200208 pietras-hinkfuss20020833
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0DT5JN2 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
03
Total Units
02
Time Notified
07:13 PM
Date Notified
02/08/2020
Time Arrived
07:25 PM
Date Arrived
02/08/2020
Crash Time
07:13 PM
Crash Date
02/08/2020
Investigating Officer/Deputy
DEPUTY IAN HALL
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0DT5JN2Additional InformationNONE, PHOTOS,
RECONSTRUCTION
Photos BySGT IAN HALL
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
SEMI LOGGING TRUCK WAS TRAVELING WESTBOUND ON STATE HWY 48 AT A VERY SLOW SPEED DUE TO HAVING JUST PULLED OUT INTO THE
ROADWAY. COMPACT CAR WAS TRAVELING WESTBOUND AND STRUCK THE REAR OF THE LOG TRAILER. VEHICLE BECAME STUCK UNDER TRAILER.
SKID MARKS FROM COMPACT CAR FROM START TO STOP WERE 29'
Crash Time 07:13 PM
Crash Date 02/08/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 8
This report does not include any CJIS data.
20020833
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0DT5JN2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5068225
X Coordinate
153212.78125
Longitude
-91.453145052
Latitude
45.680711819
ON STH48 WB
0.38 MI E
OF WOODALE RD 6
IN THE TOWN OF EDGEWATER
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
DARK/UNLIT
Manner of Collision
02--FRONT TO REAR
First Harmful Event Location
ON ROADWAY
First Harmful Event
MOTOR VEH IN TRANSPORT
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
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
WESTBOUND
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
4
Train/Bus # RecordedTotal Occs
3
Operating As EndorsementsVehicle Type
PASSENGER CAR01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITExtent Of Damage
DISABLING DAMAGE
Vehicle Damage
12--FRONT
Initial Contact Point
12--FRONT
Bus Use
NOT A BUS
Body Style
4D - 4DR
Color
GRN - GREEN
Model
NEON
Year
1998
Make
PLYMOUTH
Vehicle Identification Number
02940101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
UNITVEHICLECrash Time 07:13 PM
Crash Date 02/08/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 8
This report does not include any CJIS data.
20020833
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0DT5JN2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
820 ORCHARD AVE
BIRCHWOOD, WI 54817 , US
Owner Name
ROSS M ORLIKOWSKI PIETRAS
0101Driver Actions
OPERATED MOTOR VEHICLE IN INATTENTIVE, CARELESS OR ERRATIC MANNER
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed ByTowed Due To Damage
TOWED DUE TO DISABLING DAMAGE
VEHICLEUNIT Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04Injury
Distracted By
LocationStriking Unit #
Distracted By Action
UNKNOWN
Distracted By Source
UNKNOWN
Time of DeathDate of DeathHospital
LAKEVIEW MEDICAL CENTER
EMS Run #
0
EMS Agency IdentifierMedical Transport
EMS GROUND
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
DEPLOYED-FRONT
Injury Severity
SUSPECTED SERIOUS INJUR00101 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Safety Equipment
NONE USED - VEHICLE OCCUPANT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
BIRCHWOOD, WI 54817 , US
Race
WHITE
Date of Birth
11/07/
Sex
MALE
Citations Issued
4
Driver
UN Individual
Non Motorist
Safety EquipmentITIDUALINDIV
Crash Time 07:13 PM
Crash Date 02/08/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 8
This report does not include any CJIS data.
20020833
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0DT5JN2 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
LAKEVIEW MEDICAL CENTER
EMS Run #
1
EMS Agency Identifier
6000113
Medical Transport
EMS GROUND
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
DEPLOYED-FRONT
Injury Severity
SUSPECTED MINOR INJURY00201 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
BIRCHWOOD, WI 54817 , US
Race
WHITE
Date of Birth
08/13/
Sex
FEMALE
Citations Issued
0
Passenger
UN Individual
Non Motorist
Safety EquipmentITIDUALINDIV
Crash Time 07:13 PM
Crash Date 02/08/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 8
This report does not include any CJIS data.
20020833
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0DT5JN2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL
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
UNITINDIVIDUALInjury
Distracted By
Prior Action
LocationStriking Unit #
Distracted By Action
Distracted By Source
Time of DeathDate of DeathHospital
LAKEVIEW MEDICAL CENTER
EMS Run #
1
EMS Agency Identifier
6000113
Medical Transport
EMS GROUND
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
SUSPECTED SERIOUS INJUR00301 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
6--SECOND SEAT-RIGHT SIDE
Safety Equipment
NONE USED - VEHICLE OCCUPANT
On Duty Crash
Driver License NumberAddress
BIRCHWOOD, WI 54817 , US
RaceDate of Birth
05/13/
Sex
MALE
Citations Issued
0
Passenger
UN Individual
Non Motorist
Safety EquipmentITIDUALINDIV
Crash Time 07:13 PM
Crash Date 02/08/2020Wisconsin Motor Vehicle Crash
Form DT4000 5 of 8
This report does not include any CJIS data.
20020833
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0DT5JN2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00301Drug 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
UNITINDIVIDUAL Violations
DescriptionOWI CAUSE INJURY (PASSENGER < 16 YRS) (2+)Statute Number346.63(2)(a)1Issue To?
001
UTC Number
BE65022001
DescriptionKNOWINGLY OPERATE WHILE REVOKED (CAUSE GREAT BODILY HARM)Statute Number343.44(1)(b)Issue To?
001
UTC Number
BE65022102
DescriptionPOSSESS OPEN INTOXICANTS IN MV-PASSENGERStatute Number346.935(2)Issue To?
001
UTC Number
BE65022203
DescriptionINATTENTIVE DRIVINGStatute Number346.89(1)Issue To?
001
UTC Number
BE65022304
Truck Bus or HazMat
TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR
Road Grade
DOWNHILL
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
WESTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
AGCMV (AG COMMERCIAL MOTOR VEHICLE)02Unit Type
TRUCK
Vehicle Operating As Classification
C CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITBus Use
NOT A BUS
Body Style
LG - LOG
Color
PLE - PURPLE
Model
TRACTOR
Year
2000
Make
KENWORTH MOTOR TRU
Vehicle Identification Number
8900202 Country of Issuance
UNITED STATES
St
WI
Plate Type
STL - SEMI TRAILER
License Plate Number
Vehicle
Crash Time 07:13 PM
Crash Date 02/08/2020Wisconsin Motor Vehicle Crash
Form DT4000 6 of 8
This report does not include any CJIS data.
20020833
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0DT5JN2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
STONE LAKE, WI 54876 , US
Owner Name
0202Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
Extent Of Damage
MINOR DAMAGE
Vehicle Damage
6--REAR
Initial Contact Point
1--RIGHT FRONT CORNER
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04Organization/CompanyInsurance Company
SECURA-INS-A-MUTUAL-CO
Policy Holder
UNITInjury
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
NO APPARENT INJURY00402 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
04/20/
Sex
MALE
Citations Issued
0
Driver
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 07:13 PM
Crash Date 02/08/2020Wisconsin Motor Vehicle Crash
Form DT4000 7 of 8
This report does not include any CJIS data.
20020833
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0DT5JN2 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Distracted By
Individual Condition
APPEARED NORMAL
Drug Type
00402Drug 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
LocationStriking Unit #
Distracted By Action
NOT DISTRACTED
Distracted By Source
NOT APPLICABLE (NOT DISTRACTED)
Non Motorist
UNITINDIVIDUALMeasured WeightMeasured WidthMeasured LengthMeasured Height
Escort Vehicle PresentEscort Vehicle Required
By Permit
Permitted Vehicle On
Permitted Route
WI Permit NumberOS/OW Load
Permitted Load
NOT APPLICABLE
Carrier Type
NOT IN COMMERCE/OTHER TRUCK
US DOT #
2462013
Cargo Body Type
LOG TRUCK
Vehicle Configuration
TRUCK TRACTOR/SEMI-TRAILER
GVWR
MORE THAN 26,000 LB01 Address
STONE LAKE, WI 54876 , US
Name
02Source
DRIVERUse Vehicle Owner Same as Carrier
Carrier
CKBUSUNITTRUCrash Time 07:13 PM
Crash Date 02/08/2020Wisconsin Motor Vehicle Crash
Form DT4000 8 of 8
This report does not include any CJIS data.