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20112207 kruschke-heutmaker318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z6J8W0 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 04 Total Units 02 Time Notified 12:01 PM Date Notified 11/22/2020 Time Arrived 12:08 PM Date Arrived 11/22/2020 Crash Time 12:01 PM Crash Date 11/22/2020 Investigating Officer/Deputy DEPUTY MATHIAS HALBUR Agency Crash Number 20112207 Primary Crash Document #Document Number Override 6VL0Z6J8W0Additional InformationNONE Photos By Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON NOVEMBER 22ND, 2020, I DEPUTY MATHIAS HALBUR WAS ON DUTY FOR THE SAWYER COUNTY SHERIFF'S OFFICE. I WAS REQUESTED BY DISPATCH TO RESPOND TO THE AREA OF US HIGHWAY 63 SLIGHTLY NORTH OF THE LENROOT TOWN HALL REFERENCE A TWO-VEHICLE HEAD ON COLLISION. I BEGAN EN ROUTE AT 12:03 PM. DEPUTY SHEPARD WAS EN ROUTE AS WELL. I ARRIVED ON SCENE AT 12:08 PM. WHEN I EXITED MY SQUAD, I OBSERVED TWO JUVENILES WHO WERE SITTING ON THE SHOULDER OF THE NORTHBOUND LANE. A MALE JUVENILE, WHO WAS LATER IDENTIFIED AS DOB: 5/5/ WAS LAYING ON HIS BACK AND APPEARED TO BE IN PAIN. A FEMALE JUVENILE, WHO WAS LATER IDENTIFIED AS DOB: 06/13/ HAD BLOOD ON HER FACE, BUT WAS SITTING UP AND SPEAKING. BOTH JUVENILES WERE ALERT AND CONSCIOUS. MULTIPLE CIVILIANS WERE ATTENDING TO THE JUVENILES. AFTER TALKING WITH CIVILIANS ON SCENE, I LEARNED THAT THE DRIVERS OF BOTH OF THE VEHICLES WERE STILL INSIDE THEIR RESPECTIVE VEHICLES. THE VEHICLES INVOLVED WERE A BLUE 2005 CHEVROLET SILVERADO WITH WI PLATE OF AND A BLUE 2013 FORD FLEX WITH WI PLATES OF THE FORD FLEX WAS RESTING AGAINST THE GUARDRAIL ON THE NORTHBOUND LANE SHOULDER, AND THE SILVERADO WAS CONTACTING THE FRONT END OF THE FLEX WITH ITS TAILGATE. BOTH VEHICLES HAD SIGNIFICANT FRONT END DAMAGE, AND THE SILVERADO ALSO HAD SIGNIFICANT REAR END DAMAGE. I APPROACHED THE DRIVER OF THE SILVERADO, WHO WAS LATER IDENTIFIED AS DOB:11/25/ HAD BLEEDING OUT OF HIS LEFT EAR, WAS COMPLAINING OF LEG PAIN, BUT WAS ABLE TO SPEAK AND THINK CLEARLY AND APPEARED OTHERWISE STABLE. I THEN WENT TO THE Crash Time 12:01 PM Crash Date 11/22/2020Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z6J8W0 WISCONSIN MOTOR VEHICLE CRASH REPORT FORD FLEX WHERE A CIVILIAN WAS ATTEMPTING TO EXTRICATE THE DRIVER, DOB: 1/4/ I ASKED HOW HE WAS DOING. COMPLAINED ABOUT SEVERE LEG AND WRIST PAIN, BUT APPEARED OTHERWISE STABLE. DEPUTY SHEPARD AND SAWYER COUNTY AMBULANCE PERSONNEL ARRIVED ON SCENE. DEPUTY SHEPARD SHUT DOWN TRAFFIC IN THE SOUTHBOUND LANE AND I INFORMED THE AMBULANCE PER Structure Type NO STRUCTURE Y Coordinate 5111765.5 X Coordinate 158528.4375 Longitude -91.41599439 Latitude 46.074082575 ON USH63 NB 507 FT E OF OLD 63 IN THE TOWN OF LENROOT 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) CLOUDY, SNOW, FREEZING RAIN OR FREEZING DRIZZLE Environment Factor(s) WEATHER CONDITIONS Roadway Factor(s) ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH, ETC) Road Surface Condition(s) ICE Light Condition DAYLIGHT Manner of Collision 02 - FRONT TO FRONT First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Time Scene Cleared 01:34 PM Date Scene Cleared 11/22/2020 Time All Lanes Open 01:34 PM Date All Lanes Open 11/22/2020 Time Initial Lane/Rd Closed 12:15 PM Date Initial Lane/Rd Closed 11/22/2020 Reasons for Closure LAW ENFORCEMENT, TOW TRUCK, FIRE/EMS, WEATHER CONDITIONS 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 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 55 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 UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITCountry of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number Vehicle Crash Time 12:01 PM Crash Date 11/22/2020Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z6J8W0 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address OSCEOLA, WI 54020 , US Owner Name 0101Driver 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 01 - RIGHT FRONT CORNER, 02 - RIGHT SIDE FRONT, 05 - RIGHT REAR CORNER, 06 - REAR, 07 - LEFT REAR CORNER, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER, 12 - FRONT Initial Contact Point 12 - FRONT Bus UseBody Style PK - PICKUP Color BLU - BLUE Model SILVERADO Year 2005 Make CHEVROLET Vehicle Identification Number 51020101 VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event CROSS CENTERLINE02 Event RUN OFF ROADWAY LEFT03 Event 04Individual Insurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UNITInjury Trapped/Extricated TRAPPED/EXTRICATED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-COMBINATION Injury Severity SUSPECTED SERIOUS INJUR00101 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 . OSCEOLA, WI 54020 , US Race WHITE Date of Birth 11/25/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 12:01 PM Crash Date 11/22/2020Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z6J8W0 WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By 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 # Distracted By Action NOT DISTRACTED Distracted By Source NOT APPLICABLE (NOT DISTRACTED) Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP EMS Run # 2018503 EMS Agency Identifier 6000954 Medical Transport EMS GROUND UNITNon Motorist INDIVIDUALTruck 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 55 Pre CrashTire Mark Direction Of Travel NORTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # RecordedTotal Occs 3 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UNITModel FLEX Year 2013 Make FORD Vehicle Identification Number 53170202 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 12:01 PM Crash Date 11/22/2020Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z6J8W0 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address BALDWIN, WI 54002 , 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 01 - RIGHT FRONT CORNER, 02 - RIGHT SIDE FRONT, 03 - RIGHT SIDE MIDDLE, 04 - RIGHT SIDE REAR, 10 - LEFT SIDE FRONT, 11 - LEFT FRONT CORNER, 12 - FRONT Initial Contact Point 12 - FRONT Bus UseBody Style UT - SPORT UTILITY VEHICLE Color BLU - BLUE VEHICLEUNITUNITVEHICLE Sequence Of Events Event MOTOR VEH IN TRANSPORT01 Event RUN OFF ROADWAY RIGHT02 Event GUARDRAIL FACE03 Event 04IndividualInsurance Company PROGRESSIVE-ADVANCED-INSURANCE-CO Policy Holder UNITInjury EMS Run # 2018503 EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated TRAPPED/EXTRICATED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-COMBINATION Injury Severity SUSPECTED SERIOUS INJUR00202 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 BALDWIN, WI 54002 , US Race WHITE Date of Birth 01/04/ Sex MALE Citations Issued 0 Driver ITSafety Equipment Individual UNINDIVIDUALCrash Time 12:01 PM Crash Date 11/22/2020Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z6J8W0 WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By 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 HAYWARD AREA MEM HOSP UNITNon Motorist INDIVIDUALInjury Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP EMS Run # 2018503 EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-COMBINATION Injury Severity SUSPECTED MINOR INJURY00302 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat PositionRow 99 - UNKNOWN Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License NumberAddress BALDWIN, WI 54002 , US Race ASIAN Date of Birth 05/05/ Sex MALE Citations Issued 0 Passenger ITSafety Equipment Individual UNINDIVIDUALCrash Time 12:01 PM Crash Date 11/22/2020Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z6J8W0 WISCONSIN MOTOR VEHICLE CRASH REPORT Distracted By Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00302Drug 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 UNITNon Motorist INDIVIDUALDistracted By Injury Distracted By Source Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP EMS Run # 2018503 EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABLE Ejected NOT EJECTED Airbag DEPLOYED-COMBINATION Injury Severity SUSPECTED MINOR INJURY00402 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat PositionRow 99 - UNKNOWN Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License NumberAddress BALDWIN, WI 54002 , US Race ASIAN Date of Birth 06/13/ Sex FEMALE Citations Issued 0 Passenger ITSafety Equipment Individual UNINDIVIDUALCrash Time 12:01 PM Crash Date 11/22/2020Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. 318 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL0Z6J8W0 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00402Drug 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 UNITNon Motorist INDIVIDUALLENROOT, WI 54843 , US PROPOWNER01Fixed Objects Struck Property Owner Damage Tag Number 208241 Structure NumberStruck Object GUARDRAIL FACE Striking Unit 0201 Crash Time 12:01 PM Crash Date 11/22/2020Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.