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.