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HomeMy WebLinkAbout20180806 moncel.pdf18080608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WC WISCONSIN MOTOR VEHICLE CRASH REPORT Secondary CrashAmendedCrash Type DT4000 (STANDARD CRASH)Reportable TagsSchool Bus Related NOActive School ZoneGovernment Property Reporting ThresholdTrailer or TowedWork ZoneLane ClosureHit and RunOn Emergency Total Killed 00 Total Injured 03 Total Units 01 Time Notified 03:41 PM Date Notified 08/06/2018 Time Arrived 03:44 PM Date Arrived 08/06/2018 Crash Time 03:40 PM Crash Date 08/06/2018 Investigating Officer/Deputy DEPUTY MICHAEL SIMPSON Agency Crash NumberPrimary Crash Document #Document Number Override 6V L 1 3 M V 8 W C Additional InformationNONE, PHOTOS, RECONSTRUCTION Photos BySTATE PATROL Reconstruction BySTATE PATROL DOC NUMBERS ONLY Diagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. DEPUTY SIMPSON RESPONDED TO A REPORT OF A ONE VEHICLE CRASH WITH MULTIPLE INJURIES ON STATE HWY 77 WEST OF LINDEN RD IN THE COUNTY OF SAWYER. UPON ARRIVAL DEPUTY MET WITH THE CALLER WHO SAID THAT HE WAS THE FRONT PASSENGER IN THE VEHICLE. SAID THAT HIS FRIEND WAS RIDING IN THE UN ENCLOSED BED OF THE PICK-UP TRUCK AND WAS BADLY INJURED. DEPUTY SIMPSON RAN DOWN THE EMBANKMENT AND FOUND THE TRUCK WEDGED IN SOME TREES WITH EXTENSIVE DAMAGE. CODY WAS LYING ON THE GROUND NEXT TO THE TRUCK. SAID THAT WAS STILL IN THE TRUCK AFTER THE CRASH AND MUST HAVE CLIMBED OUT WHILE WAS CHECKING ON THE DRIVER AND OWNER OF THE TRUCK . WAS INSIDE THE TRUCK COMPLAINING OF A BROKEN LEG, ARM, AND JAW. SAID THAT HE WAS THE DRIVER OF THE TRUCK AND LOST CONTROL OF THE TRUCK. APPEARED TO HAVE MINOR INJURES AND TRANSPORTED BY HIS MOTHER TP A LOCAL HOSPITAL. FULL AND EMPTY BEER CANS WERE FOUND AT THE SCENE. NEITHER DRIVER NOR PASSENGERS SMELLED OF ALCOHOL. BLOOD WAS TAKEN FROM THE DRIVER AT ST LUKE'S HOSPITAL IN DULUTH, MN. DEPUTY SIMPSON IS STILL WAITING FOR RESULTS. Crash Time 03:40 PM Crash Date 08/06/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 6 This report does not include any CJIS data. 18080608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WC WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type NO STRUCTURE Y Coordinate 5107346.5 X Coordinate 164197.734375 Longitude -91.339778693 Latitude 46.037227508 ON STH77 EB 99 FT W OF LINDEN RD (2) IN THE TOWN OF HAYWARD 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 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 EMBANKMENT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location NON-JUNCTION Within Interchange Area NO Time Scene Cleared 08:15 PM Date Scene Cleared 08/06/2018 Time All Lanes Open 07:38 PM Date All Lanes Open 08/06/2018 Time Initial Lane/Rd Closed 03:50 PM Date Initial Lane/Rd Closed 08/06/2018 Reasons for Closure LAW ENFORCEMENT, FIRE/EMS, MED FLIGHT Closure Type FULL CLOSURE 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 TWO-WAY, NOT DIVIDED Emergency Motor Vehicle Use NOT APPLICABLE Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With EMBANKMENT Total Lanes 2 Speed Limit 55 Pre CrashTire Mark Direction Of Travel EASTBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 3 Operating As EndorsementsVehicle Type UTILITY TRUCK/PICKUP TRUCK01 Unit Type TRUCK Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UN IT Model F150 Year 1986 Make FORD Vehicle Identification Number 65040101 Country of Issuance UNITED STATES St WI Plate Type LTK - LIGHT TRUCK License Plate Number Vehicle Crash Time 03:40 PM Crash Date 08/06/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 6 This report does not include any CJIS data. 18080608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WC WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address HAYWARD, WI 54843 , US Owner Name 01 Driver DistractionsUNKNOWN IF DISTRACTED 01 Driver Actions UNKNOWN Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed ByTowed Due To Damage TOWED DUE TO DISABLING DAMAGE Extent Of Damage DISABLING DAMAGE Vehicle Damage 7--LEFT REAR CORNER, 8--LEFT SIDE REAR, 9--LEFT SIDE MIDDLE, 10--LEFT SIDE FRONT, 11--LEFT FRONT CORNER, 12--FRONT, TOP Initial Contact Point 12--FRONT Bus UseNOT A BUSBody Style 2D - 2DR Color BLU - BLUE VE H I C L E UN I T UN I T VE H I C L E Sequence Of Events EventEMBANKMENT01 Event 02 Event 03 Event 04 IndividualInsurance Company FARMERS-INS-CO-INC Policy Holder UN I T Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITEDate of Birth 06/19 Sex MALE Citations Issued 0 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 03:40 PM Crash Date 08/06/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 6 This report does not include any CJIS data. 18080608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WC WISCONSIN MOTOR VEHICLE CRASH REPORT Injury Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 1 01 Drug Test Results PENDING Drug Test Type BLOOD Drug Test Given TEST GIVEN Alcohol Test Results PENDING Alcohol Test Type BLOOD Alcohol Test Given TEST GIVEN Suspected Drug Use NO Suspected Alcohol Use YES Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital ST LUKES HOSPITAL EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS AIR Trapped/Extricated TRAPPED/EXTRICATED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NOT APPLICABLE Injury Severity SUSPECTED SERIOUS INJUR00 1 01 Tint ComplianceEye Protection UN I T Non Motorist IN D I V I D U A L Injury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NOT APPLICABLE Injury Severity SUSPECTED MINOR INJURY00 2 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address HAYWARD, WI 54843 , US Race WHITEDate of Birth 03/22 Sex MALE Citations Issued 0 Passenger IT Equipment Individual UN IN D I V ID U A L Crash Time 03:40 PM Crash Date 08/06/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 6 This report does not include any CJIS data. 18080608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WC WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 2 01 Drug Test ResultsDrug Test TypeDrug Test GivenTEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital HAYWARD AREA MEM HOSP EMS Run #EMS Agency IdentifierMedical Transport OTHER UN I T Non Motorist IN D I V I D U A L Injury To/From SchoolLocationPrior ActionStriking Unit # Time of DeathDate of DeathHospital ST MARYS HOSP EMS Run #EMS Agency Identifier 6000954 Medical Transport EMS AIR Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NOT APPLICABLE Injury Severity SUSPECTED SERIOUS INJUR00 3 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position PASSENGER IN UNENCLOSED PASSENGER O Safety Equipment NONE USED - VEHICLE OCCUPANT On Duty Crash Driver License NumberAddress HAYWARD, WI 54843 , US Race WHITEDate of Birth 03/26 Sex MALE Citations Issued 0 Passenger IT Equipment Non Motorist Individual UN IN D I V ID U A L Crash Time 03:40 PM Crash Date 08/06/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 6 This report does not include any CJIS data. 18080608 SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL13MV8WC WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 3 01 Drug Test ResultsDrug Test TypeDrug Test Given TEST NOT GIVEN Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given TEST NOT GIVEN Suspected Drug Use NO Suspected Alcohol Use NO Action Other Action UN I T IN D I V I D U A L Crash Time 03:40 PM Crash Date 08/06/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 6 This report does not include any CJIS data.