20180417 Bartlett.pdf18041704
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K9 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
01
Time Notified
05:09 PM
Date Notified
04/17/2018
Time Arrived
05:23 PM
Date Arrived
04/17/2018
Crash Time
05:08 PM
Crash Date
04/17/2018
Investigating Officer/Deputy
DEPUTY AMANDA REED
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
J
5
5
K
9
Additional InformationPhotos
Photos ByDEPUTY AMANDA REED
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON APRIL 17TH, 2018, I, DEPUTY REED WAS WORKING PATROL FOR THE SAWYER COUNTY SHERIFF'S OFFICE. AT APPROXIMATELY 1709, I WAS DISPATCHED TO STH 77 JUST NORTH OF THE HOSPITAL FOR A CAR VS. DEER ACCIDENT. I ARRIVED ON SCENE AND MET WITH THE OPERATOR OF
THE VEHICLE, MATHEW SCOTT. MR. SCOTT ADVISED HE WAS DRIVING NORTHBOUND ON STH 77 AND A DEER CAME RUNNING OUT OF THE DITCH
FROM THE WEST AND HE WAS UNABLE TO STOP IN TIME. THE DEER RAN INTO THE DRIVER'S SIDE OF HIS CAR. I OBSERVED A DENT, SCRATCHES
AND DEER HAIR ALONG THE FRONT DRIVER'S SIDE DOOR, BACK LEFT PASSENGER SIDE DOOR AND LEFT REAR QUARTER PANEL. I COLLECTED MR.
SCOTT'S INSURANCE AND CONTACT INFORMATION. I THEN PHOTOGRAPHED THE DAMAGE TO MR. SCOTT'S VEHICLE. I GAVE MR. SCOTT THE CASE
NUMBER FOR THE ACCIDENT. MR. SCOTT ADVISED THE DEER GOT UP AND RAN AWAY BEFORE I ARRIVED ON SCENE. NO FURTHER INFORMATION.
Crash Time 05:08 PM
Crash Date 04/17/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
18041704
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K9 Wisconsin Motor Vehicle
Crash Report
Structure Type
No Structure
Y Coordinate
5107459.5
X Coordinate
152669.328125
Longitude
-91.488394437
Latitude
46.032495336
ON STH27 SB
141 FT N
OF HOSPITAL DR
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)
Clear
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
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
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
Southbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
Passenger Car
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
01
Unit Summary
Extent Of Damage
Minor Damage
Vehicle Damage
7--Left Rear Corner, 8--Left Side Rear, 9--Left Side Middle
Initial Contact Point
9--Left Side Middle
Bus UseNot A BusBody Style
4D - 4DR
Color
RED - Red
Model
CRUZE
Year
2016
Make
CHEVROLET
Vehicle Identification Number
762
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
ABX1303
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 05:08 PM
Crash Date 04/17/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
18041704
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K9 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 By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
01
Address
TREGO, WI 54888 , US
IndividualMATHEW H SCOTT01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
EventNon Domesticated Animal (Alive)02
Event
03
Event
04
Individual
MATHEW SCOTT
Insurance Company
PROGRESSIVE-ADVANCED-INSURANCE-CO
Policy Holder
UN
I
T
Crash Time 05:08 PM
Crash Date 04/17/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
18041704
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K9 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
TREGO, WI 54888 , US
RaceWHITEDate of Birth
11/06/1
Sex
Male
Citations Issued
0
DriverMATHEW H SCOTT
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 04/17/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.