HomeMy WebLinkAbout20180417 Baxley Anderson.pdfNarrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON APRIL 7, 2018, I DEPUTY HALL WAS DISPATCHED TO A TWO VEHICLE CRASH ON STATE HWY 27/77 NEAR HWY 63. I WAS NOTIFIED THAT ONE VEHICLE INVOLVED WAS A CITY OF HAYWARD SQUAD CAR. I ARRIVED AT THE SCENE AT APPROXIMATELY 22:14. IT WAS DARK OUTSIDE BUT THE
AREA WAS LIT BY THE L&M FLEET PARKING LOT. THE ROAD WAS CLEAR AND DRY. I WAS INFORMED BY THE CITY OF HAYWARD OFFICER JACOB
ANDERSON THAT HE ACTIVATED HIS EMERGENCY LIGHTS IN ATTEMPT TO PASS THE OTHER VEHICLE INVOLVED AS HE THOUGHT A LCO POLICE
UNIT NEEDED ASSISTANCE AT THE AREA OF HWY 27 SOUTH NEAR CO HWY B. OFFICER ANDERSON STATED THAT THE VEHICLE HE WAS
ATTEMPTING TO PASS INDICATED IT WAS PULLING OVER TO THE SHOULDER TO YIELD RIGHT OF WAY THEN SUDDENLY MADE A LEFT TURN INTO
OFFICER ANDERSON'S SQUAD CAR STRIKING THE RIGHT REAR SIDE CAUSING MINOR DAMAGE. I SPOKE TO THE DRIVER OF THE SECOND VEHICLE A MICHAEL BIXLEY AND HE STATED THAT THE SQUAD WAS FOLLOWING CLOSE AND AS HE OBSERVED IT ACTIVATE ITS EMERGENCY LIGHTS HE
THOUGHT HE WAS BEING PULLED OVER AND BEGAN TO PULL TO THE RIGHT SHOULDER OF THE ROAD. MICHAEL THEN STATED HE THEN DECIDED
TO TURN LEFT INTO THE L&M FLEET PARKING LOT FOR A SAFER POSITION TO STOP. AS MICHAEL MADE A LEFT TURN FROM THE RIGHT SHOULDER
OFFICER ANDERSON WAS PASSING AND MICHAEL STRUCK THE SQUAD CAR CAUSING MINOR DAMAGE TO THE LEFT FRONT OF HIS VEHICLE.
INSURANCE WAS OBTAINED FROM MICHAEL AND I PHOTOGRAPHED THE VEHICLES. NO CITATIONS WERE ISSUED. I DID INFORM MICHAEL THAT HE
18040706
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL1303P3D 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
10:14 PM
Date Notified
04/07/2018
Time Arrived
10:26 PM
Date Arrived
04/07/2018
Crash Time
10:14 PM
Crash Date
04/07/2018
Investigating Officer/Deputy
DEPUTY IAN HALL
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
0
3
P
3
D
Additional InformationPhotos, Reconstruction
Photos ByDEPUTY HALL #312
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
Crash Time 10:14 PM
Crash Date 04/07/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 8
This report does not include any CJIS data.
DID FAIL TO YIELD TO AND EMERGENCY VEHICLE. I ALSO WATCHED THE DASH CAMERA RECORDING OF THE INCIDENT INDICATING WHAT BOTH
PARTIES INVOLVED STATED.
18040706
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL1303P3D Wisconsin Motor Vehicle
Crash Report
Structure Type
No Structure
Y Coordinate
5105924
X Coordinate
153492.140625
Longitude
-91.476680116
Latitude
46.019135364
ON STH27 SB
232 FT W
OF USH63 SB
IN THE CITY OF HAYWARD
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)
Dry
Light Condition
Dark/Lighted
Manner of Collision
05--Sideswipe/Same Direction
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
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 UseNon-Emergency, Non-TransportSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Motor Veh In Transport
Total Lanes
2
Speed Limit
35Pre CrashTire
Mark
Direction Of Travel
Southbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
(Sport) Utility Vehicle
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
In Transit
UN
I
T
01
Unit Summary
Extent Of Damage
Vehicle DamageInitial Contact Point
11--Left Front Corner
Bus UseNot A BusBody Style
UT - SPORT UTILITY VEHICLE
Color
BLK - Black
Model
EXPEDITION
Year
2002
Make
FORD
Vehicle Identification Number
6368
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
832WNJ
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 10:14 PM
Crash Date 04/07/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 8
This report does not include any CJIS data.
18040706
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL1303P3D Wisconsin Motor Vehicle
Crash Report
Driver DistractionsDistracted By Outside Person, Object, or Event
Driver ActionsFailed To Yield Right-Of-Way
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Left Turn
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
01
Minor Damage
11--Left Front Corner
Address
BARNES, WI 54873 , US
IndividualMICHAEL E BAXLEY01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
EventLeft Turn02
Event
03
Event
04
Individual
MICHAEL BAXLEY
Insurance Company
PROGRESSIVE-UNIVERSAL-INSURANCE-COMP
Policy Holder
UN
I
T
Crash Time 10:14 PM
Crash Date 04/07/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 8
This report does not include any CJIS data.
18040706
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL1303P3D 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
Driver License NumberB2405458617904
State: Wisconsin Country: UNITED STATES
Address
BARNES, WI 54873 , US
RaceWHITEDate of Birth
05/19/1
Sex
Male
Citations Issued
0
DriverMICHAEL E BAXLEY
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 10:14 PM
Crash Date 04/07/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 8
This report does not include any CJIS data.
18040706
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL1303P3D 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
Two-Way, Not Divided
Emergency Motor Vehicle UseEmergency Operator, Emergency LightSpecial FunctionPoliceMost Harmful Event: Collision With
Motor Veh In Transport
Total Lanes
2
Speed Limit
35Pre CrashTire
Mark
Direction Of Travel
Southbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
2
Operating As EndorsementsVehicle Type
Police Emergency
Unit Type
Automobile
Vehicle Operating As Classification
D CLASS
Unit Status
On Emergency
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
Overtake Left
Vehicle Removed By
OPERATOR
Towed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
02
Extent Of Damage
Minor Damage
Vehicle Damage
4--Right Side Rear
Initial Contact Point
4--Right Side Rear
Bus UseNot A BusBody Style
UT - SPORT UTILITY VEHICLE
Color
WHI - White
Model
DURANGO
Year
2008
Make
DODGE
Vehicle Identification Number
163
Country of Issuance
UNITED STATES
St
WI
Plate Type
GOV - U S Government
License Plate Number
C585
VE
H
I
C
L
E
UN
I
T
02
Vehicle
Address
HAYWARD, WI 54843 , US
GovernmentHAYWARD CITY POLICE DEPARTMENT02
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventMotor Veh In Transport01
Crash Time 10:14 PM
Crash Date 04/07/2018Wisconsin Motor Vehicle Crash
Form DT4000 5 of 8
This report does not include any CJIS data.
18040706
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL1303P3D Wisconsin Motor Vehicle
Crash Report
Event
02
Event
03
Event
04
Government
HAYWARD CITY POLICE DEPARTMENT
Insurance Company
LEAGUE-OF-WISCONSIN-MUNICIPALITIES-MUTU
Policy Holder
UN
I
T
Crash Time 10:14 PM
Crash Date 04/07/2018Wisconsin Motor Vehicle Crash
Form DT4000 6 of 8
This report does not include any CJIS data.
18040706
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL1303P3D 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
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
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
2
Safety Equipment
Shoulder & Lap Belt
On Duty Crash
Police
02
ber
State: Wisconsin Country: UNITED STATES
Address
WASHBURN, WI 54891 , US
RaceWHITEDate of Birth
06/18/
Sex
Male
Citations Issued
0
DriverJACOB P ANDERSON
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 10:14 PM
Crash Date 04/07/2018Wisconsin Motor Vehicle Crash
Form DT4000 7 of 8
This report does not include any CJIS data.
18040706
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL1303P3D 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
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
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
3
Safety Equipment
Shoulder & Lap Belt
On Duty Crash
02
ber
State: Wisconsin Country: UNITED STATES
Address
KAUKAUNA, WI 54130 , US
RaceWHITEDate of Birth
05/23/1
Sex
Female
Citations Issued
0
PassengerDANIELL R FRANSEN
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Crash Time 10:14 PM
Crash Date 04/07/2018Wisconsin Motor Vehicle Crash
Form DT4000 8 of 8
This report does not include any CJIS data.