Loading...
HomeMy WebLinkAbout20180104 Langham.pdf18010401 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0F 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 06:42 AM Date Notified 01/04/2018 Time Arrived 07:15 AM Date Arrived 01/04/2018 Crash Time 05:30 AM Crash Date 01/04/2018 Investigating Officer/Deputy DEPUTY KEVIN GILLIS Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 2 X V N 0 F Additional InformationPhotos, Reconstruction Photos ByDEPUTY KEVIN GILLIS Reconstruction BySAWYER COUNTY SHERIFFDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. VEHICLE WAS TRAVELING EAST ON CTH D WHEN IT APPEARED THE VEHICLE DROVE INTO THE SOUTH SIDE DITCH. THE VEHICLE STRUCK A UTILITY POLE ON THE PASSENGER SIDE AND CAME TO A REST IN THE SOUTH SIDE DITCH FACING SOUTH. THE WERE SIGNIFICANT DAMAGES TO THE VEHICLE. Crash Time 05:30 AM Crash Date 01/04/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 4 This report does not include any CJIS data. 18010401 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0F Wisconsin Motor Vehicle Crash Report Structure Type Y Coordinate 5066013.5 X Coordinate 175572.734375 Longitude -91.165334128 Latitude 45.671684376 ON CTHD 241 FT W OF LUND RD IN THE TOWN OF MEADOW BROOK IN SAWYER COUNTY Location Special StudyAccess Control Partial 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) Clear Environment Factor(s) None Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Dark-Unknown Lighting Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location On Roadway First Harmful Event Ditch 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 Level Road Curvature Straight Surface Type Blacktop (Bituminous) Traffic Control Inoperative/Missing NO Traffic Control No Control Traffic Way Divided Hwy W/O Traffic Barrier Emergency Motor Vehicle UseNon-Emergency, Non-TransportSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Utility Pole Total Lanes 2 Speed Limit 45Pre CrashTire Mark Direction Of Travel Eastbound Insurance? NO Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 2 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 Disabling Damage Vehicle Damage 1--Right Front Corner, 2--Right Side Front, 12--Front Initial Contact Point 1--Right Front Corner Bus UseNot A BusBody Style 4D - 4DR Color RED - Red Model CONTOUR Year 2000 Make FORD Vehicle Identification Number 0522 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 619YYK VE H I C L E UN I T 01 Vehicle Crash Time 05:30 AM Crash Date 01/04/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 4 This report does not include any CJIS data. 18010401 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0F Wisconsin Motor Vehicle Crash Report Driver DistractionsUnknown If Distracted Driver Actions Unknown Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Going Straight Vehicle Removed By ROADRUNNER TOWING Towed Due To Damage Towed Due To Disabling Damage VE H I C L E UN I T 01 Address EXELAND, WI 54835 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 EventDitch02 EventUtility Pole03 Event 04 Crash Time 05:30 AM Crash Date 01/04/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 4 This report does not include any CJIS data. 18010401 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0F 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 Unknown Ejected Unknown Airbag Deployed-Front 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 Restraint Use Unknown On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address EXELAND, WI 54835 , US RaceWHITEDate of Birth 01/22 Sex Male Citations Issued 2 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Violations DescriptionOPERATE MOTOR VEHICLE W/O INSURANCESeq Num001Statute Number344.62(1)Issue To? 001 UTC Number AE014059301 DescriptionFAILURE OF OPERATOR TO NOTIFY POLICE OF ACCIDENTSeq Num006Statute Number346.70(1)Issue To? 001 UTC Number AE014060402 Crash Time 05:30 AM Crash Date 01/04/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 4 This report does not include any CJIS data.