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20170721 Hauswirth17072102 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTJS 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 02 Total Units 01 Time Notified 07:54 AM Date Notified 07/21/2017 Time Arrived 07:58 AM Date Arrived 07/21/2017 Crash Time 07:54 AM Crash Date 07/21/2017 Investigating Officer/Deputy SERGEANT GREG RIPCZINSKI Agency Crash Number 17072102 Primary Crash Document #Document Number Override 6V L 1 5 C P T J S Additional InformationNone, Photos Photos BySGT GREG RIPCZINSKI 326 Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. R/O RESPONDED TO A DEER VS CYCLE COLLISION. UNIT #1 WAS EB ON CTH B, WHERE IT COLLIDED WITH A DEER THAT RAN FROM THE DITCHLINE OF THE WESTBOUND LANE ACROSS THE EASTBOUND LANE, STRIKING UNIT #1 IN THE FRONT. DRV AND PASS WERE EJECTED FROM UNIT #1 WHERE IT THEN CAME TO REST ALONG THE SHOULDER OF THE EASTBOUND LANE. Crash Time 07:54 AM Crash Date 07/21/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 17072102 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTJS Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5103051.5 X Coordinate 161185.296875 Longitude -91.375549002 Latitude 45.997204536 ON CTHB 0.40 MI E OF CTHK IN THE TOWN OF HAYWARD 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 Deer Weather Condition(s) Cloudy Environment Factor(s) None Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Daylight Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location On Roadway First Harmful Event Non Domesticated Animal (Alive) Crash Scene Intersection Type Not an Intersection Junction Location Non-Junction Within Interchange Area NO Time Roadway Repaired 09:14 AM Date Roadway Repaired 07/21/2017 Time All Lanes Open 09:14 AM Date All Lanes Open 07/21/2017 Time Initial Lane/Road Closed 08:00 AM Date Initial Lane/Road Closed 07/21/2017 Reasons for Closure Law Enforcement, Tow truck, Fire/EMS Closure Type Lane Closure 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 Non Domesticated Animal (Alive) Total Lanes 2 Speed Limit 45Pre CrashTire Mark Direction Of Travel Eastbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type Motorcycle Unit Type Motorcycle Vehicle Operating As Classification M CLASS Unit Status In Transit UN I T 01 Unit Summary Model GL1800 Year 2003 Make HONDA Vehicle Identification Number 1HFSC47063A204089 Country of Issuance UNITED STATES St WI Plate Type CYC - Cycle License Plate Number 1521Q01 Vehicle Crash Time 07:54 AM Crash Date 07/21/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 17072102 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTJS Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Driver ActionsNo Contributing Action Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Going Straight Vehicle Removed ByTowed Due To Damage Towed Due To Disabling Damage VE H I C L E UN I T 01 Extent Of Damage Functional Damage Vehicle Damage 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style MC - MOTORCYCLE Color TAN - Tan VE H I C L E UN I T Address HAYWARD, WI 54843 , US IndividualSTEVEN R HAUSWIRTH01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventNon Domesticated Animal (Alive)01 Event 02 Event 03 Event 04 Individual STEVEN HAUSWIRTH Insurance Company HASTINGS-MUTUAL-INS-CO Policy Holder UN I T Crash Time 07:54 AM Crash Date 07/21/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 17072102 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTJS 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 HAYWARD AREA MEMORIAL HOSPITAL EMS Run # 17072109847 EMS Agency Identifier 6000954 Medical Transport EMS Ground Trapped/Extricated Not Trapped Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Non Deployed Injury Severity Suspected Serious Injury IN D I V I D U A L UN I T Tint Compliance UNKNOWN Eye Protection Yes: Worn and Windshield Helmet Compliance Unknown Helmet Use Full-Face Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl 00 1 Protective Gear Jacket, Long Pants On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceWHITEDate of Birth 02/25/ Sex Male Citations Issued 0 DriverSTEVEN R HAUSWIRTH IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 07:54 AM Crash Date 07/21/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 17072102 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTJS 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 HAYWARD AREA MEMORIAL HOSPITAL EMS Run # 17072109847 EMS Agency Identifier 6000954 Medical Transport EMS Ground Trapped/Extricated Not Trapped Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Non Deployed Injury Severity Suspected Minor Injury IN D I V I D U A L UN I T Tint Compliance UNKNOWN Eye Protection Yes: Worn and Windshield Helmet Compliance Unknown Helmet Use Full-Face Seat Position 4--Second Seat-Left Side(Motorcycle/Bicycle Pa 00 2 Protective Gear Jacket, Long Pants On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceWHITEDate of Birth 06/25/ Sex Female Citations Issued 0 PassengerROBIN L HAUSWIRTH IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 07:54 AM Crash Date 07/21/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.