20170521 Broge17052001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15CPTJR 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
01
Time Notified
09:05 AM
Date Notified
05/20/2017
Time Arrived
06:46 AM
Date Arrived
05/21/2017
Crash Time
03:00 AM
Crash Date
05/20/2017
Investigating Officer/Deputy
SERGEANT GREG RIPCZINSKI
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
5
C
P
T
J
R
Additional InformationPhotos
Photos BySGT GREG RIPCZINSKI
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 EASTBOUND ON STH 48, SUBJECT CLAIMED TO HAVE SWERVED TO MISS A DEER, LOST CONTROL OF VEHICLE. UNIT 1 CROSSED THE CENTERLINE, COLLIDED WITH THE DITCH OF THE WEASTBOUND LANE AND INTO THE DITCH AREA WHERE IT COLLIDED WITH 2 TREES AND CAME
TO REST.
Crash Time 03:00 AM
Crash Date 05/20/2017This report does not include any CJIS data.
4of1
Wisconsin Motor Vehicle Crash
Form DT4000
17052001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15CPTJR Wisconsin Motor Vehicle
Crash Report
Structure Type
House/Building
Y Coordinate
5067695
X Coordinate
148933.9375
Longitude
-91.507537165
Latitude
45.673804452
ON 16236W STH48 EB
0.50 MI S
OF SUNSET LN 17A
(HOUSE/BUILDING 16236W)
IN THE TOWN OF EDGEWATER
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 - Not On Road
Animal Type
Weather Condition(s)
Cloudy
Environment Factor(s)
None
Roadway Factor(s)
None
Road Surface Condition(s)
Dry
Light Condition
Dark-Unknown Lighting
Manner of Collision
No Collision W/Vehicle In Transport
First Harmful Event Location
Shoulder Left
First Harmful Event
Ditch
Crash Scene
Intersection Type
Not an Intersection
Junction Location
Non-Junction
Within Interchange Area
NO
Reporting Threshold
No
Truck Bus or HazMat
No
Road Grade
Level
Road Curvature
Curve Left
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
Tree
Total Lanes
2
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
Eastbound
Insurance?
NO
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
2
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
1--Right Front Corner
Initial Contact Point
12--Front
Bus UseNot A BusBody Style
2D - 2DR
Color
GRN - Green
Model
GRAND PRIX
Year
1995
Make
PONTIAC
Vehicle Identification Number
752
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
301WZN
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 03:00 AM
Crash Date 05/20/2017This report does not include any CJIS data.
4of2
Wisconsin Motor Vehicle Crash
Form DT4000
17052001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15CPTJR Wisconsin Motor Vehicle
Crash Report
Driver DistractionsUnknown If Distracted
Driver Actions
Speed Too Fast/Cond, Failure To Control
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Negotiating Curve
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
01
Address
EXELAND, WI 54835 , US
IndividualKYLE L BROGE01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventCross Centerline01
EventDitch02
EventTree03
Event
04
Crash Time 03:00 AM
Crash Date 05/20/2017This report does not include any CJIS data.
4of3
Wisconsin Motor Vehicle Crash
Form DT4000
17052001
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL15CPTJR Wisconsin Motor Vehicle
Crash Report
Individual Condition
Not Observed
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
EXELAND, WI 54835 , US
RaceWHITEDate of Birth
12/16
Sex
Male
Citations Issued
2
DriverKYLE L BROGE
IN
D
I
V
I
D
U
A
L
UN
I
T
Drug &
Alcohol
Injury
Equipment
Non Motorist
Individual
Violations
DescriptionOPERATE MOTOR VEHICLE W/O INSURANCESeq Num001Statute Number344.62(1)Issue To?
001
UTC Number
B82094501
DescriptionFAILURE OF OPERATOR TO NOTIFY POLICE OF ACCIDENTSeq Num006Statute Number346.70(1)Issue To?
001
UTC Number
B822094602
Crash Time 03:00 AM
Crash Date 05/20/2017This report does not include any CJIS data.
4of4
Wisconsin Motor Vehicle Crash
Form DT4000