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20171222 Olson Griffin.pdf17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 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 05:09 PM Date Notified 12/22/2017 Time Arrived 05:28 PM Date Arrived 12/22/2017 Crash Time 05:08 PM Crash Date 12/22/2017 Investigating Officer/Deputy DEPUTY MATTHEW JEFSON Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 5 1 T J N 5 Additional InformationPhotos Photos ByM. JEFSON Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. I WAS DISPATCHED TO A VEHICLE VS. DEER ACCIDENT ON STH 77 NEAR ROSS RD. DISPATCH ADVISED ONE VEHICLE WAS BLOCKING ROAD AND ANOTHER WAS IN THE DITCH. I ARRIVED ON SCENE AND FOUND OUT THAT IT WAS A CAR VS. DEER THEN A CAR VS. CAR. I SPOKE WITH EVERYONE INVOLVED AND NO ONE WAS HURT. EVERYONE WAS CHECKED OUT BY MEDICS. I THEN TALKED TO THE DRIVER THAT HIT THE DEER AND SHE STATED THAT SHE HIT THE DEER RIGHT AS ANOTHER VEHICLE WAS COMING IN THE OTHER LANE. SHE STATED HER VAN THEN WENT OVER THE CENTER LINE AND THE OTHER VEHICLE HIT HER FRONT END. THE DRIVER OF THE SECOND VEHICLE HAD THE SAME STORY. BOTH VEHICLE WERE TOWED DUE TO DAMAGE AND DRIVERS FOUND OTHER RIDES. Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 1 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 Wisconsin Motor Vehicle Crash Report Structure Type Y CoordinateX Coordinate LongitudeLatitudeON STH77 WB 0.50 MI E OF ROSS RD IN THE TOWN OF SPIDER LAKE 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) Clear Environment Factor(s) None Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Dark/Unlit Manner of Collision 08--Front To Side 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 Reporting Threshold No Truck Bus or HazMat No Road Grade Downhill Road Curvature Straight Surface Type Blacktop (Bituminous) Traffic Control Inoperative/Missing NO Traffic Control No Control Traffic Way Divided Hwy W/O Traffic Barrier Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh In Transport Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel Westbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 4 Operating As EndorsementsVehicle Type Passenger Van Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 Unit Summary Extent Of Damage Disabling Damage Vehicle Damage 1--Right Front Corner, 11--Left Front Corner, 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style VN - VAN Color SIL - Silver (Aluminum) Model ODYSSEY EX Year 2005 Make HONDA Vehicle Identification Number 1430 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 522XNE VE H I C L E UN I T 01 Vehicle Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 2 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 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 Going Straight Vehicle Removed ByTowed Due To Damage Towed Due To Disabling Damage VE H I C L E UN I T 01 Address MELLEN, WI 54546 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventDomesticated Animal - Alive01 EventCross Centerline02 EventMotor Veh In Transport03 Event 04 IndividualInsurance Company GEICO-GENERAL-INS-CO Policy Holder UN I T Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 3 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 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 Deployed-Front 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 MELLEN, WI 54546 , US RaceWHITEDate of Birth 12/15/ Sex Female Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 4 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 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 4--Second Seat-Left Side(Motorcycle/Bicycle Pa 00 2 Safety Equipment Child Restraint System - Forward Facing On Duty Crash 01 Driver License NumberAddress MELLEN, WI 54546 , US RaceWHITEDate of Birth 04/19/ Sex Female Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 5 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 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 5--Second Seat-Middle 00 3 Safety Equipment Child Restraint System - Forward Facing On Duty Crash 01 Driver License NumberAddress MELLEN, WI 54546 , US RaceWHITEDate of Birth 04/09 Sex Female Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 6 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 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 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 4 Safety Equipment Child Restraint System - Rear Facing On Duty Crash 01 Driver License NumberAddress MELLEN, WI 54546 , US RaceWHITEDate of Birth 08/26/ Sex Female Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 7 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 Wisconsin Motor Vehicle Crash Report Reporting Threshold No Truck Bus or HazMat No Road Grade Uphill Road Curvature Straight Surface Type Blacktop (Bituminous) Traffic Control Inoperative/Missing NO Traffic Control No Control Traffic Way Divided Hwy W/O Traffic Barrier Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh In Transport Total Lanes 2 Speed Limit 55Pre 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 (Sport) Utility Vehicle Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 02 Unit Summary 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 02 Extent Of Damage Disabling Damage Vehicle Damage 8--Left Side Rear, 9--Left Side Middle, 10--Left Side Front, 11--Left Front Corner, 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style UT - SPORT UTILITY VEHICLE Color BLU - Blue Model HIGHLANDER Year 2016 Make TOYOTA Vehicle Identification Number 2313 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 767YRM VE H I C L E UN I T 02 Vehicle Address MELLEN, WI 54546 , US Individual 02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 8 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 Wisconsin Motor Vehicle Crash Report EventDitch02 Event 03 Event 04 IndividualInsurance Company PROGRESSIVE-ADVANCED-INSURANCE-CO Policy Holder UN I T Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 9 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 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 Deployed-Front 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 5 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address GORDON, WI 54838 , US RaceWHITEDate of Birth 05/15/ Sex Male Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 10 of 11 This report does not include any CJIS data. 17122206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN5 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 3--Front Seat-Right Side (Train Engineers/Right 00 6 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address GORDON, WI 54838 , US RaceWHITEDate of Birth 01/26/ Sex Female Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 05:08 PM Crash Date 12/22/2017Wisconsin Motor Vehicle Crash Form DT4000 11 of 11 This report does not include any CJIS data.