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HomeMy WebLinkAbout20180505 Elliott.pdfSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVW 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 01:15 AM Date Notified 05/05/2018 Time Arrived 02:52 AM Date Arrived 05/05/2018 Crash Time 01:15 AM Crash Date 05/05/2018 Investigating Officer/Deputy DEPUTY CASEY CULHANE Agency Crash Number 18050502 Primary Crash Document #Document Number Override 6V L 1 2 W M L V W Additional InformationNone, Reconstruction Photos By Reconstruction BySAWYER COUNTY SHERIFFDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT 1 WAS TRAVELING SOUTH ON CTH EE. THE DRIVER INDICATED HE HAD SWERVED TO MISS A DEER. UNIT 1 OVER CORRECTED LEAVING THE ROADWAY IN THE EAST DITCH, COMING TO REST ON IT'S DRIVERS SIDE IN A PILE OF TREES. Structure Type Y Coordinate 5088354 X Coordinate 212538.484375 Longitude -90.705075992 Latitude 45.888653104 ON CTHEE 1.31 MI S OF FEDERAL FOREST RD 161 IN THE TOWN OF DRAPER IN SAWYER COUNTY Location Crash Time 01:15 AM Crash Date 05/05/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 4 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVW Wisconsin Motor Vehicle Crash Report 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 Deer Weather Condition(s) Clear Environment Factor(s) Animal (s) in roadway Roadway Factor(s) None Road Surface Condition(s) Dry Light Condition Dark/Unlit Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location Shoulder Left 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 02 Speed Limit 55Pre CrashTire Mark Direction Of Travel Southbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 00 Train/Bus # InjuredTotal Occs 01 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 Driver Actions Driver Prior Action Other SWERVING TO MISS A DEER Vehicle Factors Not Applicable What Driver Was Doing Other Vehicle Removed By ROADRUNNER TOWING Towed Due To Damage Towed Due To Disabling Damage01 Extent Of Damage Disabling Damage Vehicle Damage All Areas Initial Contact Point 12--Front Bus UseNot A BusBody Style 4D - 4DR Color BLK - Black Model FORESTER Year 1998 Make SUBARU Vehicle Identification Number 78900 Country of Issuance UNITED STATES St WI Plate Type AUT - Automobile License Plate Number 902ZRD VE H I C L E UN I T 01 Vehicle Crash Time 01:15 AM Crash Date 05/05/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 4 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVW Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Over-Correcting/Over-Steering VE H I C L E UN I T Address WINTER, WI 54896 , US IndividualBENJAMIN J ELLIOTT01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventDitch01 Event 02 Event 03 Event 04 Individual BENJAMIN ELLIOTT Insurance Company GEICO-GENERAL-INS-CO Policy Holder UN I T Crash Time 01:15 AM Crash Date 05/05/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 4 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12WMLVW 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 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 Deployed-Front 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 WINTER, WI 54896 , US RaceWHITEDate of Birth 12/22/ Sex Male Citations Issued 0 DriverBENJAMIN J ELLIOTT IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 01:15 AM Crash Date 05/05/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 4 This report does not include any CJIS data.