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20191109 schilling19110909 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FB0008 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 08:01 PM Date Notified 11/09/2019 Time Arrived 08:36 PM Date Arrived 11/09/2019 Crash Time 08:01 PM Crash Date 11/09/2019 Investigating Officer/Deputy DEPUTY MATTHEW JEFSON Agency Crash NumberPrimary Crash Document #Document Number Override 6VL0FB0008Additional InformationPHOTOS Photos ByDEPUTY JEFSON Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. I, DEPUTY MATTHEW JEFSON OF THE SAWYER COUNTY SHERIFF'S DEPARTMENT WAS DISPATCHED TO A ONE VEHICLE ROLL OVER ON WEST LANE IN THE WINTER TOWNSHIP. DISPATCH ADVISED THAT ONE OF THE OCCUPANTS WAS EJECTED. WINTER FIRE, STATE TROOPER ANDERSON AND THE AMBULANCE WERE ON SCENE PRIOR TO MY ARRIVAL. AFTER WE GOT THE DRIVER WHO WAS THE ONE EJECTED OUT OF THE DITCH AND INTO THE AMBULANCE. TROOPER ANDERSON ADVISED THAT HE COULD SMELL THE ODOR OF INTOXICANT AND THAT THE DRIVER ADMITTED TO DRINKING. I ADVISED HIM THAT I WOULD HANDLE THE CRASH PORTION. THE PASSENGER WAS CHECKED OUT AND BOTH OCCUPANTS WERE TRANSPORTED BY AMBULANCE TO FLAMBEAU HOSPITAL. I THEN TOOK PHOTOGRAPHS OF THE CRASH AND ASSISTED SGT. NICK AL-MOGHRABI WITH MEASURING. THE VEHICLE WAS THEN REMOVED FROM DITCH BY ROAD RUNNER. I THEN CLEARED. Crash Time 08:01 PM Crash Date 11/09/2019Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 19110909 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FB0008 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5072204 X Coordinate 204868.3125 Longitude -90.793843419 Latitude 45.740364207 ON WEST LN 2.75 MI N OF O' CONNEL RD IN THE TOWN OF WINTER 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 - NOT ON ROAD Animal Type Weather Condition(s) CLEAR Environment Factor(s) NONE Roadway Factor(s) ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH, ETC) Road Surface Condition(s) SNOW, ICE Light Condition DARK/UNLIT Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location SHOULDER RIGHT 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 DOWNHILL Road Curvature CURVE LEFT Surface Type DIRT 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 OVERTURN/ROLLOVER Total Lanes 2 Speed Limit 35 Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 2 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 ALL AREAS Initial Contact Point 2--RIGHT SIDE FRONT Bus Use NOT A BUS Body Style PK - PICKUP Color BLK - BLACK Model F150 Year 2006 Make FORD Vehicle Identification Number 55230101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number Vehicle UNITVEHICLECrash Time 08:01 PM Crash Date 11/09/2019Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 19110909 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FB0008 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address 276N LAKE AVE PHILLIPS, WI 54555 , US Owner Name GLEN A SCHILLING 0101Driver Actions UNKNOWN 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 VEHICLEUNIT Sequence Of Events Event RUN OFF ROADWAY RIGHT01 Event CULVERT02 Event OVERTURN/ROLLOVER03 Event TREE04 Injury Distracted By LocationStriking Unit # Distracted By Action UNKNOWN Distracted By Source UNKNOWN Time of DeathDate of DeathHospital FLAMBEAU HOSP EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path THROUGH SIDE WINDOW Ejected TOTALLY EJECTED Airbag NON DEPLOYED Injury Severity SUSPECTED SERIOUS INJUR00101 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: WISCONSIN COUNTRY: UNITED STATES Address PHILLIPS, WI 54555 , US Race WHITE Date of Birth 09/24/ Sex MALE Citations Issued 0 Driver UN Individual Non Motorist Safety EquipmentITIDUALINDIV Crash Time 08:01 PM Crash Date 11/09/2019Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 19110909 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FB0008 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 PENDING Alcohol Test Type BLOOD Alcohol Test Given TEST GIVEN Suspected Drug Use NO Suspected Alcohol Use YES To/From SchoolAction Other Action Prior Action UNITINDIVIDUALInjury Distracted By LocationStriking Unit # Distracted By Action Distracted By Source Time of DeathDate of DeathHospital FLAMBEAU HOSP EMS Run #EMS Agency Identifier 6000989 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity SUSPECTED MINOR INJURY00201 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER Safety Equipment RESTRAINT USE UNKNOWN On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address PHILLIPS, WI 54555 , US Race WHITE Date of Birth 06/15/ Sex MALE Citations Issued 0 Passenger UN Individual Non Motorist Safety EquipmentITIDUALINDIV Crash Time 08:01 PM Crash Date 11/09/2019Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 19110909 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0FB0008 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 To/From SchoolAction Other Action Prior Action UNITINDIVIDUALCrash Time 08:01 PM Crash Date 11/09/2019Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.