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.