20052104 stoner-beres20052104
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0JB3P3Z 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
01
Total Injured
00
Total Units
02
Time Notified
08:30 AM
Date Notified
05/21/2020
Time Arrived
09:00 AM
Date Arrived
05/21/2020
Crash Time
08:30 AM
Crash Date
05/21/2020
Investigating Officer/Deputy
DEPUTY NATHAN FREY
Agency Crash Number
20052104
Primary Crash Document #Document Number Override
6VL0JB3P3ZAdditional InformationCMV INSPECTION, ECM/EDR
DOWNLOAD, FATAL CRASH
SUPPLEMENT, MEASUREMENTS,
PHOTOS, RECONSTRUCTION,
OTHER DOCUMENTS
Photos ByDEPUTY FREY, WSP
Reconstruction ByWISCONSIN STATE PATROL
NWR/SPO
Diagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
UNIT 1 WAS TRAVELING SOUTHBOUND ON CTH W PRIOR TO THE CRASH. UNIT 2 WAS TRAVELING EASTBOUND ON STH 70. DRIVER OF UNIT 1 FAILED TO
YIELD THE RIGHT OF WAY TO UNIT 2. UNIT 2 STRUCK THE RIGHT FRONT CORNER OF UNIT 1.
Crash Time 08:30 AM
Crash Date 05/21/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 6
This report does not include any CJIS data.
20052104
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0JB3P3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
Y Coordinate
5082289.5
X Coordinate
188409.78125
Longitude
-91.011404256
Latitude
45.823703527
ON STH70 EB
12 FT E
OF CTHW SB
IN THE VILLAGE 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 - ON ROAD
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
NONE
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
01 - ANGLE
First Harmful Event Location
ON ROADWAY
First Harmful Event
MOTOR VEH IN TRANSPORT
Crash Scene
Intersection Type
FOUR-WAY INTERSECTION
Junction Location
INTERSECTION
Within Interchange Area
NO
Time Scene Cleared
11:55 AM
Date Scene Cleared
05/21/2020
Time All Lanes Open
11:50 AM
Date All Lanes Open
05/21/2020
Time Initial Lane/Rd Closed
09:00 AM
Date Initial Lane/Rd Closed
05/21/2020
Reasons for Closure
LAW ENFORCEMENT, FIRE/EMS
Closure Type
FULL CLOSURE
Truck Bus or HazMat
NO
Road Grade
LEVEL
Road Curvature
STRAIGHT
Surface Type
BLACKTOP (BITUMINOUS)
Traffic Control Inoperative/Missing
NO
Traffic Control
STOP SIGN
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
25
Pre CrashTire
Mark
Direction Of Travel
SOUTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
(SPORT) UTILITY VEHICLE01 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITModel
ENCORE CON
Year
2015
Make
BUICK
Vehicle Identification Number
53330101 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 08:30 AM
Crash Date 05/21/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 6
This report does not include any CJIS data.
20052104
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0JB3P3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
WINTER, WI 54896 , US
Owner Name
0101Driver Actions
FAILED TO YIELD RIGHT-OF-WAY
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
ROAD RUNNER TOWING
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
01 - RIGHT FRONT CORNER, 02 - RIGHT SIDE FRONT, 03 - RIGHT SIDE
MIDDLE, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER, 12 - FRONT
Initial Contact Point
02 - RIGHT SIDE FRONT
Bus UseBody Style
LL - CARRYALL
Color
GRY - GRAY
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04IndividualInsurance Company
PROGRESSIVE-ADVANCED-INSURANCE-CO
Policy Holder
UNITInjury
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
Trapped/Extricated
TRAPPED/EXTRICATED
Ejection Path
NOT EJECTED/NOT APPLICABLE
Ejected
NOT EJECTED
Airbag
DEPLOYED-COMBINATION
Injury Severity
FATAL INJURY00101 Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
07 - LEFT
Row
01 - FRONT ROW
Safety Equipment
NONE USED - VEHICLE OCCUPANT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
WINTER, WI 54896 , US
Race
WHITE
Date of Birth
02/04/
Sex
FEMALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 08:30 AM
Crash Date 05/21/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 6
This report does not include any CJIS data.
20052104
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0JB3P3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Distracted By
Drug & Alcohol
Individual Condition
NOT OBSERVED
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
Time of Death
09:36
Date of Death
05/21/2020
Hospital
UNITNon Motorist
INDIVIDUALTruck Bus or HazMat
TRUCK OR TRUCK COMBINATION > 10,000LBS GVWR/GCWR
Road Grade
SAG(BOTTOM)
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
EASTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
1
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As Endorsements
H - HAZ. MATERIAL, N - TANKER
Vehicle Type
TRUCK TRACTOR (SEMI ATTACHED)02Unit Type
TRUCK
Vehicle Operating As Classification
A CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITBus UseBody Style
TR - TRAILER
Color
YEL - YELLOW
Model
CASCADIA 1
Year
2020
Make
FREIGHTLINER CORP
Vehicle Identification Number
35550202 Country of Issuance
UNITED STATES
St
WI
Plate Type
TOR - TRACTOR
License Plate Number
Vehicle
Crash Time 08:30 AM
Crash Date 05/21/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 6
This report does not include any CJIS data.
20052104
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0JB3P3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
BARRON, WI 54812 , US
Owner Name
02Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
S&R TOWING
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
11 - LEFT FRONT CORNER, 12 - FRONT
Initial Contact Point
11 - LEFT FRONT CORNER
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04Organization/CompanyInsurance Company
AUSTIN-MUTUAL-INS--CO
Policy Holder
UNIT Trailer/Towed
Vehicle Identification Number
0111
Address
BARRON, WI 54812 , US
Organization/CompanyUnit Type
SEMI TRAILER
TRAILER/Country of Issuance
UNITED STATES
State
WI
Make
WSCO
Plate Type
STL - SEMI
Trailer Plate #02UNITTint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
07 - LEFT
Row
01 - FRONT ROW
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
WEYERHAEUSER, WI 54895 , US
Race
WHITE
Date of Birth
07/16
Sex
MALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 08:30 AM
Crash Date 05/21/2020Wisconsin Motor Vehicle Crash
Form DT4000 5 of 6
This report does not include any CJIS data.
20052104
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0JB3P3Z WISCONSIN MOTOR VEHICLE
CRASH REPORT
Distracted By
Injury
Drug & Alcohol
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
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 INJURY00202
UNITNon Motorist
INDIVIDUALMeasured 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
INTRASTATE CARRIER
US DOT #
3333968
Cargo Body Type
NO CARGO BODY - (BOBTAIL, LIGHT MOTO
Vehicle Configuration
TRUCK TRACTOR/SEMI-TRAILER
GVWR
MORE THAN 26,000 LB01 Address
BARRON, WI 54812 , US
Name
02Source
VEHICLE-SIDEUse Vehicle Owner Same as Carrier
Carrier
CKBUSUNITTRUCrash Time 08:30 AM
Crash Date 05/21/2020Wisconsin Motor Vehicle Crash
Form DT4000 6 of 6
This report does not include any CJIS data.