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20171012 Dusell Mosley17101206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W2 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 01:06 PM Date Notified 10/12/2017 Time Arrived 01:22 PM Date Arrived 10/12/2017 Crash Time 01:06 PM Crash Date 10/12/2017 Investigating Officer/Deputy DEPUTY JEFF CAIN Agency Crash Number 17101206 Primary Crash Document #Document Number Override 6V L 1 3 M V 8 W 2 Additional InformationPhotos, Witness Statements 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 1 WAS A 1999 NEW HOLLAND MODEL FX58 CORN CHOPPER PULLING A 2016 MEYER CHOPPER TRAILER NORTHBOUND ON HWY 27. UNIT 2 WAS A 2009 CHEVROLET K2500HD PICKUP TRUCK ALSO NORTHBOUND ON HWY 27. UNIT 1 WAS OPERATING WITH YELLOW FLASHERS ON. ALL FLASHERS FUNCTIONED EXCEPT THE LEFT REAR ON THE NEW HOLLAND CHOPPER. UNIT 1 ACTIVATED THE LEFT TURN SIGNAL PRIOR TO ATTEMPTING A TURN INTO A FARM FIELD. THE LEFT TURN SIGNAL FUNCTIONED ON THE MEYER TRAILER, BUT DID NOT FUNCTION ON THE NEW HOLLAND CHOPPER. UNIT 2 PASSED A FOLLOWING VEHICLE, PULLED BACK INTO THE NORTHBOUND LANE, THEN PULLED OUT TO PASS UNIT 1 ON THE LEFT AS UNIT 1 BEGAN TO MAKE A LEFT TURN. THE RIGHT SIDE OF UNIT 2 COLLIDED WITH THE LEFT FRONT CORNER OF UNIT 2 CAUSING DAMAGE TO BOTH VEHICLES. Crash Time 01:06 PM Crash Date 10/12/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. 17101206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W2 Wisconsin Motor Vehicle Crash Report Structure Type Y Coordinate 5073966 X Coordinate 180182.015625 Longitude -91.11154986 Latitude 45.745216536 ON STH27 NB 0.35 MI N OF IRVINE DR IN THE TOWN OF RADISSON 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 Not an Intersection Junction Location Driveway Access Within Interchange Area NO 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 Northbound Insurance? YES Total HazMat Types 0 Total Trailers 1 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type Other Working Machine Unit Type Equipment Vehicle Operating As Classification O CLASS Unit Status In Transit UN I T 01 Unit Summary Extent Of Damage Functional Damage Vehicle Damage 11--Left Front Corner Initial Contact Point 11--Left Front Corner Bus UseNot A BusBody Style SP - SPECIAL DESIGN VEHICLE Color YEL - Yellow Model FX58 Year 1999 Make JOHN DEERE Vehicle Identification Number 265110005 Country of IssuanceStPlate TypeLicense Plate Number VE H I C L E UN I T 01 Vehicle Crash Time 01:06 PM Crash Date 10/12/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. 17101206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W2 Wisconsin Motor Vehicle Crash Report Driver Distractions Driver Actions Driver Prior Action Other Vehicle Factors Turn Signals 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 LADYSMITH, WI 54848 , US IndividualTERRY G DUSELL01 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 TERRY DUSELL Insurance Company MOUNT MORRIS MUTUAL INS Policy Holder UN I T Trailer/Towed Vehicle Identification Number 17T5201 Address LADYSMITH, WI 54848 , US IndividualTERRY G DUSELLUnit Type Equipment Country of IssuanceStateMake MEYER Plate TypeTrailer Plate # TR A I L E R / TO W E D UN I T 01 Crash Time 01:06 PM Crash Date 10/12/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. 17101206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W2 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 Restraint Use Unknown On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES AddressW7 LADYSMITH, WI 54848 , US RaceWHITEDate of Birth 01/15/ Sex Male Citations Issued 1 DriverEVAN J DUSELL IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionFAIL/SIGNAL TURN/UNSAFE TURNSeq Num001Statute Number346.34(1)Issue To? 001 UTC Number AE01462401 Crash Time 01:06 PM Crash Date 10/12/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. 17101206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W2 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 Northbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 1 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 ActionsFailed To Yield Right-Of-Way, Improper 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 Functional Damage Vehicle Damage 1--Right Front Corner, 2--Right Side Front, 3--Right Side Middle, 4--Right Side Rear, 5--Right Rear Corner, 6--Rear Initial Contact Point 1--Right Front Corner Bus UseNot A BusBody Style PK - PICKUP Color BLK - Black Model SILVERADO Year 2009 Make CHEVROLET Vehicle Identification Number 27078 Country of Issuance UNITED STATES St WI Plate Type LTK - Light Truck License Plate Number KB8628 VE H I C L E UN I T 02 Vehicle Address AUGUSTA, WI 54722 , US IndividualMICHAEL WILLARD MOSLEY02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Crash Time 01:06 PM Crash Date 10/12/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. 17101206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W2 Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 Individual MICHAEL MOSLEY Insurance Company UNITED-SERVICES-AUTOMOBILE-ASSN Policy Holder UN I T Crash Time 01:06 PM Crash Date 10/12/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. 17101206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W2 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 AUGUSTA, WI 54722 , US RaceWHITEDate of Birth 06/21 Sex Male Citations Issued 1 DriverMICHAEL WILLARD MOSLEY IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionPASSING VEHICLE INDICATING LEFT TURNSeq Num001Statute Number346.09(4)Issue To? 002 UTC Number AE01462502 Date of Birth 01/07/1975 AddressIndividual 01 Witness Crash Time 01:06 PM Crash Date 10/12/2017Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. 17101206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8W2 Wisconsin Motor Vehicle Crash Report EXELAND, WI 54835 , US MARK W LONG WI T N ES S Date of Birth 10/15/1OJIBWA, WI 54896 , US IndividualTHOMAS A WINIARCZYK02 WI T N ES S Witness Crash Time 01:06 PM Crash Date 10/12/2017Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.