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HomeMy WebLinkAbout20180728 MARTIN.pdf18072807 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK6 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 02 Total Units 01 Time Notified 04:24 PM Date Notified 07/28/2018 Time Arrived 04:40 PM Date Arrived 07/28/2018 Crash Time 04:24 PM Crash Date 07/28/2018 Investigating Officer/Deputy SERGEANT GREG RIPCZINSKI Agency Crash Number 18072807 Primary Crash Document #Document Number Override 6V L 1 5 C P T K 6 Additional InformationNone, Photos Photos BySGT GREG RIPCZINSKI Reconstruction ByDiagram Description Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. UNIT # 1 WAS EASTBOUND ON STH 70, WHILST NEGOTIATING A CURVE IN THE ROADWAY, OPERATOR STATED STEERING FAILED, SKIDDING INTO THE DITCH LINE AREA OF THE EASTBOUND LANE. OPERATOR AND PASSENGER WERE THROWN FROM THE VEHICLE, WHERE UNIT #1 THEN COLLIDED WITH THE OPERATOR COMING TO REST. Crash Time 04:24 PM Crash Date 07/28/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 5 This report does not include any CJIS data. 18072807 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK6 Wisconsin Motor Vehicle Crash Report Structure Type No Structure Y Coordinate 5083256.5 X Coordinate 213883.375 Longitude -90.684747487 Latitude 45.843425592 ON STH70 EB 52 FT W OF TN RD 30 IN THE TOWN OF DRAPER 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) Cloudy 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 Ditch 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 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 Fell/Jumped From Motor Vehicle Total Lanes 2 Speed Limit 55Pre CrashTire Mark Direction Of Travel Eastbound Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 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 Minor Damage Vehicle Damage 10--Left Side Front Initial Contact Point 9--Left Side Middle Bus UseNot A BusBody Style MC - MOTORCYCLE Color RED - Red Model FXST CUSTO Year 1989 Make HARLEY DAVIDSON Vehicle Identification Number 1HD1BKL15K 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 04:24 PM Crash Date 07/28/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 5 This report does not include any CJIS data. 18072807 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK6 Wisconsin Motor Vehicle Crash Report Driver DistractionsUnknown If Distracted Driver Actions No Contributing Action Driver Prior Action Other Vehicle Factors Steering What Driver Was Doing Negotiating Curve Vehicle Removed By OWNER Towed Due To Damage Not Towed VE H I C L E UN I T 01 Address PHILLIPS, WI 54555 , US Individual 01 VE H I C L E OW N E R Vehicle Owner Sequence Of Events EventDitch01 EventFell/Jumped From Motor Vehicle02 Event 03 Event 04 IndividualInsurance Company AMERICAN-FAMILY-INS-CO Policy Holder UN I T Crash Time 04:24 PM Crash Date 07/28/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 5 This report does not include any CJIS data. 18072807 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK6 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 FLAMBEAU HOSPITAL EMS Run #EMS Agency Identifier 6000182 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 and Windshield Helmet Compliance Unknown Helmet Use No Seat Position 1--Front Seat-Left Side (Driver/Motorcycle/Bicycl 00 1 Protective Gear Gloves, Jacket On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address PHILLIPS, WI 54555 , US RaceWHITEDate of Birth 11/08 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 04:24 PM Crash Date 07/28/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 5 This report does not include any CJIS data. 18072807 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL15CPTK6 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 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 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: Worn and Windshield Helmet Compliance Unknown Helmet Use No Seat Position 4--Second Seat-Left Side(Motorcycle/Bicycle Pa 00 2 Protective Gear Boots, Jacket On Duty Crash 01 ber State: Wisconsin Country: UNITED STATES Address PHILLIPS, WI 54555 , US RaceWHITEDate of Birth 11/11/ Sex Female Citations Issued 0 Passenger IN D I V I D U A L UN I T Injury Drug & Alcohol Individual Non Motorist Equipment Crash Time 04:24 PM Crash Date 07/28/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 5 This report does not include any CJIS data.