Loading...
20170705 Richards Headley17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 12:05 PM Date Notified 07/05/2017 Time Arrived 12:06 PM Date Arrived 07/05/2017 Crash Time 12:05 PM Crash Date 07/05/2017 Investigating Officer/Deputy DEPUTY JEFF CAIN Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 3 M V 8 V T Additional InformationPhotos, Other Documents 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 STOPPED IN TRAFFIC IN THE NORTHBOUND LANE OF HWY 27 DUE TO ROAD CONSTRUCTION BACKUP WHEN UNIT 2, ALSO NORTHBOUND DROVE INTO THE BACK OF UNIT 1 Structure Type Y Coordinate 5101712.5 X Coordinate 151552.140625 Longitude -91.498595754 Latitude 45.980361817 ON STH27 NB 753 FT N OF FUN VALLEY RD IN THE TOWN OF BASS LAKE IN SAWYER COUNTY Location Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT Wisconsin Motor Vehicle Crash Report 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) None Roadway Factor(s) Work Zone (Construction/Maintenance/Utility) Road Surface Condition(s) Dry Light Condition Daylight Manner of Collision 02--Front To Rear First Harmful Event Location On Roadway First Harmful Event Motor Veh In Transport Crash Scene Intersection Type Not an Intersection Junction Location Non-Junction Within Interchange Area NO Normal Posted Speed Limit 45 Advisory/Regulatory Speed Limit Regulatory Work Zone Speed Limit 45 Law Enforcement Present No Workers Present YES Work Zone Crash Type Intermittent or Moving Work Work Zone Crash Location Advance Warning Area 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 45Pre CrashTire Mark Direction Of Travel Northbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 3 Operating As EndorsementsVehicle Type Utility Truck/Pickup Truck Unit Type Truck Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 Unit Summary Vehicle Removed ByTowed Due To Damage Extent Of Damage Minor Damage Vehicle Damage 6--Rear Initial Contact Point 6--Rear Bus UseNot A BusBody Style PK - PICKUP Color GRY - Gray Model F150 Year 2014 Make FORD Vehicle Identification Number 00516 Country of Issuance UNITED STATES St WI Plate Type LTK - Light Truck License Plate Number KK9326 VE H I C L E UN I T 01 Vehicle Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 Stop In Traffic OWNERNot Towed VE H I C L E UN I T 01 Address ROBERTS, WI 54023 , US IndividualPAUL DOUGLAS RICHARDS01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Event 02 Event 03 Event 04 Individual PAUL RICHARDS Insurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UN I T Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 ROBERTS, WI 54023 , US RaceWHITEDate of Birth 01/19 Sex Male Citations Issued 0 DriverPAUL DOUGLAS RICHARDS IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 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 3--Front Seat-Right Side (Train Engineers/Right 00 2 Safety Equipment Shoulder & Lap Belt On Duty Crash 01 Driver License NumberAddress ROBERTS, WI 54023 , US RaceWHITEDate of Birth 10/04/ Sex Female Citations Issued 0 PassengerMICHELLE N RICHARDS IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 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 6--Second Seat-Right Side 00 3 Safety Equipment Shoulder & Lap Belt On Duty Crash 01 Driver License NumberAddress ROBERTS, WI 54023 , US RaceWHITEDate of Birth 08/16 Sex Male Citations Issued 0 PassengerCOOPER D RICHARDS IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 45Pre CrashTire Mark Direction Of Travel Northbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 4 Operating As EndorsementsVehicle Type Utility Truck/Pickup Truck Unit Type Truck Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 02 Unit Summary Driver DistractionsPassenger Driver ActionsOperated 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 OWNER Towed Due To Damage Not Towed VE H I C L E UN I T 02 Extent Of Damage Functional Damage Vehicle Damage 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style PK - PICKUP Color GRN - Green Model NO DATA FO Year 2014 Make DODGE Vehicle Identification Number 0549 Country of Issuance UNITED STATES St WI Plate Type LTK - Light Truck License Plate Number LX5259 VE H I C L E UN I T 02 Vehicle Address STONE LAKE, WI 54876 , US IndividualCHAD CHRISTOPHER HEADLEY02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 7 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 Individual CHAD HEADLEY Insurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UN I T Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 8 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl 00 4 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address STONE LAKE, WI 54876 , US RaceWHITEDate of Birth 12/30/ Sex Male Citations Issued 1 DriverCHAD CHRISTOPHER HEADLEY IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 9 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 5 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 5 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 Driver License NumberAddress STONE LAKE, WI 54876 , US RaceWHITEDate of Birth 04/29/ Sex Male Citations Issued 0 PassengerCHASE D EWERT IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 10 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 6 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 6 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 Driver License NumberAddress STONE LAKE, WI 54876 , US RaceWHITEDate of Birth 08/19/ Sex Female Citations Issued 0 PassengerCAMRYN L EWERT IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 11 of 12 This report does not include any CJIS data. 17070502 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8VT 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 7 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 6--Second Seat-Right Side 00 7 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 Driver License NumberAddress STONE LAKE, WI 54876 , US RaceWHITEDate of Birth 04/27/ Sex Female Citations Issued 0 PassengerKENDRA L HART IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionINATTENTIVE DRIVINGSeq Num001Statute Number346.89(1)Issue To? 004 UTC Number E01461301 Crash Time 12:05 PM Crash Date 07/05/2017Wisconsin Motor Vehicle Crash Form DT4000 12 of 12 This report does not include any CJIS data.