200305 walter20030513
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3K 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
00
Total Units
01
Time Notified
12:57 PM
Date Notified
03/05/2020
Time Arrived
01:15 PM
Date Arrived
03/05/2020
Crash Time
12:57 PM
Crash Date
03/05/2020
Investigating Officer/Deputy
DEPUTY LUCAS SHEPARD
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0F03P3KAdditional InformationPHOTOS
Photos ByDEPUTY L. SHEPARD
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON MARCH 5TH, 2020, AT APPROXIMATELY 12:57PM, DEPUTY SHEPARD WAS REQUESTED TO RESPOND TO A ONE VEHICLE CRASH ON MORELAND RD, IN THE
ROUND LAKE TOWNSHIP, IN SAWYER COUNTY. IT WAS REPORTED AS A DUMP TRUCK VS TREE CRASH WITH A SINGLE OCCUPANT AND NO INJURY. DEPUTY
SHEPARD RESPONDED AND LOCATED THE INCIDENT ON MORELAND RD APPROXIMATELY 300 YARDS NORTH OF COUNTY HWY B. THE DRIVER WAS
IDENTIFIED AS AND THE VEHICLE HE WAS DRIVING WAS 2012 INTERNATION DUMP TRUCK REGISTERED TO BOB THOMPSON AND SONS INC.
OUT OF HAYWARD, WI. WALTER WAS AN EMPLOYEE AND WAS DRIVING THE VEHICLE FOR WORK WITH A VALID COMMERCIAL DRIVERS LICENSE. THE
VEHICLE HAD A FULL DUMP LOAD OF LARGE BOULDER TYPE ROCKS. IT WAS ACTIVELY SNOWING AND THE ROAD HAD A LAYER OF SLUSH MAKING THE ROAD
SURFACE SLIPPERY. WALTER WAS TRAVELING NORTH ON MORELAND ROAD. THE INCIDENT OCCURRED AS THE ROAD CURVED LEFT AND WAS ALSO A
RELATIVELY STEEP DOWNWARD DECLINE. AS HE NEGOTIATED THE CURVE THE VEHICLE SLID OUT OF HIS CONTROL AND CONTINUED STRAIGHT OFF THE
ROAD AND INTO A TREE. THE FRONT END OF THE VEHICLE HAD EXTENSIVE DISABLING DAMAGE DUE TO THE COLLISION. HE HAD VALID INSURANCE AND
ARRANGED FOR THE VEHICLE TO BE UNLOADED AND REMOVED BY PRIVATE PARTY.
Crash Time 12:57 PM
Crash Date 03/05/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
20030513
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3K WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
Y Coordinate
5102474
X Coordinate
166296.6875
Longitude
-91.30932654
Latitude
45.994527261
ON MORELAND RD
617 FT N
OF CTHB NB
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 - NOT ON ROAD
Animal Type
Weather Condition(s)
SNOW
Environment Factor(s)
WEATHER CONDITIONS
Roadway Factor(s)
ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH,
ETC)
Road Surface Condition(s)
WET, SLUSH
Light Condition
DAYLIGHT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
ROADSIDE
First Harmful Event
TREE
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
UNKNOWN
Truck Bus or HazMat
TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR
Road Grade
DOWNHILL
Road Curvature
CURVE LEFT
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
25
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
AGCMV (AG COMMERCIAL MOTOR VEHICLE)01Unit Type
TRUCK
Vehicle Operating As Classification
B CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITExtent Of Damage
DISABLING DAMAGE
Vehicle Damage
12--FRONT, UNDERCARRIAGE
Initial Contact Point
12--FRONT
Bus Use
NOT A BUS
Body Style
CB - CAB CHASSIS
Color
WHI - WHITE
Model
DUMP
Year
2012
Make
INTERNATIONAL
Vehicle Identification Number
60250101 Country of Issuance
UNITED STATES
St
WI
Plate Type
HTK - HEAVY TRUCK
License Plate Number
Vehicle
UNITVEHICLECrash Time 12:57 PM
Crash Date 03/05/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
20030513
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3K WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name
BOB THOMPSON & SONS INC
0101Driver Actions
FAILURE TO CONTROL, RAN OFF ROADWAY
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
Vehicle Removed By
OWNER
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
VEHICLEUNIT Sequence Of Events
Event
RUN OFF ROADWAY RIGHT01
Event
TREE02
Event
03Event
04Organization/Company
BOB THOMPSON & SONS INC
Insurance Company
WESTERN-NATIONAL-MUTUAL-INS-CO
Policy Holder
UNITInjury
Distracted By
Distracted By Action
UNKNOWN
Distracted By Source
UNKNOWN
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 INJURY00101 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
STONE LAKE, WI 54876 , US
Race
WHITE
Date of Birth
06/05/
Sex
MALE
Citations Issued
0
Driver
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 12:57 PM
Crash Date 03/05/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
20030513
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0F03P3K WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
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
To/From SchoolAction Other
Action
Prior Action
LocationStriking Unit #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
OTHER OPERATION/NOT SPECIFIED
US DOT #
350152
Cargo Body Type
DUMP
Vehicle Configuration
TRUCK MORE THAN 10,000 LBS, CAN NOT CLASSIFY
GVWR
MORE THAN 26,000 LB01 Address
HAYWARD, WI 54843 , US
Name
BOB THOMPSON & SONS INC
USDOT# 35015201 Source
DRIVERUse Vehicle Owner Same as Carrier
Carrier
CKBUSUNITTRUCrash Time 12:57 PM
Crash Date 03/05/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.