HomeMy WebLinkAbout20180108 Neary.pdfSAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13ZQKRR 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
11:37 AM
Date Notified
01/08/2018
Time Arrived
11:37 AM
Date Arrived
01/08/2018
Crash Time
11:36 AM
Crash Date
01/08/2018
Investigating Officer/Deputy
DEPUTY NATHAN FREY
Agency Crash Number
18010802
Primary Crash Document #Document Number Override
6V
L
1
3
Z
Q
K
R
R
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.
WHILE ON ROUTINE PATROL, I WAS CALLED TO ASSIST INVESTIGATOR POPLIN WITH A ONE VEHICLE PROPERTY DAMAGE CRASH THAT HE HAD CAME ACROSS WHILE ON DUTY. THE DRIVER WAS IDENTIFIED AS . ONCE ON SCENE, THE DRIVER ADVISED SHE HAD FALLEN ASLEEP.
THE VEHICLE LEFT THE ROADWAY AND TRAVELED 160 YDS OFF OF THE SOUTHBOUND LANE OF TRAVEL INTO THE SOUTH DITCH OF HIGHWAY 27,
STRIKING A TREE AND SHATTERING THE REAR PASSENGER WINDOW. THE VEHICLE WAS ALSO OCCUPIED BY A 5 YEAR OLD CHILD. THE VEHICLE
WAS REMOVED BY A-1 TOWING AND DRIVEN AWAY. THE DRIVER DID NOT HAVE INSURANCE AND THE TIRES WERE A CONTRIBUTING FACTOR TO
THE CRASH. A CITATION WILL BE MAILED TO THE OPERATOR FOR OPERATING A MOTOR VEHICLE WITHOUT INSURANCE.
Crash Time 11:36 AM
Crash Date 01/08/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 6
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13ZQKRR Wisconsin Motor Vehicle
Crash Report
Structure Type
No Structure
Y Coordinate
5094994
X Coordinate
151378.859375
Longitude
-91.495939054
Latitude
45.919991022
ON STH27 SB
0.39 MI N
OF CTHK
IN THE TOWN OF BASS LAKE
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)
Clear
Environment Factor(s)
None
Roadway Factor(s)
None
Road Surface Condition(s)
Snow
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
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
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
Southbound
Insurance?
NO
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
1
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
Functional Damage
Vehicle Damage
1--Right Front Corner, 2--Right Side Front, 3--Right Side Middle, 4--Right Side
Rear
Initial Contact Point
1--Right Front Corner
Bus UseNot A BusBody Style
4D - 4DR
Color
SIL - Silver (Aluminum)
Model
INTREPID
Year
1996
Make
DODGE
Vehicle Identification Number
7691
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
988ZEG
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 11:36 AM
Crash Date 01/08/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 6
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13ZQKRR Wisconsin Motor Vehicle
Crash Report
Driver DistractionsCareless/Inattention
Driver Actions
Ran Off Roadway, Failed To Keep In Designated Lane, Other Contributing Action
Driver Prior Action Other
FALLING ASLEEP
Vehicle Factors
Tires
What Driver Was Doing
Other
Vehicle Removed ByTowed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
01
Address
STONE LAKE, WI 54876 , US
Individual
01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
EventRun Off Roadway Right02
EventTree03
Event
04
Crash Time 11:36 AM
Crash Date 01/08/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 6
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13ZQKRR 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
STONE LAKE, WI 54876 , US
RaceASIANDate of Birth
09/12/
Sex
Female
Citations Issued
1
Driver
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 11:36 AM
Crash Date 01/08/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 6
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13ZQKRR 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
4--Second Seat-Left Side(Motorcycle/Bicycle Pa
00
2
Safety Equipment
Child Restraint System - Forward Facing
On Duty Crash
01
Driver License NumberAddress
STONE LAKE, WI 54876 , US
RaceWHITEDate of Birth
12/03/
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
Violations
DescriptionOPERATE MOTOR VEHICLE W/O INSURANCESeq Num001Statute Number344.62(1)Issue To?
001
UTC Number
AE53828701
AddressUnknown01
Property Owner
Crash Time 11:36 AM
Crash Date 01/08/2018Wisconsin Motor Vehicle Crash
Form DT4000 5 of 6
This report does not include any CJIS data.
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13ZQKRR Wisconsin Motor Vehicle
Crash Report
, ,
PR
O
P
OW
N
E
R
Fixed Objects Struck
Damage Tag NumberStruck Object
Tree
Striking Unit
0101
Crash Time 11:36 AM
Crash Date 01/08/2018Wisconsin Motor Vehicle Crash
Form DT4000 6 of 6
This report does not include any CJIS data.