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HomeMy WebLinkAbout20180103 Smith.pdfSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRQ 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 04:23 PM Date Notified 01/03/2018 Time Arrived 04:29 PM Date Arrived 01/03/2018 Crash Time 04:20 PM Crash Date 01/03/2018 Investigating Officer/Deputy DEPUTY NATHAN FREY Agency Crash Number 18010302 Primary Crash Document #Document Number Override 6V L 1 3 Z Q K R Q Additional InformationNone Photos By Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS NEGOTIATING RIGHT TURN OFF OF HIGHWAY 77 AND DUE TO ICY CONDITIONS LOST TRACTION. THE OPERATOR WAS UNABLE TO AVOID GOING INTO THE EASTBOUND LANE EMBANKMENT OF PENINSULA ROAD. THE VEHICLE SUSTAINED MINOR DAMAGE TO THE FRONT BUMPER COVER AND DRIVERS SIDE INNER FENDER WELL. THE OPERATOR WAS NOT CITED. THE VEHICLE WAS REMOVED BY A-1 TOWING. Crash Time 04:20 PM Crash Date 01/03/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRQ Wisconsin Motor Vehicle Crash Report Structure Type Y Coordinate 5105238.5 X Coordinate 158654.375 Longitude -91.409698515 Latitude 46.015572405 ON PENINSULA RD 73 FT S OF STH77 EB IN THE TOWN OF HAYWARD IN SAWYER COUNTY Location Special StudyAccess Control Full 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) Other Road Surface Condition(s) Snow, Ice Light Condition Daylight Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location Shoulder Right First Harmful Event Ditch Crash Scene Intersection Type T-Intersection Junction Location Intersection Within Interchange Area NO Reporting Threshold No Truck Bus or HazMat No Road Grade Downhill Road Curvature Curve Right Surface Type Blacktop (Bituminous) Traffic Control Inoperative/Missing NO Traffic Control Stop Sign Traffic Way Two-Way, Not Divided Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Ditch 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 01 Unit Summary Extent Of Damage Minor Damage Vehicle Damage 11--Left Front Corner, 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style SD - SEDAN Color BGE - Beige Model ALTIMA Year 2014 Make NISSAN Vehicle Identification Number 3656 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 322SZE VE H I C L E UN I T 01 Vehicle Crash Time 04:20 PM Crash Date 01/03/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRQ Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Driver Actions Speed Too Fast/Cond Driver Prior Action Other Vehicle Factors Tires What Driver Was Doing Right Turn 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 EventEmbankment02 EventDitch03 Event 04 IndividualInsurance Company USAA-GENERAL-INDEMNITY-CO Policy Holder UN I T Crash Time 04:20 PM Crash Date 01/03/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRQ 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 RaceINDIANDate of Birth 11/01/ Sex Female 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 04:20 PM Crash Date 01/03/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13ZQKRQ 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 2 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 3--Front Seat-Right Side (Train Engineers/Right 00 2 Safety Equipment Shoulder & Lap Belt On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceDate of Birth 05/30/ 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 04:20 PM Crash Date 01/03/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.