HomeMy WebLinkAbout20180508 PILSNER.pdf18050806
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N5 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
03:11 PM
Date Notified
05/08/2018
Time Arrived
03:40 PM
Date Arrived
05/08/2018
Crash Time
03:11 PM
Crash Date
05/08/2018
Investigating Officer/Deputy
DEPUTY DARIN JENSEN
Agency Crash NumberPrimary Crash Document #Document Number Override
6V
L
1
3
K
D
6
N
5
Additional InformationNONE
Photos By
Reconstruction ByDiagram
Description
Narrative: I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report.
OPERATOR OF UNIT 1 WAS TRAVELING NORTHBOUND ON HIGHWAY 40 WHEN HE SWERVED TO MISS A DEER. THE OPERATOR DROVE INTO THE DITCH AND LOST CONTROL IN THE GRAVEL AND TIPPED THE MOTORCYCLE OVER. THE OPERATOR SUFFERED A LEG INJURY.
Structure Type
Y CoordinateX Coordinate
LongitudeLatitudeON CTH40 NB
1.50 MI S
OF CEMETERY RD
IN THE TOWN OF RADISSON
IN SAWYER COUNTY
Location
Crash Time 03:11 PM
Crash Date 05/08/2018This report does not include any CJIS data.
4of1
Wisconsin Motor Vehicle Crash
Form DT4000
18050806
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N5 WISCONSIN MOTOR VEHICLE
CRASH REPORT
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)
ANIMAL (S) IN ROADWAY
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
ROADSIDE
First Harmful Event
FELL/JUMPED FROM MOTOR VEHICLE
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 Use
NOT APPLICABLE
Special Function
NO SPECIAL FUNCTIONMost Harmful Event: Collision With
FELL/JUMPED FROM MOTOR VEHICLE
Total Lanes
2
Speed Limit
45Pre 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
MOTORCYCLE01
Unit Type
MOTORCYCLE
Vehicle Operating As Classification
M CLASS
Unit Status
IN TRANSIT
Unit Summary
UN
IT
Driver Prior Action Other
Vehicle Factors
NOT APPLICABLE
What Driver Was Doing
NEGOTIATING CURVE
Vehicle Removed ByTowed Due To Damage
TOWED BUT NOT DUE TO DISABLING DAMAG
Extent Of Damage
MINOR DAMAGE
Vehicle Damage
11--LEFT FRONT CORNER
Initial Contact Point
11--LEFT FRONT CORNER
Bus UseNOT A BUSBody Style
MC - MOTORCYCLE
Color
RED - RED
Model
MOTORCYCLE
Year
1997
Make
KAWASAKI
Vehicle Identification Number
0642430101
Country of Issuance
UNITED STATES
St
WI
Plate Type
CYC - CYCLE
License Plate Number
VE
H
I
C
L
E
UN
I
T
Vehicle
Crash Time 03:11 PM
Crash Date 05/08/2018This report does not include any CJIS data.
4of2
Wisconsin Motor Vehicle Crash
Form DT4000
18050806
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N5 WISCONSIN MOTOR VEHICLE
CRASH REPORT
01
Driver DistractionsNOT DISTRACTED
01
Driver Actions
NO CONTRIBUTING ACTION
UN
I
T
VE
H
I
C
L
E
Address
PRENTICE, WI 54556 , US
Individual
VE
H
I
C
L
E
OW
N
E
R
UN
I
T
Vehicle Owner
Sequence Of Events
EventDOMESTICATED ANIMAL - ALIVE01
EventMOTOR VEH IN TRANSPORT02
Event
03
Event
04
Injury
To/From SchoolLocationPrior ActionStriking Unit #
Time of DeathDate of DeathHospital
058
EMS Run #EMS Agency Identifier
6000954
Medical Transport
EMS GROUND
Trapped/Extricated
NOT TRAPPED
Ejection Path
NOT EJECTED/NOT APPLICABL
Ejected
NOT APPLICABLE
Airbag
NOT APPLICABLE
Injury Severity
SUSPECTED MINOR INJURY00
1
01
Tint Compliance
NO
Eye Protection
YES: WINDSHIELD
Helmet Compliance
UNKNOWN
Helmet Use
UNKNOWN
Seat Position
1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY
Protective Gear
GLOVES, BOOTS, JACKET, LONG PANTS
On Duty Crash
Driver License Number
STATE: WISCONSIN COUNTRY: UNITED STATES
Address
PRENTICE, WI 54556 , US
Race
WHITE
Date of Birth
11/01/
Sex
MALE
Citations Issued
0
Driver
IT
Equipment
Non Motorist
Individual
UN
IN
D
I
V
ID
U
A
L
Crash Time 03:11 PM
Crash Date 05/08/2018This report does not include any CJIS data.
4of3
Wisconsin Motor Vehicle Crash
Form DT4000
18050806
SAWYER COUNTY SHERIFFS DEPT
15880 EAST FIFTH STREET
HAYWARD, WI 54843
(715) 634-4858
6VL13KD6N5 WISCONSIN MOTOR VEHICLE
CRASH REPORT
Drug & Alcohol
Individual Condition
APPEARED NORMAL
Drug Type
00
1
01
Drug Test ResultsDrug Test TypeDrug Test Given
TEST NOT GIVEN
Alcohol Test ResultsAlcohol Test TypeAlcohol Test Given
TEST NOT GIVEN
Suspected Drug UseSuspected Alcohol Use
Action Other
Action
UN
I
T
IN
D
I
V
I
D
U
A
L
Crash Time 03:11 PM
Crash Date 05/08/2018This report does not include any CJIS data.
4of4
Wisconsin Motor Vehicle Crash
Form DT4000