20160508 MeyerAgency Accident Number
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Police Number
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Reportable Accident On Emergency Amended GZDR0DX
DOT Document Number Document Override Number
16050802
16
0
5
0
8
0
2
05/08/2016
4 - Accident Date
0148
5 - Time of Accident (Military Time)
01
6 - Total Units
00
7 - Total Injured
00
8 - Total Killed
SAWYER - 572 - County MEADOW BROOK - 09, TOWN3 - Municipality NON-INTERSECTION11 - Accident Location
027
14 - On Hwy No.
SB
14 - On Street Name 14 - Bus/Frnt/Rmp
1.30 MI15 - Est. Distance SOUTH15 - Hwy. Dir
16 - Fr/At Hwy No.DRUWE RD16 - From/At Street Name 16 - Business/Frontage/Ramp
17 - Structure Type 17 - Structure Number
45.649232
12 - Latitude -91.11194613 - Longitude
DITCH80 - First Harmful Event NO COLLISION WITH MOTOR VEHICLE IN TRANSPORT93 - Manner of Collision
NO CONTROL
112 - Access Control
STRAIGHT
113 - Road Curvature
LEVEL/FLAT
113 - Road Terrain
BLACKTOP, BITUMINOUS, OR ASPHALT - 2
Surface Type
NOT-PHYSICALLY-DIVIDED-(2-WAY TRAFFIC)115 - Traffic Way
OUTSIDE-SHOULDER-RIGHT
117 - Relation To Roadway
DARK-NOT-LIGHTED114 - Light Condition DRY116 - Road Surface Condition CLOUDY118 - Weather
Hit and Run
9
Government Property
9
Fire
9
Photos Taken
9
Trailer or Towed
9
Truck, Bus, or Hazardous Materials
9
Load Spillage
9
Construction Zone
9
Names Exchanged
9
Supplemental Reports
101
Witness Statements
102
Measurements Taken
103 79 - E M S Number
Operator/Pedestrian
OP
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Unit Status
OVERTURN
81 - Most Harmful Event: Collision With
SOUTH
23 - Dir Of Travel
5524 - Speed Limit
D CLASS
36 - Operating as Classified 37 - Endorsements 35
Operating Commercial Motor Vehicle
29 - Driver's License Number
WI
30 - State
2018
31 - Expiration Year 34 - On Duty Accident
MEYER
25 - Operator/Pedestrian Last Name
CHASE
25 - First Name
M
25 - Middle Initial 25 - Suffix
04/14/
32 - Date Of Birth
MALE
33 - Sex
26 - Address Street & Number 26 - PO Box
SHELDON
27 - City
WI
27 - State
54766
27 - Zip Code 28 - Telephone Number
FRONT-SEAT-LEFT-SIDE-(MC/BIKE DRIVER, TRAIN CONDUCTOR)
39 - Seat Position
SHOULDER-BELT-AND-LAP-BELT-USED
40 - Safety Equipment
N - NO APPARENT INJURY
38 - Injury Severity
NON-DEPLOYED
41 - Airbag
NOT-EJECTED
42 - Ejected 44
Medical Transport
NOT-TRAPPED
43 - Trapped/Extricated 92 - Pedestrian Location 92 - Pedestrian Action
OTHER
119 - What Driver Was Doing
NO-CONTROL
120 - Traffic Control 062 - No. of Citations Issued
64 - 1st Statute No.64 - 2nd Statute No.64 - 3rd Statute No.64 - 4th Statute No.64 - 5th Statute No.
FAILURE-TO-HAVE-CONTROL
122 - Driver Factors
APPEARED NORMAL88 - Driver or Pedestrian Cond UNKNOWN
89 - Substance Presence
TEST NOT GIVEN90 - Alcohol Test 90 - Alcohol Content TEST NOT GIVEN91 - Drug Test
01
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Vehicle
Vehicle Owner
Insurance
School Bus
IN
S
91 - Drugs Reported
NOT-APPLICABLE
124 - Highway Factors
AUTOMOBILE
21 - Unit Type
PASSENGER-CAR
Vehicle Type
1
22 - Total Occupants
LK1936
56 - License Plate Number
AUT57 - Plate Type WI
58 - State
2016
59 - Exp Year
25344
55 - Vehicle Identification Number
2003
50 - Year
FORD
51 - Make
F250 S.D.
52 - Model
4D - 4DR
53 - Body Style
BLK
54 - Color 100 - Skidmarks to Impact (Ft)
FRONT, FRONT DRIVER SIDE, MIDDLE DRIVER SIDE, REAR DRIVER SIDE
94 - Vehicle Damage
MODERATE
95 - Extent Of Damage
Vehicle Towed Due To Damage
96
OPERATOR
97 - Vehicle Removed By
NOT-APPLICABLE
123 - Vehicle Factors
45
Vehicle Owner Same As Operator
MEYER
46 - Vehicle Owner Last Name
CHASE
46 - First Name
M
46 - Middle Initial 46 - Suffix
04/14
Date Of Birth
46 - Company Name
47- Address Street & Number 47 - PO Box
SHELDON48 - City WI48 - State 54766-471448 - Zip Code 49 - Telephone Number
AMERICAN-FAMILY-MUTUAL-INS-CO63 - Liability Insurance Company Policy Holder Same As Owner60
MEYER
61 - Policy Holder Last Name
CHASE
61 - Policy Holder First Name
61 - Policy Holder Company
01
01
01
01
BU
S
FromTo
Bus Travelling to/from School Name Body Make Seating Capacity
School District Contracted With
Trailer
01
TR
L
106 - Power Unit Number License Plate Number Plate Type State Expiration Year
Trailer Make Unit Type Vehicle Identification Number
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Wisconsin Motor Vehicle
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Wisconsin Motor Vehicle GZDR0DX 2 424
Fixed Objects Struck
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Property
UNKNOWN
Organization Type 84 - Property Owner Last Name 84 - First Name 84 - Middle Initial 84 - Suffix
01
84 - Company Name Government Property Type
85 - Address Street & Number 85 - PO Box
86 - City 86 - State 86 - Zip Code 87 - Telephone Number
83 - Government Damage Tag Number
01
82 - Striking Unit
DITCH
82 - Object Struck 82 - Striking Unit 82 - Object Struck
82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck
82 - Striking Unit 82 - Object Struck 82 - Striking Unit 82 - Object Struck
105 - Photos By
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Diagram and Narrative
CHASE M. MEYER WAS TRAVELING SOUTH ON STATE HIGHWAY 27 JUST NORTH OF THE RUSK COUNTY LINE. AT APPROXIMATELY
1:48AM A DEER REPORTEDLY RAN OUT IN FRONT OF MEYER'S VEHICLE. MEYER ADVISED THERE WAS NOT ENOUGH SPACE
BETWEEN HIMSELF AND THE ANIMAL TO STOP TO AVOID COLLISION. HE ADVISED THAT INSTEAD HE SWERVED TO ATTEMPT TO
AVOID CONTACT WITH THE ANIMAL. HE LOST CONTROL OF THE VEHICLE AND ENTERED THE DITCH ON THE WEST SIDE OF HWY
27. AFTER TRAVELING APPROXIMATELY 200 FEET THROUGH A SWAMPY AREA ALONG SIDE THE ROADWAY HE ENTERED A VERY
MUDDY AREA WITH SOME SHALLOW STANDING WATER. JUDGING BY THE MARKS LEFT FROM THE CRASH IT APPEARED THAT THE FRONT DRIVER'S SIDE TIRE DUG DOWN INTO THE TERRAIN CAUSING THE VEHICLE TO TURN TO THE WEST AND ROLL ONTO THE
DRIVERS SIDE. DEPUTY SHEPARD TOOK THE REPORT. THE VEHICLE WAS TURNED RIGHT SIDE UP AND PULLED OUT OF THE DITCH
BY A TOW TRUCK. THERE WAS DENTING ACROSS THE ENTIRE DRIVERS SIDE OF THE VEHICLE. THE DRIVERS SIDE FRONT FENDER
WAS PARTIALLY RIPPED OF AND THE SIDE MIRROR WAS CRUSHED. THERE WAS A LARGE AMOUNT OF MUD AND OTHER DEBRIS
LODGED INTO THE UNDER CARRIAGE AND THE FRONT WHEEL WELLS. THE DEBRIS WERE REMOVED AND THE VEHICLE WAS
DETERMINED TO BE DRIVABLE, ALTHOUGH DEPUTY SHEPARD DID RECOMMEND THAT IT BE TOWED IN CASE OF UNFORSEEN DAMAGES. MEYER WAS UNINJURED IN THE CRASH AND CHOSE TO DRIVE THE VEHICLE HOME.
CHASE M. MEYER WAS TRAVELING SOUTH ON STATE HIGHWAY 27 JUST NORTH OF THE RUSK COUNTY LINE. AT APPROXIMATELY
1:48AM A DEER REPORTEDLY RAN OUT IN FRONT OF MEYER'S VEHICLE. MEYER ADVISED THERE WAS NOT ENOUGH SPACE
BETWEEN HIMSELF AND THE ANIMAL TO STOP TO AVOID COLLISION. HE ADVISED THAT INSTEAD HE SWERVED TO ATTEMPT TO
AVOID CONTACT WITH THE ANIMAL. HE LOST CONTROL OF THE VEHICLE AND ENTERED THE DITCH ON THE WEST SIDE OF HWY
27. AFTER TRAVELING APPROXIMATELY 200 FEET THROUGH A SWAMPY AREA ALONG SIDE THE ROADWAY HE ENTERED A VERY
MUDDY AREA WITH SOME SHALLOW STANDING WATER. JUDGING BY THE MARKS LEFT FROM THE CRASH IT APPEARED THAT THE FRONT DRIVER'S SIDE TIRE DUG DOWN INTO THE TERRAIN CAUSING THE VEHICLE TO TURN TO THE WEST AND ROLL ONTO THE
DRIVERS SIDE. DEPUTY SHEPARD TOOK THE REPORT. THE VEHICLE WAS TURNED RIGHT SIDE UP AND PULLED OUT OF THE DITCH
BY A TOW TRUCK. THERE WAS DENTING ACROSS THE ENTIRE DRIVERS SIDE OF THE VEHICLE. THE DRIVERS SIDE FRONT FENDER
WAS PARTIALLY RIPPED OF AND THE SIDE MIRROR WAS CRUSHED. THERE WAS A LARGE AMOUNT OF MUD AND OTHER DEBRIS
LODGED INTO THE UNDER CARRIAGE AND THE FRONT WHEEL WELLS. THE DEBRIS WERE REMOVED AND THE VEHICLE WAS
DETERMINED TO BE DRIVABLE, ALTHOUGH DEPUTY SHEPARD DID RECOMMEND THAT IT BE TOWED IN CASE OF UNFORSEEN DAMAGES. MEYER WAS UNINJURED IN THE CRASH AND CHOSE TO DRIVE THE VEHICLE HOME.
Officer Information
Accident Report
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Wisconsin Motor Vehicle GZDR0DX 3 4
OF
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125 - First Name 125 - Middle Initial
SHEPARD
125 - Officer Last Name
LUCAS 316
131 - Officer ID
129 - Law Enforcement Agency No.
SAWYER COUNTY SHERIFFS DEPT
130 - Law Enforcement Agency Name
15880 EAST FIFTH STREET
126 - Law Enforcement Agency Address Street & Number
HAYWARD
127 - City
WI
127 - State
54843
127 - Zip Code
(715) 634-4858 EXT.
128 - Telephone Number
05/08/2016
132 - Date Notified 0148133 - Time Notified (Military Time)0229134 - Time Arrived (Military Time)
05/08/2016
135 - Date Of Report
16050802 19 - Special Study
18 - Agency Space
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MV4000e 01/2005
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PK2012
Wisconsin Motor Vehicle GZDR0DX 4 4