20112004 reese20112004
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GFB00J 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
04:26 AM
Date Notified
11/20/2020
Time Arrived
05:04 AM
Date Arrived
11/20/2020
Crash Time
04:26 AM
Crash Date
11/20/2020
Investigating Officer/Deputy
DEPUTY RYAN SCHICK
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0GFB00JAdditional InformationPHOTOS
Photos ByDEPUTY RYAN SCHICK
Reconstruction ByDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON NOVEMER 20, 2020, AT 04:26, I, DEPUTY RYAN SCHICK OF THE SAWYER CO SHERIFF'S DEPT WAS ASKED TO RESPOND NEAR ADDRESS TOWER RD
IN THE TOWNSHIP OF WINTER FOR A ONE VEHICLE ROLLOVER. DISPATCH ADVISED THERE WAS NO ON INSIDE OR AROUND THE VEHICLE, AND IT WAS
FLIPPED OVER ON IT'S ROOF. DISPATCH ADVISED DAVE'S TOWING FROM LORETTA WAS EN ROUTE TO REMOVE THE VEHICLE. I ARRIVED ON SCENE AND
WITNESSED A BLACK FORD F20 PICKUP UPSIDE DOWN. I CONFIRMED THERE WAS NO ONE INSIDE THE VEHICLE OR AROUND IT. I RAN THE WI TRUCK PLATE
THROUGH DISPATCH. THE PLATE CAME BACK TO THE ABOVE MALE, WE DID NOT HAVE A PHONE NUMBER FOR TO SEE WHO WAS DRIVING. I
PHOTOGRAPHED THE TRUCK AND THOSE PHOTOS WILL BE ENTERED INTO THE CASE. AFTER DAVE RESPONDED AND REMOVED THE VEHICLE, I WAS BACK
NEAR HAYWARD, W WHEN I WAS ASKED TO GIVE THE OWNER, A CALL. I CALLED VIA TELEPHONE. ADVISED HE JUST NOW GOT BACK
TO HIS PARENTS AS IT WAS A FEW MILES TO WALK AND HE WAS NOT INJURED AND WAS THE DRIVER. STATETD HE COULDN'T CALL AS HIS PHONE
WAS LOST IN THE TRUCK ROLLOVER. STATED HE CRESTED THE HILL, WHEN THE BACK OF HIS TRUCK GAVE OUT AND HE LOST CONTROL ROLLING
OVER INTO THE DITCH. STATED HE WAS WEARING A LAP AND SHOULDER BELT. I TOLD I WOULD DO A CRASH REPORT, AND HE STATED DAVE
WAS EN ROUTE TO HIS RESIDENCE TO DROP THE TRUCK OFF WITH HIM. I ASKED IF HE HAD FURTHER QUESTIONS AND HE STATED NO. PLEASE SEE SWSO
CASE #: 20112004 FOR MORE DETAILS.
Crash Time 04:26 AM
Crash Date 11/20/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
20112004
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GFB00J WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
HOUSE/BUILDING
Y Coordinate
5082444.5
X Coordinate
192781.890625
Longitude
-90.95535318
Latitude
45.827057683
ON 5242 TOWER RD
0.54 MI E
OF LAKE WINTER RD S
(HOUSE/BUILDING 5242)
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)
NONE
Road Surface Condition(s)
DRY
Light Condition
DARK/UNLIT
Manner of Collision
00 - NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
SHOULDER RIGHT
First Harmful Event
OVERTURN/ROLLOVER
Crash Scene
Intersection Type
NOT AN INTERSECTION
Junction Location
NON-JUNCTION
Within Interchange Area
NO
Truck Bus or HazMat
NO
Road Grade
DOWNHILL
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
OVERTURN/ROLLOVER
Total Lanes
2
Speed Limit
45
Pre CrashTire
Mark
Direction Of Travel
EASTBOUND
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK01 Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITExtent Of Damage
DISABLING DAMAGE
Vehicle Damage
15 - ALL AREAS
Initial Contact Point
13 - TOP
Bus UseBody Style
PK - PICKUP
Color
BLK - BLACK
Model
F250
Year
2004
Make
FORD
Vehicle Identification Number
95730101 Country of Issuance
UNITED STATES
St
WI
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VEHICLEUNIT Vehicle
Crash Time 04:26 AM
Crash Date 11/20/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
20112004
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GFB00J WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
PEWAUKEE, WI 53072 , US
Owner Name
0101Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
DAVES TOWING
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
UNITVEHICLE Sequence Of Events
Event
CROSS CENTERLINE01
Event
OVERTURN/ROLLOVER02
Event
03Event
04Distracted By
Injury
LocationStriking Unit #
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
07 - LEFT
Row
01 - FRONT ROW
Safety Equipment
SHOULDER & LAP BELT
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
PEWAUKEE, WI 53072 , US
Race
WHITE
Date of Birth
02/16/
Sex
MALE
Citations Issued
0
Driver
ITSafety Equipment
Non Motorist
Individual
UNINDIVIDUALCrash Time 04:26 AM
Crash Date 11/20/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
20112004
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0GFB00J WISCONSIN MOTOR VEHICLE
CRASH REPORT
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
UNITINDIVIDUALCrash Time 04:26 AM
Crash Date 11/20/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.