20171005 Johnston ThomsonSAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Secondary
CrashAmendedCrash Type
DT4000 (Standard Crash)Reportable
TagsSchool Bus Related
NoActive School ZoneGovernment
Property
Trailer or TowedWork ZoneLane ClosureHit and RunOn Emergency
Total Killed
00
Total Injured
00
Total Units
02
Time Notified
03:03 PM
Date Notified
10/05/2017
Time Arrived
03:17 PM
Date Arrived
10/05/2017
Crash Time
03:00 PM
Crash Date
10/05/2017
Investigating Officer/Deputy
DEPUTY JEFF CAIN
Agency Crash Number
17100509
Primary Crash Document #Document Number Override
6V
L
1
3
M
V
8
W
1
Additional InformationNone, Photos
Photos ByDEPUTY JEFF CAIN
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
UNIT 2 WAS FOLLOWING UNIT 1 WESTBOUND ON HWY 70 WHEN UNIT 1 STOPPED AT THE INTERSECTION WITH HWY 27 WAITING FOR ONCOMING TRAFFIC TO PASS SO UNIT 1 COULD TURN SOUTH ONTO HWY 27. AS UNIT 1 BEGAN THE LEFT TURN, UNIT 2 PASSED UNIT 1 ON THE LEFT COLLIDING
WITH UNIT 1 IN A SIDESWIPE MANNER
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 1 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Structure Type
Y Coordinate
5079868
X Coordinate
180095.140625
Longitude
-91.116566711
Latitude
45.79816159
INTERSECTION
ON STH70 WB
AT STH27 SB
IN THE TOWN OF OJIBWA
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
Environment Factor(s)
None
Roadway Factor(s)
None
Road Surface Condition(s)
Dry
Light Condition
Daylight
Manner of Collision
05--Sideswipe/Same Direction
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
YES
Reporting Threshold
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
Two-Way, Not Divided
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Motor Veh In Transport
Total Lanes
2
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
Westbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
Passenger Car
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
01
Unit Summary
Extent Of Damage
Minor Damage
Vehicle Damage
11--Left Front Corner
Initial Contact Point
11--Left Front Corner
Bus UseNot A BusBody Style
4D - 4DR
Color
BLK - Black
Model
FUSION SEL
Year
2010
Make
FORD
Vehicle Identification Number
844
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
SUZEL
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 2 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Driver DistractionsNot Distracted
Driver Actions
No Contributing Action
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Left Turn
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
01
Address
HAYWARD, WI 54843 , US
IndividualSUE ANN JOHNSTON01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
EventLeft Turn02
Event
03
Event
04
Individual
SUE JOHNSTON
Insurance Company
PEKIN-INS-CO
Policy Holder
UN
I
T
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 3 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Individual Condition
Appeared Normal
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
Action Other
IN
D
I
V
I
D
U
A
L
UN
I
T
Action
To/From SchoolLocationPrior ActionStriking Unit #
00
1
01
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 Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--Front Seat-Left Side (Driver/Motorcycle/Bicycl
00
1
Safety Equipment
Shoulder & Lap Belt
On Duty Crash
01
ber
State: Wisconsin Country: UNITED STATES
Address
HAYWARD, WI 54843 , US
RaceWHITEDate of Birth
05/04
Sex
Female
Citations Issued
0
DriverSUE ANN JOHNSTON
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 4 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Reporting Threshold
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
Two-Way, Not Divided
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Motor Veh In Transport
Total Lanes
2
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
Westbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
1
Train/Bus # InjuredTotal Occs
3
Operating As EndorsementsVehicle Type
(Sport) Utility Vehicle
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
02
Unit Summary
Driver DistractionsUnknown If Distracted
Driver ActionsImproper Overtaking / Passing Left
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Overtake Left
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
02
Extent Of Damage
Minor Damage
Vehicle Damage
1--Right Front Corner, 5--Right Rear Corner
Initial Contact Point
1--Right Front Corner
Bus UseNot A BusBody Style
UT - SPORT UTILITY VEHICLE
Color
GRY - Gray
Model
SORENTO LX
Year
2013
Make
KIA MOTORS CORPORA
Vehicle Identification Number
594
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
889YPK
VE
H
I
C
L
E
UN
I
T
02
Vehicle
Address
STONE LAKE, WI 54876 , US
IndividualDELORES JOANNE THOMSON02
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 5 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Event
02
Event
03
Event
04
Individual
DELORES THOMSON
Insurance Company
AMERICAN-FAMILY-INS-CO
Policy Holder
UN
I
T
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 6 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Individual Condition
Appeared Normal
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
Action Other
IN
D
I
V
I
D
U
A
L
UN
I
T
Action
To/From SchoolLocationPrior ActionStriking Unit #
00
2
02
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 Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
1--Front Seat-Left Side (Driver/Motorcycle/Bicycl
00
2
Safety Equipment
Shoulder & Lap Belt
On Duty Crash
02
ber
State: Wisconsin Country: UNITED STATES
Address
STONE LAKE, WI 54876 , US
RaceWHITEDate of Birth
07/28
Sex
Male
Citations Issued
1
DriverDONALD TILMAN THOMSON
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 7 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Individual Condition
Appeared Normal
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
Action Other
IN
D
I
V
I
D
U
A
L
UN
I
T
Action
To/From SchoolLocationPrior ActionStriking Unit #
00
3
02
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 Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
4--Second Seat-Left Side(Motorcycle/Bicycle Pa
00
3
Safety Equipment
Restraint Use Unknown
On Duty Crash
02
ber
State: Wisconsin Country: UNITED STATES
Address
STONE LAKE, WI 54876 , US
RaceWHITEDate of Birth
03/01/
Sex
Female
Citations Issued
0
PassengerDELORES JOANNE THOMSON
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 8 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
Individual Condition
Appeared Normal
Drug Type
Drug Test ResultsDrug Test TypeDrug Test GivenTest Not Given
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
Test Not Given
Suspected Drug UseSuspected Alcohol Use
Action Other
IN
D
I
V
I
D
U
A
L
UN
I
T
Action
To/From SchoolLocationPrior ActionStriking Unit #
00
4
02
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 Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint ComplianceEye Protection
Helmet ComplianceHelmet Use
Seat Position
3--Front Seat-Right Side (Train Engineers/Right
00
4
Safety Equipment
Restraint Use Unknown
On Duty Crash
02
ber
State: Wisconsin Country: UNITED STATES
Address
RICE LAKE, WI 54868 , US
RaceWHITEDate of Birth
06/12/1
Sex
Male
Citations Issued
0
PassengerCHARLES A THOMSON
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Violations
DescriptionPASSING IN NO-PASSING ZONESeq Num001Statute Number346.09(3)Issue To?
002
UTC Number
AE01462301
Date of Birth
10/14/1980
AddressIndividual
01
Witness
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 9 of 10
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W1 Wisconsin Motor Vehicle
Crash Report
WINTER, WI 54896 , US
NATHAN D RADEMACHER
WI
T
N
ES
S
Crash Time 03:00 PM
Crash Date 10/05/2017Wisconsin Motor Vehicle Crash
Form DT4000 10 of 10
This report does not include any CJIS data.