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HomeMy WebLinkAbout20180715 HARDER.pdf18071509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN7 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 08:05 PM Date Notified 07/15/2018 Time Arrived 08:16 PM Date Arrived 07/15/2018 Crash Time 08:02 PM Crash Date 07/15/2018 Investigating Officer/Deputy DEPUTY MATTHEW JEFSON Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 5 1 T J N 7 Additional InformationPhotos Photos ByDEPUTY JEFSON Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. DRIVER WAS TRAVELING NORTHBOUND ON CTH F. DRIVER STATED THAT HE WAS TRAVELING AROUND 55 MPH WHEN A DEER CAME RUNNING OUT OF THE WOODS. THE DRIVER STATED THAT HE TRIED TO STOP BUT HIT THE DEER. THE DRIVER STATED THAT HE FELT A CRUNCH IN HIS LOWER BACK WHEN HE FELL OFF OF HIS BIKE. THE BIKE THEN SLID ACROSS THE ROAD AND ONTO THE SHOULDER. THE DRIVER WAS TAKEN BY BIRCHWOOD AMBULANCE TO LAKEVIEW MEDICAL CENTER. THE BIKE WAS BROUGHT HOME BY A GOOD SAMARITAN. I THEN CLEARED. Crash Time 08:02 PM Crash Date 07/15/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 18071509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN7 Wisconsin Motor Vehicle Crash Report Structure Type Y Coordinate 5076050 X Coordinate 152511.1875 Longitude -91.467729908 Latitude 45.750577698 ON CTHF 1100 FT S OF CHAPEL RD 2 IN THE TOWN OF EDGEWATER 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 Deer 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 Non Domesticated Animal (Alive) 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 Non Domesticated Animal (Alive) Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel Northbound 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 Functional Damage Vehicle Damage 12--Front Initial Contact Point 12--Front Bus UseNot A BusBody Style RS - ROAD-STREET Color WHI - White Model UNKNOWN Year 2014 Make KTMMEX Vehicle Identification Number VBKV29403EM9 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 08:02 PM Crash Date 07/15/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 18071509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN7 Wisconsin Motor Vehicle Crash Report Driver DistractionsNot Distracted Driver Actions No Contributing Action Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Going Straight Vehicle Removed By REMOVED BY PRIVATE PARTY Towed Due To Damage Towed But Not Due To Disabling Damage VE H I C L E UN I T 01 Address BIRCHWOOD, WI 54817 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventMotor Veh In Transport01 EventNon Domesticated Animal (Alive)02 Event 03 Event 04 Crash Time 08:02 PM Crash Date 07/15/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 18071509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN7 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 LAKEVIEW MEDICAL CENTER EMS Run #EMS Agency Identifier 6000113 Medical Transport EMS Ground Trapped/Extricated Not Trapped Ejection Path Not Ejected/Not Applicable Ejected Not Applicable Airbag Non Deployed Injury Severity Possible Injury IN D I V I D U A L UN I T Tint Compliance UNKNOWN Eye Protection Yes: Windshield Helmet Compliance Approved Helmet Use Full-Face Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl 00 1 Protective Gear Gloves, Boots, Jacket, Long Pants On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address BIRCHWOOD, WI 54817 , US RaceWHITEDate of Birth 08/28 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 Address , , Unknown PR O P OW N E R 01 Property Owner Fixed Objects Struck Crash Time 08:02 PM Crash Date 07/15/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 18071509 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL151TJN7 Wisconsin Motor Vehicle Crash Report Damage Tag NumberStruck Object Other Object - Not Fixed Striking Unit 0101 Crash Time 08:02 PM Crash Date 07/15/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.