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Home My WebLink About20180710 demers - johnson.pdf18071004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KG 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 01 Total Units 02 Time Notified 10:00 AM Date Notified 07/10/2018 Time Arrived 10:17 AM Date Arrived 07/10/2018 Crash Time 09:59 AM Crash Date 07/10/2018 Investigating Officer/Deputy DEPUTY AMANDA REED Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 3 J 5 5 K G Additional InformationPhotos Photos ByDEPUTY AMANDA REED Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. ON JULY 10TH, 2018, I, DEPUTY REED RESPONDED TO A TWO VEHICLE CRASH ON WILLIAMS ROAD IN THE TOWNSHIP OF BASS LAKE. THE DRIVER'S OF BOTH VEHICLES INVOLVED INDICATED THAT THEY HAD SIDE SWIPED EACH OTHER AS THE DRIVER OF UNIT 1 WAS ATTEMPTING TO STEER AROUND A PEDESTRIAN OUT ROLLERBLADING AND THE DRIVER OF UNIT 2 COULD NOT MOVE OUT OF THE WAY. PHOTOS WERE TAKEN OF THE SCENE AND A REPORT WILL BE DONE AT THE SHERIFF'S OFFICE. DAMAGE TO THE TRAILER OF UNIT 1 WAS FUNCTIONAL DAMAGE. DAMAGE TO UNIT 2 WAS DISABLING DAMAGE. NO FURTHER INFORMATION. Crash Time 09:59 AM Crash Date 07/10/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. 18071004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KG Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5098407.5 X Coordinate 155370.65625 Longitude -91.447070177 Latitude 45.952636448 ON WILLIAMS RD 827 FT W OF WILLIAMS RESORT RD 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 - On Road Animal Type Weather Condition(s) Clear Environment Factor(s) None Roadway Factor(s) Obstruction In Roadway Road Surface Condition(s) Dry Light Condition Daylight Manner of Collision 06--Sideswipe/Opposite 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 Downhill Road Curvature Curve Right 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 Motor Veh In Transport Total Lanes 2 Speed Limit 45Pre CrashTire Mark Direction Of Travel Westbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 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 Extent Of Damage Minor Damage Vehicle Damage 7--Left Rear Corner, 8--Left Side Rear Initial Contact Point 8--Left Side Rear Bus UseNot A BusBody Style 4D - 4DR Color GRN - Green Model SILVERADO Year 2002 Make CHEVROLET Vehicle Identification Number 1GCHK23U62 Country of Issuance UNITED STATES St WI Plate Type LTK - Light Truck License Plate Number VE H I C L E UN I T 01 Vehicle Crash Time 09:59 AM Crash Date 07/10/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. 18071004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KG Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Driver Actions No Contributing Action Driver Prior Action Other MANUEVERING AROUND A PEDESTRIAN ROL Vehicle Factors Not Applicable What Driver Was Doing Other Vehicle Removed By OPERATOR Towed Due To Damage Not Towed VE H I C L E UN I T 01 Address HAYWARD, WI 54843 , US Organization/Company 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 EventMotor Veh In Transport02 Event 03 Event 04 Organization/CompanyInsurance Company RURAL-COMMUNITY-INSURANCE-COMPANY Policy Holder UN I T Crash Time 09:59 AM Crash Date 07/10/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. 18071004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KG 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 BLOOMER, WI 54724 , US RaceWHITEDate of Birth 03/05 Sex Male Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 09:59 AM Crash Date 07/10/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. 18071004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KG Wisconsin Motor Vehicle Crash Report Reporting Threshold No Truck Bus or HazMat No Road Grade Uphill Road Curvature Curve Left 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 Motor Veh In Transport 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 1 Operating As EndorsementsVehicle Type Passenger Car Unit Type Automobile Vehicle Operating As Classification D CLASS Unit Status In Transit 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 Negotiating Curve Vehicle Removed ByTowed Due To Damage Towed Due To Disabling Damage VE H I C L E UN I T 02 Extent Of Damage Disabling Damage Vehicle Damage 10--Left Side Front, 11--Left Front Corner Initial Contact Point 11--Left Front Corner Bus UseNot A BusBody Style 4D - 4DR Color BLK - Black Model FOCUS Year 2009 Make FORD Vehicle Identification Number 1FAHP34NX9W Country of Issuance UNITED STATES St WI Plate Type MUN - Municipal License Plate Number VE H I C L E UN I T 02 Vehicle Address HAYWARD, WI 54843 , US Government 02 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 Crash Time 09:59 AM Crash Date 07/10/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. 18071004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KG Wisconsin Motor Vehicle Crash Report EventMotor Veh In Transport02 Event 03 Event 04 GovernmentInsurance Company HUDSON-INS-CO Policy Holder UN I T Crash Time 09:59 AM Crash Date 07/10/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. 18071004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KG 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 Possible 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 02 ber State: Wisconsin Country: UNITED STATES Address HAYWARD, WI 54843 , US RaceINDIANDate of Birth 11/27 Sex Female Citations Issued 0 Driver IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment HAYWARD, WI 54843 , US PR O P OW N E R 01 Property Owner Fixed Objects Struck Crash Time 09:59 AM Crash Date 07/10/2018Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. 18071004 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13J55KG Wisconsin Motor Vehicle Crash Report Damage Tag Number 1 Struck Object Other Object - Not Fixed Striking Unit 0101 Crash Time 09:59 AM Crash Date 07/10/2018Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.