20121408 langton scribner20121408
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0G5WRBL 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
02
Time Notified
12:15 PM
Date Notified
12/14/2020
Time Arrived
12:21 PM
Date Arrived
12/14/2020
Crash Time
12:14 PM
Crash Date
12/14/2020
Investigating Officer/Deputy
DEPUTY KEVIN GILLIS
Agency Crash NumberPrimary Crash Document #Document Number Override
6VL0G5WRBLAdditional InformationPHOTOS, RECONSTRUCTION
Photos ByDEPUTY KEVIN GILLIS
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON DECEMBER 14, 2020 I, DEPUTY KEVIN GILLIS, WAS ON ROUTINE PATROL FOR THE SAWYER COUNTY SHERIFF'S OFFICE. AT APPROXIMATELY 1215 I WAS
DISPATCHED TO U.S. HWY 63 NEAR DYNO DR IN THE CITY OF HAYWARD FOR A TWO VEHICLE CRASH. DISPATCH ADVISED THERE WERE NO INJURIES.
UPON ARRIVAL I OBSERVED A FORD SEDAN THAT WAS DISABLED IN SOUTHBOUND LANE OF U.S. HWY 63 WITH SIGNIFICANT FRONT END DAMAGE. THERE
WAS A RAM TRUCK IN FRONT OF THE SEDAN THAT HAD MINOR DAMAGES TO THE REAR BUMPER. IT APPEARED BOTH VEHICLES WERE IN THE SOUTHBOUND
LANE WHEN THE SEDAN STRUCK THE REAR END OF THE TRUCK.
THE FORD HAD A WISCONSIN REGISTRATION OF 562-RBB, AND IT CAME BACK TO A 2002 FORD TAURUS TO KAREN LAMBERT SCRIBNER. THE DRIVER OF THE
FORD WAS IDENTIFIED AS (DOB: 01/19/ THE RAM HAD A WISCONSIN REGISTRATION OF AND IT CAME BACK ON A 2018
RAM 1500 TO (DOB: 09/12/
RICHARD STATED THAT HE WAS IN THE SOUTHBOUND LANE OF U.S. HWY 63 WAITING TO TURN LEFT ONTO DYNO DR WHEN HIS TRUCK WAS STRUCK IN THE
Crash Time 12:14 PM
Crash Date 12/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 1 of 6
This report does not include any CJIS data.
20121408
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0G5WRBL WISCONSIN MOTOR VEHICLE
CRASH REPORT
REAR END. RICHARD STATED HE DID NOT NEED ANY MEDICAL ATTENTION. I COLLECTED INSURANCE INFORMATION (AARP), AND HE WAS LATER
RELEASED FROM THE SCENE.
THE FORD TAURUS WAS ABLE TO BE MOVED OFF THE HIGHWAY INTO SAWYER COUNTY'S PROBATION PARKING LOT. INFORMED ME THAT THE
VEHICLE WAS HIS GRANDPARENTS. HE STATED HE WAS TRAVELING SOUTH ON U.S. HWY 63 AND HE ATTEMPTED TO WASH HIS WINDSHIELD WITH
WINDSHIELD WASHER FLUID. STATED THAT HIS WIPERS HAD ICE ON THEM AND WERE UNABLE TO WIPE THE WASHER FLUID OFF OF THE
WINDSHIELD. SAID HE THEN COULDN'T SEE AND HE STRUCK THE TRUCK. SAID THE TRUCK WAS STOPPED IN THE SOUTHBOUND LANE, BUT
HE DIDN'T OBSERVE IF IT HAD ON A TURN SIGNAL. NATHAN STATED HE DIDN'T NEED MEDICAL ATTENTION. I COLLECTED INSURANCE INFORMATION FROM
(STATE FARM), AND HE STATED HE WOULD HAVE THE VEHICLE TOWED BY THE END OF THE DAY. WAS ALSO MAILED A CITATION FOR
INATTENTIVE DRIVING.
PICTURES WERE TAKEN O
Structure Type
Y Coordinate
5104661.5
X Coordinate
152164.734375
Longitude
-91.492856695
Latitude
46.007133198
ON USH63 SB
21 FT N
OF DYNO DR
IN THE CITY 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 - ON ROAD
Animal Type
Weather Condition(s)
CLEAR
Environment Factor(s)
VISUAL OBSTRUCTION (S)
Roadway Factor(s)
NONE
Road Surface Condition(s)
DRY
Light Condition
DAYLIGHT
Manner of Collision
03 - FRONT TO REAR
First Harmful Event Location
ON ROADWAY
First Harmful Event
MOTOR VEH IN TRANSPORT
Crash Scene
Intersection Type
T-INTERSECTION
Junction Location
INTERSECTION-RELATED
Within Interchange Area
NO
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
DIVIDED HWY W/O TRAFFIC BARRIER
Emergency Motor Vehicle Use
NON-EMERGENCY, NON-TRANSPORT
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
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 12:14 PM
Crash Date 12/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 2 of 6
This report does not include any CJIS data.
20121408
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0G5WRBL WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
HAYWARD, WI 54843 , US
Owner Name
0101Driver Actions
NO CONTRIBUTING ACTION
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
LEFT TURN
Vehicle Removed By
OWNER
Towed Due To Damage
NOT TOWED
Extent Of Damage
FUNCTIONAL DAMAGE
Vehicle Damage
05 - RIGHT REAR CORNER, 06 - REAR, 07 - LEFT REAR CORNER
Initial Contact Point
06 - REAR
Bus UseBody Style
PK - PICKUP
Color
BLU - BLUE
Model
1500
Year
2018
Make
RAM
Vehicle Identification Number
80910101
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04Individual
Insurance Company
HARTFORD-UNDERWRITERS-INS-CO
Policy Holder
UNITInjury
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
HAYWARD, WI 54843 , US
RaceDate of Birth
09/12/
Sex
MALE
Citations Issued
0
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 12:14 PM
Crash Date 12/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 3 of 6
This report does not include any CJIS data.
20121408
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0G5WRBL 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
EMS Run #EMS Agency IdentifierMedical Transport
NOT TRANSPORTED
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
DIVIDED HWY W/O TRAFFIC BARRIER
Emergency Motor Vehicle Use
NON-EMERGENCY, NON-TRANSPORT
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
SOUTHBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
1
Train/Bus # RecordedTotal Occs
1
Operating As EndorsementsVehicle Type
PASSENGER CAR02 Unit Type
AUTOMOBILE
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UNITModel
TAURUS SE
Year
2002
Make
FORD
Vehicle Identification Number
70190202 Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - AUTOMOBILE
License Plate Number
Vehicle
Crash Time 12:14 PM
Crash Date 12/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 4 of 6
This report does not include any CJIS data.
20121408
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0G5WRBL WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
SPOONER, WI 54801 , US
Owner Name
0202Driver Actions
OPERATED MOTOR VEHICLE IN INATTENTIVE, CARELESS OR ERRATIC MANNER
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
GOING STRAIGHT
Vehicle Removed By
OPERATOR
Towed Due To Damage
TOWED DUE TO DISABLING DAMAGE
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
01 - RIGHT FRONT CORNER, 11 - LEFT FRONT CORNER, 12 - FRONT
Initial Contact Point
12 - FRONT
Bus UseBody Style
4D - 4DR
Color
GRY - GRAY
VEHICLEUNITUNITVEHICLE Sequence Of Events
Event
MOTOR VEH IN TRANSPORT01
Event
02Event
03Event
04IndividualInsurance Company
STATE-FARM-GENERAL-INS-CO
Policy Holder
UNITInjury
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 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
STONE LAKE, WI 54876 , US
Race
WHITE
Date of Birth
01/19/
Sex
MALE
Citations Issued
1
Driver
ITSafety Equipment
Individual
UNINDIVIDUALCrash Time 12:14 PM
Crash Date 12/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 5 of 6
This report does not include any CJIS data.
20121408
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL0G5WRBL 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
OTHER ACTION (LOOKING AWAY FROM TASK ETC)
Distracted By Source
VEHICLE-INTEGRATED DEVICE
Time of DeathDate of DeathHospital
UNITNon Motorist
INDIVIDUAL Violations
DescriptionINATTENTIVE DRIVINGStatute Number346.89(1)Issue To?
002
UTC Number
BE65083401
Crash Time 12:14 PM
Crash Date 12/14/2020Wisconsin Motor Vehicle Crash
Form DT4000 6 of 6
This report does not include any CJIS data.