200214 cain-morganSAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FG 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
06:02 PM
Date Notified
02/14/2020
Time Arrived
06:10 PM
Date Arrived
02/14/2020
Crash Time
06:02 PM
Crash Date
02/14/2020
Investigating Officer/Deputy
DEPUTY DENNIS NELSON
Agency Crash Number
20021428
Primary Crash Document #Document Number Override
6VL0HPL4FGAdditional InformationNONE, PHOTOS
Photos ByDEPUTY NELSON
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
CASE REPORT
CASE NUMBER 20021428
DEPUTY NAME DENNIS NELSON
BADGE NUMBER #382
REPORT DATE FEBRUARY 17TH, 2020 @ 2314
TYPIST
ON FEBRUARY 14TH, 2020 AT 1802 DEPUTY NELSON WAS DISPATCHED TO A TWO VEHICLE
ACCIDENT AT THE INTERSECTION OF USH 63 AND GREENWOOD LANE.
Crash Time 06:02 PM
Crash Date 02/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 7
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FG WISCONSIN MOTOR VEHICLE
CRASH REPORT
DEPUTY NELSON RESPONDED ARRIVING ON SCENE AT 1810. DEPUTY NELSON MADE CONTACT
WITH A . ADVISED DEPUTY NELSON THAT HIS VEHICLE WAS
THE FIRST TRUCK AT THE INTERSECTION. HE ADVISED THAT HE WAS HEADING NORTHBOUND
ON USH 63 WHEN STOPPING TO TURN LEFT ONTO GREENWOOD LANE. HE SAID THE VEHICLE
BEHIND HIM THEN REAR-ENDED HIM.
DEPUTY NELSON OBSERVED TWO OTHER SUBJECTS STANDING OVER AT THE INTERSECTION OF
GREENWOOD LANE. DEPUTY NELSON INSPECTED THE DAMAGE TO THE VEHICLES. THE
VEHICLE THAT HAD REAR-ENDED TRUCK HAD SEVERE FRONT END DAMAGE
AND WAS UNABLE TO BE DRIVEN AND NEEDED TO BE TOWED. VEHICLE DID
NOT SEEM TO SUSTAIN THAT MUCH DAMAGE AND WAS STILL DRIVABLE.
DEPUTY NELSON MADE CONTACT WITH THE DRIVER OF THE VEHICLE WHO REAR-ENDED
WHO WAS IDENTIFIED AS A AND A PASSENGER AS
DEPUTY NELSON ASKED WHAT HAD OCCURRED. HE ADVISED THAT
HE WAS HEADING NORTHBOUND ON USH 63 WHEN HE OBSERVED THE VEHICLE IN FRONT OF HIM
QUICKLY MAKE A RIGHT TURN, GOING AROUND VEHICLE. HE ADVISED HE
DID NOT HAVE ENOUGH TIME AND REAR-ENDED TRUCK. DEPUTY NELSON
ASKED IF HE HAD APPLIED HIS BRAKES PRIOR TO IMPACT. HE ADVISED THAT HE DID.
DEPUTY NELSON ASKED IF THEY WERE WEARING THEIR SEATBELTS AT THE TIME OF THE
ACCIDENT. HE ADVISED HIMSELF AND HIS PASSENGER, WERE BOTH
WEARING THEIR SEATBELTS.
DEPUTY NELSON ASKED IF THEY RECEIVED ANY INJURIES OR WERE REQUESTING EMS. THEY
ADVISED THEY WERE NOT. THE ONLY INJURY DEPUTY NELSON OBSERVED WAS A SMALL
LACERATION ON THE NOSE OF ALSO ADVISED T
Structure Type
NO STRUCTURE
Y Coordinate
5103968.5
X Coordinate
151297.15625
Longitude
-91.50352225
Latitude
46.000475952
ON USH63 NB
39 FT W
OF GREENWOOD LN
IN THE TOWN OF HAYWARD
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/LIGHTED
Manner of Collision
02--FRONT TO REAR
First Harmful Event Location
ON ROADWAY
First Harmful Event
MOTOR VEH IN TRANSPORT
Crash Scene
Intersection Type
L-INTERSECTION
Junction Location
INTERSECTION
Within Interchange Area
NO
Time Scene Cleared
06:48 PM
Date Scene Cleared
02/14/2020
Time All Lanes Open
07:30 PM
Date All Lanes Open
02/14/2020
Time Initial Lane/Rd Closed
06:02 PM
Date Initial Lane/Rd Closed
02/14/2020
Reasons for Closure
LAW ENFORCEMENT
Closure Type
FULL CLOSURE
Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
Crash Time 06:02 PM
Crash Date 02/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 7
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FG WISCONSIN MOTOR VEHICLE
CRASH REPORT
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, WITH A CONTINUOUS L
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
45
Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK01
UNITOwner Address
HAYWARD, WI 54843 , US
Owner Name
0101Driver Actions
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
LEFT TURN
Vehicle Removed By
OPERATOR
Towed Due To Damage
NOT TOWED
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
6--REAR
Initial Contact Point
6--REAR
Bus Use
NOT A BUS
Body Style
4D - 4DR
Color
SIL - SILVER (ALUMINUM)
Model
RAM
Year
2016
Make
DODGE
Vehicle Identification Number
91910101 Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VEHICLEUNIT Vehicle
UNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04Individual
Insurance Company
PROGRESSIVE-UNIVERSAL-INSURANCE-COMP
Policy Holder
UNITSex
MALE
Citations Issued
0
Individual
Crash Time 06:02 PM
Crash Date 02/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 7
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FG WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Injury
Distracted By
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
Prior Action
LocationStriking Unit #
Distracted By Action
NOT DISTRACTED
Distracted By Source
NOT APPLICABLE (NOT DISTRACTED)
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 INJURY00301 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
01/30/
Driver
UNNon Motorist
Safety EquipmentIT
UNITIDUALINDIVINDIVIDUALUnit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
Crash Time 06:02 PM
Crash Date 02/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 7
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FG WISCONSIN MOTOR VEHICLE
CRASH REPORT
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
45
Pre CrashTire
Mark
Direction Of Travel
NORTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
2
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK02
UNITOwner Address
HAYWARD, WI 54843 , US
Owner Name
0202Driver Actions
NO CONTRIBUTING ACTION
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
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
12--FRONT
Initial Contact Point
12--FRONT
Bus Use
NOT A BUS
Body Style
2D - 2DR
Color
RED - RED
Model
GMT-400
Year
1993
Make
CHEVROLET
Vehicle Identification Number
83790202 Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VEHICLEUNIT Vehicle
UNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04IndividualInsurance Company
PROGRESSIVE-CLASSIC-INS-CO
Policy Holder
UNITSex
MALE
Citations Issued
0
Individual
Crash Time 06:02 PM
Crash Date 02/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 5 of 7
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FG WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Injury
Distracted By
Individual Condition
APPEARED NORMAL
Drug Type
00102Drug 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)
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
SUSPECTED MINOR INJURY00102 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
07/07/
Driver
UNNon Motorist
Safety EquipmentIT
UNITIDUALINDIVINDIVIDUALSex
MALE
Citations Issued
0
Individual
Crash Time 06:02 PM
Crash Date 02/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 6 of 7
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0HPL4FG WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Injury
Distracted By
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
To/From SchoolAction Other
Action
Prior Action
LocationStriking Unit #
Distracted By Action
Distracted By Source
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 INJURY00202 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
HAYWARD
HAYWARD, WI 54843 , US
Race
WHITE
Date of Birth
09/04/
Passenger
UNNon Motorist
Safety EquipmentIT
UNITIDUALINDIVINDIVIDUALCrash Time 06:02 PM
Crash Date 02/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 7 of 7
This report does not include any CJIS data.