HomeMy WebLinkAbout20180113 Eiffler.pdf18011304
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K3 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
02
Time Notified
09:09 AM
Date Notified
01/13/2018
Time Arrived
09:21 AM
Date Arrived
01/13/2018
Crash Time
09:08 AM
Crash Date
01/13/2018
Investigating Officer/Deputy
DEPUTY AMANDA REED
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
J
5
5
K
3
Additional InformationPhotos
Photos ByDEPUTY AMANDA REED
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
I DEPUTY REED RESPONDED TO A HIT AND RUN COMPLAINT AT 5TH STREET IN EXELAND. THERE WERE TIRE TRACKS RUNNING OFF THE ROADWAY AND UP TO THE STRUCK PARKED CAR IN THE DRIVEWAY. EXTENSIVE DAMAGE TO THE RIGHT SIDE OF THE CAR. PHOTOS WERE TAKEN
OF THE ENTIRE SCENE. NO SUSPECT VEHICLE OR SUSPECT.
Crash Time 09:08 AM
Crash Date 01/13/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 6
This report does not include any CJIS data.
18011304
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K3 Wisconsin Motor Vehicle
Crash Report
Structure Type
No Structure
Y Coordinate
5066275.5
X Coordinate
169189.890625
Longitude
-91.247236777
Latitude
45.67101984
ON 5TH ST
70 FT E
OF STH48 WB
IN THE VILLAGE OF EXELAND
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 - On Road
Animal Type
Weather Condition(s)
Clear
Environment Factor(s)
None
Roadway Factor(s)
None
Road Surface Condition(s)
Snow, Ice, Unknown
Light Condition
Unknown
Manner of Collision
08--Front To Side
First Harmful Event Location
On Roadway
First Harmful Event
Motor Veh In Transport
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
Unknown
Road Curvature
Unknown
Surface Type
Other
Traffic Control Inoperative/Missing
NO
Traffic Control
No Control
Traffic Way
Two-Way, Not Divided
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Motor Veh In Transport
Total Lanes
2
Speed LimitPre CrashTire
Mark
Direction Of Travel
Not On Roadway
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
0
Operating As EndorsementsVehicle Type
Passenger Car
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
Legally Parked
UN
I
T
01
Unit Summary
Extent Of Damage
Functional Damage
Vehicle Damage
3--Right Side Middle, 4--Right Side Rear
Initial Contact Point
Unknown
Bus UseNot A BusBody Style
2D - 2DR
Color
GRN - Green
Model
MONTECARLO
Year
2000
Make
CHEVROLET
Vehicle Identification Number
2523
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
ABY3227
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 09:08 AM
Crash Date 01/13/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 6
This report does not include any CJIS data.
18011304
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K3 Wisconsin Motor Vehicle
Crash Report
Driver DistractionsNot Distracted
Driver Actions
No Contributing Action
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Legally Parked
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
01
Address
BRUCE, WI 54819 , US
Individual
01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventParked Motor Vehicle01
Event
02
Event
03
Event
04
Reporting Threshold
No
Truck Bus or HazMat
No
Road Grade
Level
Road Curvature
Unknown
Surface Type
Dirt
Traffic Control Inoperative/Missing
NO
Traffic Control
No Control
Traffic Way
Parking Lot or Private Property
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Parked Motor Vehicle
Total Lanes
2
Speed LimitPre CrashTire
Mark
Direction Of Travel
Unknown
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
Passenger Car
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
Hit and Run
UN
I
T
02
Unit Summary
ModelYearMakeVehicle Identification Number
Country of IssuanceStPlate TypeLicense Plate Number
02
Vehicle
Crash Time 09:08 AM
Crash Date 01/13/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 6
This report does not include any CJIS data.
18011304
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K3 Wisconsin Motor Vehicle
Crash Report
Driver DistractionsUnknown If Distracted
Driver ActionsUnknown
Driver Prior Action Other
Vehicle Factors
Unknown
What Driver Was Doing
Unknown
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
02
Extent Of Damage
Unknown
Vehicle Damage
Unknown
Initial Contact Point
Unknown
Bus UseNot A BusBody StyleColor
VE
H
I
C
L
E
UN
I
T
Address
, ,
IndividualUNKNOWN UNKNOWN02
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
EventParked Motor Vehicle02
Event
03
Event
04
Crash Time 09:08 AM
Crash Date 01/13/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 6
This report does not include any CJIS data.
18011304
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K3 Wisconsin Motor Vehicle
Crash Report
Individual Condition
Not Observed
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
02
Time of DeathDate of DeathHospital
EMS Run #EMS Agency IdentifierMedical Transport
Not Transported
Trapped/Extricated
Not Applicable
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Applicable
Airbag
Not Applicable
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
02
Driver License NumberAddress
, ,
RaceDate of Birth
SexCitations Issued
0
Driver
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
BRUCE, WI 54819 , US
PR
O
P
OW
N
E
R
01
Property Owner
Fixed Objects Struck
Crash Time 09:08 AM
Crash Date 01/13/2018Wisconsin Motor Vehicle Crash
Form DT4000 5 of 6
This report does not include any CJIS data.
18011304
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13J55K3 Wisconsin Motor Vehicle
Crash Report
Damage Tag NumberStruck Object
Other Object - Not Fixed
Striking Unit
0201
Crash Time 09:08 AM
Crash Date 01/13/2018Wisconsin Motor Vehicle Crash
Form DT4000 6 of 6
This report does not include any CJIS data.