20170725 Mueller17072510079
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N1 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
03
Total Units
01
Time Notified
10:20 PM
Date Notified
07/25/2017
Time Arrived
10:29 PM
Date Arrived
07/25/2017
Crash Time
10:18 PM
Crash Date
07/25/2017
Investigating Officer/Deputy
DEPUTY DARIN JENSEN
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
K
D
6
N
1
Additional InformationPhotos
Photos ByD. JENSEN
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
THE OPERATOR WAS TRAVELING FROM THANNUM FIRE LANE ON PHIPPS FIRE LANE TO MOSQUITO BROOK ROAD. OPERATOR STATED HE CAUGHT LOOSE GRAVEL ON AN ALL GRAVEL ROAD AND LOST CONTROL CAUSING THE VEHICLE TO ROLLOVER. OPERATOR STATED HE HAD NO INSURANCE.
Structure Type
Y CoordinateX Coordinate
LongitudeLatitudeON PHIPPS FIRE LANE
0.25 MI W
OF THANNUM FIRE LANE
IN THE TOWN OF HAYWARD
IN SAWYER COUNTY
Location
Crash Time 10:18 PM
Crash Date 07/25/2017Wisconsin Motor Vehicle Crash
Form DT4000 1 of 6
This report does not include any CJIS data.
17072510079
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N1 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)
Cloudy
Environment Factor(s)
None
Roadway Factor(s)
None
Road Surface Condition(s)
Gravel
Light Condition
Dark/Unlit
Manner of Collision
No Collision W/Vehicle In Transport
First Harmful Event Location
On Roadway
First Harmful Event
Overturn/Rollover
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
Downhill
Road Curvature
Curve Left
Surface Type
Slag, Gravel, or Stone
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
Overturn/Rollover
Total Lanes
2
Speed Limit
35Pre CrashTire
Mark
Direction Of Travel
Westbound
Insurance?
NO
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
1
Train/Bus # InjuredTotal Occs
3
Operating As EndorsementsVehicle Type
(Sport) Utility Vehicle
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
01
Unit Summary
Driver Actions
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Negotiating Curve
Vehicle Removed ByTowed Due To Damage
Towed Due To Disabling Damage01
Extent Of Damage
Disabling Damage
Vehicle Damage
12--Front, Top
Initial Contact Point
12--Front
Bus UseNot A BusBody Style
UT - SPORT UTILITY VEHICLE
Color
WHI - White
Model
OUTLANDER
Year
2015
Make
MITSUBISHI
Vehicle Identification Number
1424
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
597WYV
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 10:18 PM
Crash Date 07/25/2017Wisconsin Motor Vehicle Crash
Form DT4000 2 of 6
This report does not include any CJIS data.
17072510079
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N1 Wisconsin Motor Vehicle
Crash Report
Driver DistractionsCareless/Inattention
Speed Too Fast/Cond
VE
H
I
C
L
E
UN
I
T
Address
HAYWARD, WI 54843 , US
IndividualHUNTER A MUELLER01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
EventOverturn/Rollover02
Event
03
Event
04
Crash Time 10:18 PM
Crash Date 07/25/2017Wisconsin Motor Vehicle Crash
Form DT4000 3 of 6
This report does not include any CJIS data.
17072510079
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N1 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 #
17072510079
EMS Agency Identifier
6000954
Medical Transport
EMS Ground
Trapped/Extricated
Not Trapped
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Ejected
Airbag
Non Deployed
Injury Severity
Suspected Minor 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
8
State: Wisconsin Country: UNITED STATES
Address
HAYWARD, WI 54843 , US
RaceWHITEDate of Birth
08/24
Sex
Male
Citations Issued
1
DriverHUNTER A MUELLER
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 10:18 PM
Crash Date 07/25/2017Wisconsin Motor Vehicle Crash
Form DT4000 4 of 6
This report does not include any CJIS data.
17072510079
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N1 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 #
17072510079
EMS Agency Identifier
6000954
Medical Transport
EMS Ground
Trapped/Extricated
Not Trapped
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Ejected
Airbag
Non Deployed
Injury Severity
Suspected Minor 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
2
Safety Equipment
Shoulder & Lap Belt
On Duty Crash
01
Driver License NumberAddress
STONE LAKE, WI 54876 , US
RaceDate of Birth
11/14
Sex
Female
Citations Issued
0
PassengerKAITLYN R PFROMER
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 10:18 PM
Crash Date 07/25/2017Wisconsin Motor Vehicle Crash
Form DT4000 5 of 6
This report does not include any CJIS data.
17072510079
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N1 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
HAYWARD AREA MEMORIAL HOSPITAL
EMS Run #
17072510079
EMS Agency Identifier
6000954
Medical Transport
EMS Ground
Trapped/Extricated
Not Trapped
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Ejected
Airbag
Deployed-Side
Injury Severity
Suspected Minor 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
3
Safety Equipment
Shoulder & Lap Belt
On Duty Crash
01
Driver Address
Sex
Female
Citations Issued
0
PassengerAMBER S WOOD
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Violations
DescriptionOPERATE MOTOR VEHICLE W/O INSURANCESeq Num001Statute Number344.62(1)Issue To?
001
UTC Number
E01453701
Crash Time 10:18 PM
Crash Date 07/25/2017Wisconsin Motor Vehicle Crash
Form DT4000 6 of 6
This report does not include any CJIS data.