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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.