Loading...
HomeMy WebLinkAbout20181110 VALENTIN.pdfSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13SSFBC WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type DT4000 (STANDARD CRASH)Reportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 02 Total Units 01 Time Notified 10:55 AM Date Notified 11/10/2018 Time Arrived 11:10 AM Date Arrived 11/10/2018 Crash Time 10:50 AM Crash Date 11/10/2018 Investigating Officer/Deputy DEPUTY CRAIG DEPEW Agency Crash Number 18111003 Primary Crash Document #Document Number Override 6V L 1 3 S S F B C Additional InformationNONE Photos By Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT #1 WAS TRAVELING ON HIGHLINE RD COMING UP TO A SHARP CURVE WHEN THE VEHICLE BEGAN TO SLIDE ON THE ICY ROADS. THE OPERATOR WAS NOT ABLE TO CONTROL VEHICLE AND IT SLID OFF THE ROAD HITTING A TREE . Crash Time 10:50 AM Crash Date 11/10/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13SSFBC WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y CoordinateX Coordinate LongitudeLatitudeON HIGHLINE RD 0.25 MI N OF BECKWITH RD IN THE TOWN OF BASS 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 Weather Condition(s) CLOUDY Environment Factor(s) NONE Roadway Factor(s) ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH, ETC) Road Surface Condition(s) ICE Light Condition DAYLIGHT Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location ON ROADWAY First Harmful Event TREE Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade DOWNHILL Road Curvature CURVE LEFT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With TREE Total Lanes 2 Speed Limit 40Pre CrashTire Mark Direction Of Travel SOUTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UN IT Extent Of Damage DISABLING DAMAGE Vehicle Damage 11--LEFT FRONT CORNER, 12--FRONT Initial Contact Point 11--LEFT FRONT CORNER Bus UseNOT A BUSBody Style UT - SPORT UTILITY VEHICLE Color GRY - GRAY Model SORENTO Year 2018 Make KIA MOTORS CORPORA Vehicle Identification Number 19360101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number VE H I C L E UN I T Vehicle Crash Time 10:50 AM Crash Date 11/10/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13SSFBC WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name (715) 699-6485 01 Driver DistractionsUNKNOWN IF DISTRACTED 01 Driver Actions SPEED TOO FAST/COND Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed By ROAD RUNNER TOWING Towed Due To Damage TOWED DUE TO DISABLING DAMAGE UN I T VE H I C L E Sequence Of Events EventMOTOR VEH IN TRANSPORT01 EventTREE02 Event 03 Event 04 IndividualInsurance Company IMT-INS-CO Policy Holder UN I T Injury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag DEPLOYED-FRONT Injury Severity SUSPECTED MINOR INJURY00 1 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITE Date of Birth 07/10/ Sex MALE Citations Issued 0 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 10:50 AM Crash Date 11/10/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13SSFBC WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 1 01 Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED UN I T Non Motorist IN D I V I D U A L Injury To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag DEPLOYED-FRONT Injury Severity SUSPECTED MINOR INJURY00 2 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 4--SECOND SEAT-LEFT SIDE(MOTORCYCLE/BI Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License NumberAddress HAYWARD, WI 54843 , US RaceDate of Birth 01/29/ SexCitations Issued 0 Passenger IT Equipment Non Motorist Individual UN IN D I V ID U A L Crash Time 10:50 AM Crash Date 11/10/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13SSFBC WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 2 01 Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action UN I T IN D I V I D U A L Crash Time 10:50 AM Crash Date 11/10/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.