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.