License Plate Number VEHICLEUNIT Vehicle Crash Time 02:01 PM Crash Date 07/04/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 19070412 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0HWRB03 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address ALTOONA, WI 54720 , US Owner Name01Driver DistractionsNOT DISTRACTED 01Driver Actions OTHER CONTRIBUTING ACTION 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 02Event 03Event 04IndividualInsurance Company PROGRESSIVE-ADVANCED-INSURANCE-CO Policy Holder UNITInjury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT APPLICABLE Airbag NOT APPLICABLE Injury Severity SUSPECTED SERIOUS INJUR00101 Tint Compliance YES Eye Protection YES: WORN Helmet Compliance UNKNOWN Helmet Use NO Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Protective Gear NONE On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address ALTOONA, WI 54720 , US Race WHITE Date of Birth 05/01/ Sex MALE Citations Issued 0 Driver ITEquipment Individual UNINDIVIDUALCrash Time 02:01 PM Crash Date 07/04/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 19070412 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0HWRB03 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition CONFUSED OR DISORIENTED (NON LUCID) 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 LAKEVIEW MED CTR EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS GROUND UNIT Non Motorist INDIVIDUALInjury To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital LAKEVIEW MED CTR EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT APPLICABLE Airbag NOT APPLICABLE Injury Severity SUSPECTED MINOR INJURY00201 Tint Compliance YES Eye Protection YES: WORN Helmet Compliance UNKNOWN Helmet Use NO Seat Position 4--SECOND SEAT-LEFT SIDE(MOTORCYCLE/BI Protective Gear NONE On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address ALTOONA, WI 54720 , US Race WHITE Date of Birth 10/07/ Sex FEMALE Citations Issued 0 Passenger ITEquipment Non Motorist Individual UNINDIVIDUALCrash Time 02:01 PM Crash Date 07/04/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 19070412 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0HWRB03 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00201Drug 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 02:01 PM Crash Date 07/04/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.