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HomeMy WebLinkAbout20180524 Bartlett.pdf18052404 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0H 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 12:39 PM Date Notified 05/24/2018 Time Arrived 01:25 PM Date Arrived 05/24/2018 Crash Time 12:35 PM Crash Date 05/24/2018 Investigating Officer/Deputy DEPUTY KEVIN GILLIS Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 2 X V N 0 H Additional InformationNone, Photos, Reconstruction Photos ByDEPUTY KEVIN GILLIS Reconstruction BySAWYER COUNTY SHERIFFDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. TRUCK WA TRAVELING EAST AND STRUCK A POWER LINE THAT WAS DOWN ACROSS THE STREET. Structure Type Y Coordinate 5081637 X Coordinate 148949.40625 Longitude -91.517435949 Latitude 45.798910908 ON SISSABAGAMA RD 322 FT S OF BLUEBERRY RD IN THE TOWN OF SAND LAKE IN SAWYER COUNTY Location Crash Time 12:35 PM Crash Date 05/24/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 18052404 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0H Wisconsin Motor Vehicle Crash Report Special StudyAccess Control Partial 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 Daylight Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location On Roadway First Harmful Event Other Fixed Object 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 Divided Hwy W/O Traffic Barrier Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With Other Fixed Object Total Lanes 2 Speed Limit 45Pre 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 Utility Truck/Pickup Truck Unit Type Truck Vehicle Operating As Classification D CLASS Unit Status In Transit UN I T 01 Unit Summary Driver Actions Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Going Straight Vehicle Removed ByTowed Due To Damage Not Towed01 Extent Of Damage Functional Damage Vehicle Damage 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style PK - PICKUP Color GRY - Gray Model F350 Year 2002 Make FORD Vehicle Identification Number 447 Country of Issuance UNITED STATES St WI Plate Type LTK - Light Truck License Plate Number AE2326 VE H I C L E UN I T 01 Vehicle Crash Time 12:35 PM Crash Date 05/24/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 18052404 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0H Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted No Contributing Action VE H I C L E UN I T Address BIRCHWOOD, WI 54817 , US IndividualSCOTT W BARTLETT01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventUnknown01 Event 02 Event 03 Event 04 Individual SCOTT BARTLETT Insurance Company PROGRESSIVE-CLASSIC-INS-CO Policy Holder UN I T Crash Time 12:35 PM Crash Date 05/24/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 18052404 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0H 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 BIRCHWOOD, WI 54817 , US RaceWHITEDate of Birth 08/25/ Sex Male Citations Issued 0 DriverSCOTT W BARTLETT IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:35 PM Crash Date 05/24/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 18052404 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0H 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 BIRCHWOOD, WI 54817 , US RaceWHITEDate of Birth 03/17/ Sex Female Citations Issued 0 PassengerPATRICIA L BARTLETT IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 12:35 PM Crash Date 05/24/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.