HomeMy WebLinkAbout20180710 ROBERS.pdf18071007
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W9 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
01
Time Notified
06:31 PM
Date Notified
07/10/2018
Time Arrived
06:40 PM
Date Arrived
07/10/2018
Crash Time
06:30 PM
Crash Date
07/10/2018
Investigating Officer/Deputy
DEPUTY MICHAEL SIMPSON
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
M
V
8
W
9
Additional InformationPhotos
Photos ByDEPUTY SIMPSON
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
SUBJECT RIDING MOTORCYCLE SAID THAT HE WAS ATTEMPTING TO MAKE A RIGHT HAND TURN ONTO PARK RD. SUBJECT SAID THAT HIS BRAKES FAILED. SUBJECT STRUCK A TRAILER THAT WAS PARKED AT A PRIVATE RESIDENCE ON THE CORNER OF PARK RD. SUBJECT KNEW THE OWNER
OF THE RESIDENCE AND MOTORCYCLE WAS TAKEN CARE OF AND STORED BY RESIDENT UNTIL OWNER OF MOTORCYCLE WAS ABLE TO GET IT.
SUBJECT ON MOTORCYCLE WAS TAKEN TO HOSPITAL VIA AMBULANCE WITH A FRACTURED RIGHT LEG.
Crash Time 06:30 PM
Crash Date 07/10/2018Wisconsin Motor Vehicle Crash
Form DT4000 1 of 5
This report does not include any CJIS data.
18071007
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W9 Wisconsin Motor Vehicle
Crash Report
Structure Type
House/Building
Y Coordinate
5082123.5
X Coordinate
187987.578125
Longitude
-91.016719054
Latitude
45.822024297
INTERSECTION
ON 6663W STH70 EB
AT PARK ST
(HOUSE/BUILDING 6663W)
IN THE VILLAGE OF WINTER
IN SAWYER COUNTY
Location
Special StudyAccess Control
No Control
Tribal Land
Crash Classification - Jurisdiction
Private Property
Crash Classification - Location
Private Property
Relation To Trafficway
Non Trafficway - Other
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
Shoulder Right
First Harmful Event
Other Fixed Object
Crash Scene
Intersection Type
T-Intersection
Junction Location
Intersection-Related
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
Stop Sign
Traffic Way
Two-Way, Not Divided
Emergency Motor Vehicle UseNot ApplicableSpecial FunctionNo Special FunctionMost Harmful Event: Collision With
Other Non-Collision
Total Lanes
2
Speed Limit
45Pre CrashTire
Mark
Direction Of Travel
Eastbound
Insurance?
UNKNOWN
Total HazMat Types
0
Total Trailers
0
Total # Citations Issued
0
Train/Bus # InjuredTotal Occs
1
Operating As EndorsementsVehicle Type
Motorcycle
Unit Type
Motorcycle
Vehicle Operating As Classification
M CLASS
Unit Status
In Transit
UN
I
T
01
Unit Summary
Extent Of Damage
Disabling Damage
Vehicle Damage
11--Left Front Corner, 12--Front
Initial Contact Point
12--Front
Bus UseNot A BusBody Style
MC - MOTORCYCLE
Color
BLK - Black
Model
GOLDWING
Year
1983
Make
HONDA
Vehicle Identification Number
1HFSC0227DA
Country of Issuance
UNITED STATES
St
WI
Plate Type
CYC - Cycle
License Plate Number
VE
H
I
C
L
E
UN
I
T
01
Vehicle
Crash Time 06:30 PM
Crash Date 07/10/2018Wisconsin Motor Vehicle Crash
Form DT4000 2 of 5
This report does not include any CJIS data.
18071007
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W9 Wisconsin Motor Vehicle
Crash Report
Driver DistractionsNot Distracted
Driver Actions
No Contributing Action
Driver Prior Action Other
Vehicle Factors
Brakes
What Driver Was Doing
Right Turn
Vehicle Removed ByTowed Due To Damage
Not Towed
VE
H
I
C
L
E
UN
I
T
01
Address
EXELAND, WI 54835 , US
Individual
01
VE
H
I
C
L
E
OW
N
E
R
Vehicle Owner
Sequence Of Events
EventOther Fixed Object01
Event
02
Event
03
Event
04
Crash Time 06:30 PM
Crash Date 07/10/2018Wisconsin Motor Vehicle Crash
Form DT4000 3 of 5
This report does not include any CJIS data.
18071007
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W9 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
MAYO CLINIC HEALTH SYSTEM
EMS Run #
UNKNOWN
EMS Agency Identifier
6000954
Medical Transport
EMS Ground
Trapped/Extricated
Not Trapped
Ejection Path
Not Ejected/Not Applicable
Ejected
Not Applicable
Airbag
Not Applicable
Injury Severity
Suspected Serious Injury
IN
D
I
V
I
D
U
A
L
UN
I
T
Tint Compliance
UNKNOWN
Eye Protection
Yes: Worn
Helmet Compliance
Approved
Helmet Use
Three-Quarter
Seat Position
1--Front Seat-Left Side (Driver/Motorcycle/Bicycl
00
1
Protective Gear
Boots, Jacket, Long Pants
On Duty Crash
01
ber
State: Wisconsin Country: UNITED STATES
Address
EXELAND, WI 54835 , US
RaceWHITEDate of Birth
04/02
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
WAUSAU, WI 54401 , US
PR
O
P
OW
N
E
R
01
Property Owner
Fixed Objects Struck
Crash Time 06:30 PM
Crash Date 07/10/2018Wisconsin Motor Vehicle Crash
Form DT4000 4 of 5
This report does not include any CJIS data.
18071007
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13MV8W9 Wisconsin Motor Vehicle
Crash Report
Damage Tag Number
1234
Struck Object
Other Fixed Object
Striking Unit
0101
Crash Time 06:30 PM
Crash Date 07/10/2018Wisconsin Motor Vehicle Crash
Form DT4000 5 of 5
This report does not include any CJIS data.