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HomeMy WebLinkAbout20181017 BREMER.pdf18101701 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJNB 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 03 Total Units 01 Time Notified 11:37 PM Date Notified 10/17/2018 Time Arrived 11:37 PM Date Arrived 10/17/2018 Crash Time 11:37 PM Crash Date 10/17/2018 Investigating Officer/Deputy DEPUTY MATTHEW JEFSON Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 5 1 T J N B Additional InformationPHOTOS Photos ByDEPUTY MATTHEW JEFSON Reconstruction ByDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. I, DEPUTY MATTHEW JEFSON WAS PURSUING THIS VEHICLE FOR AROUND 21 MILES WHEN IT LOST CONTROL ON CTH B NEAR UNIVERSAL DR. THE VEHICLE THAN CRASHED INTO THE NORTH DITCH OF CTH B. Crash Time 11:37 PM Crash Date 10/17/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 18101701 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJNB WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5089853.5 X Coordinate 193090.890625 Longitude -90.95610733 Latitude 45.893721131 ON CTHB EB 178 FT S OF UNIVERSAL WAY IN THE TOWN OF WINTER 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 - NOT ON ROAD Animal Type Weather Condition(s) CLEAR Environment Factor(s) NONE Roadway Factor(s) NONE Road Surface Condition(s) DRY Light Condition DARK/UNLIT Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location SHOULDER LEFT First Harmful Event DITCH Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Truck Bus or HazMat NO Road Grade LEVEL Road Curvature CURVE RIGHT Surface Type BLACKTOP (BITUMINOUS) Traffic Control Inoperative/Missing NO Traffic Control NO CONTROL Traffic Way DIVIDED HWY W/O TRAFFIC BARRIER Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With DITCH Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? UNKNOWN Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 3 Operating As EndorsementsVehicle Type PASSENGER CAR01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UN IT Extent Of Damage DISABLING DAMAGE Vehicle Damage 1--RIGHT FRONT CORNER, 2--RIGHT SIDE FRONT, 3--RIGHT SIDE MIDDLE, 12- -FRONT, UNDERCARRIAGE Initial Contact Point 1--RIGHT FRONT CORNER Bus UseNOT A BUSBody Style CV - CONVERTIBLE Color GRY - GRAY Model ECLIPSE Year 2003 Make MITSUBISHI Vehicle Identification Number 57020101 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 11:37 PM Crash Date 10/17/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 18101701 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJNB WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address MENOMONIE, WI 54751 , US Owner Name 01 Driver DistractionsNOT DISTRACTED 01 Driver Actions EXCEED SPEED LIMIT, FAILURE TO CONTROL, FAILED TO KEEP IN DESIGNATED LANE, OPERATED MOTOR VEHICLE IN AGGRESSIVE/RECKLESS MANNER, OVER-CORRECTING/OVER-STEERING Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed By ROAD RUNNER Towed Due To Damage TOWED BUT NOT DUE TO DISABLING DAMAG UN I T VE H I C L E Sequence Of Events EventDITCH01 Event 02 Event 03 Event 04 Injury EMS Run #EMS Agency IdentifierMedical Transport LAW ENFORCEMENT Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity SUSPECTED MINOR INJURY00 1 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment RESTRAINT USE UNKNOWN On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address MENOMONIE, WI 54751 , US Race WHITEDate of Birth 03/15/ Sex MALE Citations Issued 1 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 11:37 PM Crash Date 10/17/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 18101701 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJNB WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition EMOTIONAL (DEPRESSED, ANGRY, DISTURBED, ETC), UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL 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 YES Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP 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 HAYWARD AREA MEM HOSP EMS Run # 18101614793 EMS Agency Identifier 6000954 Medical Transport EMS GROUND 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 3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER Safety Equipment RESTRAINT USE UNKNOWN On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address GREEN BAY, WI 54304 , US Race WHITEDate of Birth 03/28/ Sex FEMALE Citations Issued 0 Passenger IT Equipment Non Motorist Individual UN IN D I V ID U A L Crash Time 11:37 PM Crash Date 10/17/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 18101701 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJNB 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 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 NON DEPLOYED Injury Severity SUSPECTED MINOR INJURY00 3 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 6--SECOND SEAT-RIGHT SIDE Safety Equipment RESTRAINT USE UNKNOWN On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address BLK RIVER FALLS, WI 54615 , US Race WHITEDate of Birth 03/14/ Sex MALE Citations Issued 0 Passenger IT Equipment Non Motorist Individual UN IN D I V ID U A L Crash Time 11:37 PM Crash Date 10/17/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 18101701 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJNB WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition UNDER THE INFLUENCE OF MEDICATIONS/DRUGS/ ALCOHOL Drug Type 00 3 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 Violations DescriptionFAILURE TO KEEP VEHICLE UNDER CONTROLSeq Num007Statute Number346.57(2)Issue To? 001 UTC Number BB32929301 Crash Time 11:37 PM Crash Date 10/17/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.