HomeMy WebLinkAbout20181201 WEGNER.pdf18120105
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC41 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
08:29 PM
Date Notified
12/01/2018
Time Arrived
10:02 PM
Date Arrived
12/01/2018
Crash Time
08:28 PM
Crash Date
12/01/2018
Investigating Officer/Deputy
SERGEANT JEFF JOHNSON
Agency Crash Number
18120105
Primary Crash Document #Document Number Override
6V
L
1
3
Q
B
C
4
1
Additional InformationNONE, RECONSTRUCTION
Photos By
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON 12/01/18 AT APPROXIMATELY 20:28 HOURS, I WAS NOTIFIED BY DISPATCH OF A VEHICLE LOCATED IN THE DITCH NEAR THE INTERSECTION OF
STH 70 // TR 30 IN DRAPER TOWNSHIP. WHILE IN ROUTE, DISPATCH ADVISED THE DRIVER OF THE VEHICLE CALLED TO STATE THAT HE HAD SLID
INTO THE DITCH AND WOULD HAVE THE VEHICLE REMOVED IN THE MORNING. UPON ARRIVAL, I OBSERVED DISABLING DAMAGE TO THE FRONT OF THE VEHICLE WHERE IT HAD STRUCK A TREE, AS WELL AS AIRBAG DEPLOYMENT. AFTER LATER SPEAKING TO THE DRIVER, HE STATED THAT HE
HAD BEEN DRIVING WITH HIS CRUISE CONTROL ON AND DUE TO THE SLIPPERY ROAD CONDITIONS, SPUN OUT WHILE TRAVELING EASTBOUND ON
STH 70, ENTERED THE NORTH DITCH, CROSSED TR 30, STRIKING A TREE ON THE EAST SIDE OF TR 30 APPROXIMATELY 30 YARDS NORTH OF STH
70.
Crash Time 08:28 PM
Crash Date 12/01/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 4
This report does not include any CJIS data.
18120105
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC41 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Structure Type
NO STRUCTURE
Y Coordinate
5083308
X Coordinate
213898.875
Longitude
-90.684578999
Latitude
45.843894723
ON TN RD 30
173 FT N
OF STH70 EB
IN THE TOWN OF DRAPER
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
Environment Factor(s)
WEATHER CONDITIONS
Roadway Factor(s)
NONE
Road Surface Condition(s)
SNOW, SLUSH, ICE
Light Condition
DARK/UNLIT
Manner of Collision
NO COLLISION W/VEHICLE IN TRANSPORT
First Harmful Event Location
ROADSIDE
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
STRAIGHT
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
55Pre CrashTire
Mark
Direction Of Travel
EASTBOUND
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
UTILITY TRUCK/PICKUP TRUCK01
Unit Type
TRUCK
Vehicle Operating As Classification
D CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
Extent Of Damage
DISABLING DAMAGE
Vehicle Damage
12--FRONT, UNDERCARRIAGE
Initial Contact Point
12--FRONT
Bus UseNOT A BUSBody Style
4D - 4DR
Color
BLK - BLACK
Model
F150
Year
2016
Make
FORD
Vehicle Identification Number
37700101
Country of Issuance
UNITED STATES
St
MN
Plate Type
LTK - LIGHT TRUCK
License Plate Number
VE
H
I
C
L
E
UN
I
T
Vehicle
Crash Time 08:28 PM
Crash Date 12/01/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 4
This report does not include any CJIS data.
18120105
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC41 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Owner Address
MAPLE GROVE, MN 55311 2203, US
Owner Name
01
Driver DistractionsUNKNOWN IF DISTRACTED
01
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
UN
I
T
VE
H
I
C
L
E
Sequence Of Events
EventDITCH01
EventTREE02
Event
03
Event
04
IndividualInsurance Company
HOME-OWNERS-INSURANCE-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
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: MINNESOTA COUNTRY: UNITED STATES
Address
MAPLE GROVE, MN 55311 2203, US
Race
WHITE
Date of Birth
08/23/
Sex
MALE
Citations Issued
0
Driver
IT
Equipment
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 08:28 PM
Crash Date 12/01/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 4
This report does not include any CJIS data.
18120105
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC41 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
Crash Time 08:28 PM
Crash Date 12/01/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 4
This report does not include any CJIS data.