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HomeMy WebLinkAbout20180726 OLSON.pdf18072609 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14ZCGFC 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 08:03 PM Date Notified 07/26/2018 Time Arrived 08:33 PM Date Arrived 07/26/2018 Crash Time 08:03 PM Crash Date 07/26/2018 Investigating Officer/Deputy DEPUTY SEAN ANDERSON Agency Crash Number 18072609 Primary Crash Document #Document Number Override 6V L 1 4 Z C G F C Additional InformationPhotos Photos ByS ANDERSON Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. DRIVER OF UNIT 1 WAS TRAVELING SOUTH ON HIGHLINE RD. DRIVER STATES 2 DEER JUMPED OUT IN FRONT OF HIM. DRIVER APPLIED THE BRAKES AND RIGHT SIDE TIRES WENT INTO DITCH ON WEST SIDE OF ROAD. DRIVER OF UNIT 1 WAS ABLE TO GET TRUCK ONTO ROAD BUT LOST CONTROL. UNIT 1 SKIDDED ACROSS HIGHLINE ROAD AND WENT INTO DITCH ON EAST SIDE OF ROAD. UNIT 1 THEN ROLLED OVER ONTO ITS ROOF. Crash Time 08:03 PM Crash Date 07/26/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 18072609 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14ZCGFC Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5099649 X Coordinate 154600.09375 Longitude -91.457878025 Latitude 45.963389338 ON HIGHLINE RD 0.56 MI N OF WILLIAMS 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 - Not On Road Animal Type Deer Weather Condition(s) Cloudy, Rain Environment Factor(s) Animal (s) in roadway Roadway Factor(s) None Road Surface Condition(s) Wet Light Condition Daylight Manner of Collision No Collision W/Vehicle In Transport First Harmful Event Location Shoulder Left First Harmful Event Ditch Crash Scene Intersection Type Not an Intersection Junction Location Non-Junction Within Interchange Area NO Time Roadway Repaired 10:35 PM Date Roadway Repaired 07/26/2018 Time All Lanes Open 10:35 PM Date All Lanes Open 07/26/2018 Time Initial Lane/Road Closed 09:44 PM Date Initial Lane/Road Closed 07/26/2018 Reasons for Closure Tow truck Closure Type Full closure Reporting Threshold One or more vehicles towed due to disabling damage Truck Bus or HazMat Any truck or truck combination > 10,000lbs GVWR/GCWR Road Grade Hillcrest 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 40Pre CrashTire Mark Direction Of Travel Southbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 1 Operating As EndorsementsVehicle Type Straight Truck (Insert Truck) Unit Type Truck Vehicle Operating As Classification C CLASS Unit Status In Transit UN I T 01 Unit Summary Model WORKHORSE Year 2009 Make NAVISTAR Vehicle Identification Number 5B4JPD28993 Country of Issuance UNITED STATES St WI Plate Type HTK - Heavy Truck License Plate Number 01 Vehicle Crash Time 08:03 PM Crash Date 07/26/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 18072609 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14ZCGFC Wisconsin Motor Vehicle Crash Report Driver DistractionsUnknown If Distracted Driver ActionsSwerved or Avoided Due To Wind, Slippery Surface, Motor Vehicle, Object, Non-Motorist In Roadway, Etc. Driver Prior Action Other Vehicle Factors Not Applicable What Driver Was Doing Going Straight Vehicle Removed By SWANT TOWING Towed Due To Damage Towed Due To Disabling Damage VE H I C L E UN I T 01 Extent Of Damage Disabling Damage Vehicle Damage 1--Right Front Corner, 2--Right Side Front, 3--Right Side Middle, 4--Right Side Rear, 5--Right Rear Corner, Top Initial Contact Point Non-Collision Bus UseNot A BusBody Style TK - TRUCK Color BRO - Brown VE H I C L E UN I T Address ANAHEIM, CA 92805 6441, US Organization/Company 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventNon Domesticated Animal (Alive)01 EventRun Off Roadway Right02 EventDitch03 EventOverturn/Rollover04 Organization/CompanyInsurance Company LIBERTY-MUTUAL-INS-CO Policy Holder UN I T Crash Time 08:03 PM Crash Date 07/26/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 18072609 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14ZCGFC 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 SPOONER, WI 54801 , US RaceWHITEDate of Birth 11/02 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 Address ANAHEIM, CA 92805 6441, US Name Source DriverUse Vehicle Owner Same as Carrier 01 Carrier Crash Time 08:03 PM Crash Date 07/26/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 18072609 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL14ZCGFC Wisconsin Motor Vehicle Crash Report Measured WeightMeasured WidthMeasured LengthMeasured Height Escort Vehicle PresentEscort Vehicle Required By Permit Permitted Vehicle On Permitted Route WI Permit NumberOS/OW Load Permitted Load Not Applicable Carrier Type Interstate Carrier US DOT # 21800 Cargo Body Type Van/Enclosed Box Vehicle Configuration Single-Unit Truck (2-Axle and GVWR More Than GVWR 10,001-26,000 Lb TR U C K B U S UN I T Crash Time 08:03 PM Crash Date 07/26/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.