20200105 beaudinON JANUARY 5TH, 2020 AT APPROXIMATELY 0939, I DEPUTY JORSTAD WITH THE SAWYER COUNTY SHERIFF'S OFFICE WAS DISPATCHED TO THE
AREA OF COUNTY ROAD B AND FISHTRAP LAKE ROAD IN THE TOWNSHIP OF WINTER FOR A VEHICLE IN THE DITCH. WHILE EN ROUTE, DISPATCH
ADVISED THE VEHICLE APPEARED TO BE ROLLED OVER AND THE OCCUPANT WAS OUT OF THE VEHICLE WITH NO INJURIES.
I ARRIVED ON SCENE AT APPROXIMATELY 1012, WHERE I OBSERVED A GRAY SATURN ION LAYING ON THE DRIVER'S SIDE IN THE DITCH. THERE
WAS ANOTHER VEHICLE PARKED ON THE ROAD WITH IT'S HAZARD LIGHTS ON. I ACTIVATED MY EMERGENCY LIGHTS AND PARKED BEHIND THE
VEHICLE ON THE ROAD. A MALE EXITED THE VEHICLE AND INFORMED ME HE HAD STOPPED JUST AFTER THE CRASH HAPPENED AND THE DRIVER
WAS IN HIS VEHICLE STAYING WARM. THE INDIVIDUAL TOLD ME THE DRIVER WAS NOT INJURED. I THEN MET WITH THE DRIVER,
(DOB: 09/11/ I ASKED WHAT HAD HAPPENED. TOLD ME SHE WAS NEGOTIATING THE CURVE ON COUNTY ROAD B
WHEN SHE LOST CONTROL OF HER VEHICLE AND WENT INTO THE DITCH.
20010506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GD2XVZ 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
01
Time Notified
09:39 AM
Date Notified
01/05/2020
Time Arrived
10:12 AM
Date Arrived
01/05/2020
Crash Time
09:38 AM
Crash Date
01/05/2020
Investigating Officer/Deputy
DEPUTY CALEB JORSTAD
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0GD2XVZAdditional InformationPHOTOS
Photos ByDEPUTY JORSTAD
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
Crash Time 09:38 AM
Crash Date 01/05/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
I ASKED IF SHE WAS INJURED. TOLD ME SHE WAS NOT INJURED. I ASKED IF SHE WANTED TO BE CHECKED BY EMS.
DENIED EMS RESPONDING TO THE SCENE. I HAD SIT IN THE REAR PORTION OF MY PATROL VEHICLE TO STAY WARM. THE
REAR DOOR WAS PROPPED OPEN SO WAS ABLE TO GET OUT IF SHE WANTED TO.
I THEN PHOTOGRAPHED THE VEHICLE, WHICH WAS A 2004 SATURN ION WITH WISCONSIN REGISTRATION WHICH CAME BACK TO
WHO IS MOTHER. I ASKED FOR PHONE NUMBER TO INQUIRE IF HAD A
PREFERENCE FOR A TOW. I WAS PROVIDED WITH THE NUMBER AND REQUESTED DISPATCH TO ATTEMPT TO CALL AS I DID NOT HAVE
PHONE SERVICE. DISPATCH ADVISED THEY LEFT A MESSAGE.
SHORTLY AFTER, DEPUTY BECKSTRAND ARRIVED ON SCENE. A WHILE AFTER DEPUTY BECKSTRAND HAD ARRIVED, ARRIVED ON
SCENE. I ASKED IF SHE HAD A TOW PREFERENCE. TOLD ME SHE DID NOT HAVE A PREFERENCE. I
20010506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GD2XVZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5090107
X Coordinate
192691.046875
Longitude
-90.961410977
Latitude
45.895818079
ON CTHB WB
281 FT N
OF MALM 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
Light Condition
DAYLIGHT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
ROADSIDE
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
LEVEL
Road Curvature
CURVE RIGHT
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
DITCH
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
PASSENGER CAR01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITCountry of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 09:38 AM
Crash Date 01/05/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
20010506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GD2XVZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name
0101Driver Actions
UNKNOWN
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
Vehicle Removed ByTowed Due To Damage
TOWED BUT NOT DUE TO DISABLING DAMAG
Extent Of Damage
MINOR DAMAGE
Vehicle Damage
10--LEFT SIDE FRONT
Initial Contact Point
12--FRONT
Bus Use
NOT A BUS
Body Style
4D - 4DR
Color
GRY - GRAY
Model
ION
Year
2004
Make
SATURN
Vehicle Identification Number
38520101
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
DITCH01
Event
OVERTURN/ROLLOVER02
Event
03Event
04Individual
Insurance Company
INTEGRITY-INS-CO
Policy Holder
UNITInjury
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
NON DEPLOYED
Injury Severity
POSSIBLE 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
HAYWARD, WI 54843 , US
Race
INDIAN
Date of Birth
09/11/
Sex
FEMALE
Citations Issued
0
Driver
UN Individual
Safety EquipmentITIDUALINDIV
Crash Time 09:38 AM
Crash Date 01/05/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
20010506
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GD2XVZ WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Distracted By
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 #
Distracted By Action
UNKNOWN
Distracted By Source
UNKNOWN
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Non Motorist
UNITINDIVIDUALCrash Time 09:38 AM
Crash Date 01/05/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.