HomeMy WebLinkAbout20180703 ROSADO.pdf18070301
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3V 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
03:35 AM
Date Notified
07/03/2018
Time Arrived
03:38 AM
Date Arrived
07/03/2018
Crash Time
03:33 AM
Crash Date
07/03/2018
Investigating Officer/Deputy
SERGEANT JEFF JOHNSON
Agency Crash Number
18070301
Primary Crash Document #Document Number Override
6V
L
1
3
Q
B
C
3
V
Additional InformationNone, Photos, Reconstruction
Photos BySGT. J. JOHNSON
Reconstruction BySAWYER COUNTY SHERIFFDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
ON 7/3/18, AT APPROXIMATELY 0333 HRS, VEH 1 WAS TRAVELING NORTHBOUND ON USH 63. THE DRIVER SLOWED TO TURN INTO 15221 W USH 63; HOWEVER DID NOT SLOW DOWN ENOUGH, CAUSING THE VEHICLE TO TIP ONTO THE DRIVER SIDE AND COME TO REST IN THE ENTRANCE TO 15221
W USH 63. THERE WERE NO OTHER PASSENGERS AND NO INJURIES. THE VEHICLE WAS REMOVED BY A TOW TRUCK DUE TO THE DRIVER HAVING
TO WATCH HIS INFANT SINCE HIS FATHER HAD TO LEAVE FOR WORK.
Crash Time 03:33 AM
Crash Date 07/03/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
18070301
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3V Wisconsin Motor Vehicle
Crash Report
Structure Type
No Structure
Y Coordinate
5107235
X Coordinate
155324.140625
Longitude
-91.454031003
Latitude
46.031824151
ON USH63 NB
92 FT E
OF ELZA SQ
IN THE TOWN 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/Unlit
Manner of Collision
No Collision W/Vehicle In Transport
First Harmful Event Location
On Roadway
First Harmful Event
Overturn/Rollover
Crash Scene
Intersection Type
T-Intersection
Junction Location
Intersection
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
Overturn/Rollover
Total Lanes
2
Speed Limit
55Pre CrashTire
Mark
Direction Of Travel
Northbound
Insurance?
YES
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
01
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
Functional Damage
Vehicle Damage
7--Left Rear Corner, 8--Left Side Rear, 9--Left Side Middle, 10--Left Side Front,
11--Left Front Corner
Initial Contact Point
11--Left Front Corner
Bus UseNot A BusBody Style
4H - HATCHBACK 4 DOOR
Color
GRN - Green
Model
GRAND CHER
Year
2005
Make
JEEP
Vehicle Identification Number
1J4GR48K45C707359
Country of Issuance
UNITED STATES
St
WI
Plate Type
AUT - Automobile
License Plate Number
ACN6216
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 03:33 AM
Crash Date 07/03/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
18070301
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3V Wisconsin Motor Vehicle
Crash Report
Driver DistractionsUnknown If Distracted
Driver Actions
Speed Too Fast/Cond
Driver Prior Action Other
Vehicle Factors
Not Applicable
What Driver Was Doing
Right Turn
Vehicle Removed ByTowed Due To Damage
Towed But Not Due To Disabling Damage
VE
H
I
C
L
E
UN
I
T
01
Address15221 W USH 63 #41
HAYWARD, WI 54843 , US
IndividualISMAEL ROSADO01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventOverturn/Rollover01
Event
02
Event
03
Event
04
Individual
ISMAEL ROSADO
Insurance Company
PROGRESSIVE-CLASSIC-INS-CO
Policy Holder
UN
I
T
Crash Time 03:33 AM
Crash Date 07/03/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
18070301
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3V 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 NumberR2305508121904
State: Wisconsin Country: UNITED STATES
Address15221 W USH 63 #41
HAYWARD, WI 54843 , US
RaceINDIANDate of Birth
06/18/1981
Sex
Male
Citations Issued
0
DriverMATTHEW J ROSADO
IN
D
I
V
I
D
U
A
L
UN
I
T
Injury
Drug &
Alcohol
Individual
Non Motorist
Equipment
Address15221 W USH 63 #41
HAYWARD, WI 54843 , US
GovernmentSAWYER CO
PR
O
P
OW
N
E
R
01
Property Owner
Fixed Objects Struck
Crash Time 03:33 AM
Crash Date 07/03/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
18070301
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13QBC3V Wisconsin Motor Vehicle
Crash Report
Damage Tag Number
1
Struck Object
Curb
Striking Unit
0101
Crash Time 03:33 AM
Crash Date 07/03/2018Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.