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Home My WebLink About20180112 Fliess Smart.pdf18011206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0G 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 02 Total Units 02 Time Notified 02:27 PM Date Notified 01/12/2018 Time Arrived 02:34 PM Date Arrived 01/12/2018 Crash Time 02:26 PM Crash Date 01/12/2018 Investigating Officer/Deputy DEPUTY KEVIN GILLIS Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 2 X V N 0 G 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. LCO CHIEF OF POLICE WAS STOPPING TRAFFIC AT THE INTERSECTION OF STH 77 AND CTH K FOR A FUNERAL PROCESSION. THE TOYOTA TUNDRA WAS ATTEMPTING TO TURN NORTH WHEN HE WAS STOPPED FROM DOING SO. THE TOYOTA THEN REVERSED AND BACKED INTO THE SUBARU OUTBACK ON STH 77. Crash Time 02:26 PM Crash Date 01/12/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. 18011206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0G Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5106087 X Coordinate 160667.578125 Longitude -91.384371101 Latitude 46.024187177 ON STH77 EB 71 FT W OF CTHK IN THE TOWN OF HAYWARD 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) Other Road Surface Condition(s) Dry Light Condition Daylight Manner of Collision 02--Front To Rear First Harmful Event Location On Roadway First Harmful Event Motor Veh In Transport Crash Scene Intersection Type Four-Way Intersection Junction Location Intersection Within Interchange Area YES 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 Motor Veh In Transport 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 Truck Unit Type Truck Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 Unit Summary Extent Of Damage Functional Damage Vehicle Damage 6--Rear, 7--Left Rear Corner Initial Contact Point 6--Rear Bus UseNot A BusBody Style PK - PICKUP Color BRZ - Bronze Model TUNDRA Year 2008 Make TOYOTA Vehicle Identification Number 6923 Country of Issuance UNITED STATES St WI Plate Type LTK - Light Truck License Plate Number LL7692 VE H I C L E UN I T 01 Vehicle Crash Time 02:26 PM Crash Date 01/12/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. 18011206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0G Wisconsin Motor Vehicle Crash Report Driver DistractionsOther Distraction Driver Actions Unsafe Backing Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Backing Vehicle Removed ByTowed Due To Damage Not Towed VE H I C L E UN I T 01 Address HAYWARD, WI 54843 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Event 02 Event 03 Event 04 IndividualInsurance Company AMERICAN-FAMILY-INS-CO Policy Holder UN I T Crash Time 02:26 PM Crash Date 01/12/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. 18011206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0G 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 Not Ejected/Not Applicable Ejected Not Ejected Airbag Non Deployed 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 Shoulder & Lap Belt On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceWHITEDate of Birth 12/17 Sex Male Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 02:26 PM Crash Date 01/12/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. 18011206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0G Wisconsin Motor Vehicle Crash Report 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, TransportSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Motor Veh In Transport 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 2 Operating As EndorsementsVehicle Type Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 02 Unit Summary Driver DistractionsNot Distracted Driver ActionsNo Contributing Action Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Stop In Traffic Vehicle Removed By A-1 TOWING Towed Due To Damage Towed But Not Due To Disabling Damage VE H I C L E UN I T 02 Extent Of Damage Functional Damage Vehicle Damage 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style UT - SPORT UTILITY VEHICLE Color WHI - White Model OUTBACK Year 2017 Make SUBARU Vehicle Identification Number 1772 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 895YVV VE H I C L E UN I T 02 Vehicle Address GLIDDEN, WI 54527 , US Individual 02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventParked Motor Vehicle01 Crash Time 02:26 PM Crash Date 01/12/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. 18011206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0G Wisconsin Motor Vehicle Crash Report Event 02 Event 03 Event 04 IndividualInsurance Company LIBERTY-MUTUAL-INS-CO Policy Holder UN I T Crash Time 02:26 PM Crash Date 01/12/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. 18011206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0G Wisconsin Motor Vehicle Crash Report Individual Condition Physically Impaired 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 2 02 Time of DeathDate of DeathHospital HAYWARD AREA MEMORIAL HOSPITAL EMS Run # 18011200453 EMS Agency Identifier 6000954 Medical Transport EMS Ground Trapped/Extricated Not Trapped Ejection Path Not Ejected/Not Applicable Ejected Not Ejected Airbag Non Deployed Injury Severity Suspected Minor 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 2 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address GLIDDEN, WI 54527 , US RaceWHITEDate of Birth 05/16/ Sex Male Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 02:26 PM Crash Date 01/12/2018Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. 18011206 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0G Wisconsin Motor Vehicle Crash Report Individual Condition Emotional (Depressed, Angry, Disturbed, Etc) 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 3 02 Time of DeathDate of DeathHospital EMS Run #EMS Agency IdentifierMedical Transport Not Transported Trapped/Extricated Not Trapped Ejection Path Not Ejected/Not Applicable Ejected Not Ejected Airbag Non Deployed Injury Severity Possible Injury IN D I V I D U A L UN I T Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--Front Seat-Right Side (Train Engineers/Right 00 3 Safety Equipment Shoulder & Lap Belt On Duty Crash 02 ber State: Wisconsin Country: UNITED STATES Address GLIDDEN, WI 54527 , US RaceWHITEDate of Birth 02/17/ Sex Female Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 02:26 PM Crash Date 01/12/2018Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.