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HomeMy WebLinkAbout20181108 smith.pdfSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLW1 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 00 Total Units 01 Time Notified 08:32 PM Date Notified 11/08/2018 Time Arrived 09:48 PM Date Arrived 11/08/2018 Crash Time 08:32 PM Crash Date 11/08/2018 Investigating Officer/Deputy DEPUTY CASEY CULHANE Agency Crash Number 18110807 Primary Crash Document #Document Number Override 6V L 1 2 W M L W 1 Additional InformationNONE, PHOTOS, RECONSTRUCTION Photos ByDEPUTY CULHANE Reconstruction BySAWYER COUNTY SHERIFFDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS TRAVELING SOUTH ON HWY 40 NEGOTIATING A LEFT TURN. UNIT 1 LEFT THE ROADWAY WHEN THE ROAD STRAIGHTENED OUT. UNIT 1 THEN ROLLED OVER LANDING IN THE WEST DITCH ON ITS ROOF. THE ROAD CONDITIONS AT THE TIME WERE SNOW COVERED AND SLIPPERY. Crash Time 08:32 PM Crash Date 11/08/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 4 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLW1 WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5070435.5 X Coordinate 171130.40625 Longitude -91.225207219 Latitude 45.709286089 ON STH40 SB 0.66 MI S OF BALCZEWSKI RD IN THE TOWN OF WEIRGOR 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) SNOW, FREEZING RAIN OR FREEZING DRIZZLE Environment Factor(s) WEATHER CONDITIONS Roadway Factor(s) ROAD SURFACE CONDITION (WET, ICY, SNOW, SLUSH, ETC) Road Surface Condition(s) SNOW, ICE Light Condition DARK/UNLIT Manner of Collision NO COLLISION W/VEHICLE IN TRANSPORT First Harmful Event Location SHOULDER RIGHT 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 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 OVERTURN/ROLLOVER Total Lanes 02 Speed Limit 55Pre CrashTire Mark Direction Of Travel SOUTHBOUND Insurance? NO Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 01 Train/Bus # InjuredTotal Occs 01 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 FUNCTIONAL DAMAGE Vehicle Damage TOP Initial Contact Point TOP Bus UseNOT A BUSBody Style 4D - 4DR Color BLK - BLACK Model G6 Year 2006 Make PONTIAC Vehicle Identification Number 21600101 Country of Issuance UNITED STATES St OK Plate Type AUT - AUTOMOBILE License Plate Number VE H I C L E UN I T Vehicle Crash Time 08:32 PM Crash Date 11/08/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 4 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLW1 WISCONSIN MOTOR VEHICLE CRASH REPORT Owner AddressOwner Name 01 Driver DistractionsUNKNOWN IF DISTRACTED 01 Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing NEGOTIATING CURVE Vehicle Removed By ROADRUNNER TOWING Towed Due To Damage TOWED BUT NOT DUE TO DISABLING DAMAG UN I T VE H I C L E Sequence Of Events EventOVERTURN/ROLLOVER01 Event 02 Event 03 Event 04 Injury 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 NO APPARENT 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 , US Race WHITEDate of Birth 06/17 Sex MALE Citations Issued 01 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 08:32 PM Crash Date 11/08/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 4 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLW1 WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition NOT OBSERVED 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 UN I T Non Motorist IN D I V I D U A L Violations DescriptionOPERATE MOTOR VEHICLE W/O INSURANCESeq Num001Statute Number344.62(1)Issue To? 001 UTC Number BB32846601 Crash Time 08:32 PM Crash Date 11/08/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 4 This report does not include any CJIS data.