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Home My WebLink About20180904 DEERMAN - MIER.pdfSAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0L 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 02 Total Units 02 Time Notified 01:37 PM Date Notified 09/04/2018 Time Arrived 01:37 PM Date Arrived 09/05/2018 Crash Time 01:35 PM Crash Date 09/04/2018 Investigating Officer/Deputy DEPUTY KEVIN GILLIS Agency Crash Number 18090405 Primary Crash Document #Document Number Override 6V L 1 2 X V N 0 L Additional InformationRECONSTRUCTION, OTHER DOCUMENTS Photos By Reconstruction BySAWYER COUNTY SHERIFFDiagram Description I, a sworn law enforcement officer, agree that I have not added any CJIS data in this report. BOTH VEHICLES WERE TRAVELING NORTH ON USH 63. THE SUBARU WAS WAITING TO TURN LEFT INTO A PARKING LOT WITH IT'S TURN SIGNAL ON. THE VAN DID NOT SEE THE VEHICLE THAT WAS ATTEMPTING TO TURN LEFT AND HIT THE REAR END OF THE SUBARU. Crash Time 01:35 PM Crash Date 09/04/2018Wisconsin Motor Vehicle Crash Form DT4000 1 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0L WISCONSIN MOTOR VEHICLE CRASH REPORT Structure Type Y Coordinate 5104445 X Coordinate 151892.484375 Longitude -91.496204558 Latitude 46.00505414 ON USH63 NB 411 FT E OF ELECTRIC AVE IN THE TOWN OF HAYWARD IN SAWYER COUNTY Location Special StudyAccess Control PARTIAL 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, RAIN Environment Factor(s) WEATHER CONDITIONS Roadway Factor(s) NOT APPLICABLE Road Surface Condition(s) WET Light Condition DAYLIGHT Manner of Collision 02--FRONT TO REAR First Harmful Event Location ON ROADWAY First Harmful Event MOTOR VEH IN TRANSPORT Crash Scene Intersection Type NOT AN INTERSECTION Junction Location DRIVEWAY ACCESS-RELATED Within Interchange Area NO Time Scene Cleared 02:21 PM Date Scene Cleared 09/04/2018 Time All Lanes Open 02:21 PM Date All Lanes Open 09/04/2018 Time Initial Lane/Rd Closed 01:55 PM Date Initial Lane/Rd Closed 09/04/2018 Reasons for Closure LAW ENFORCEMENT, TOW TRUCK Closure Type CLOSURE-ONE DIRECTION 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 DIVIDED HWY W/O TRAFFIC BARRIER Emergency Motor Vehicle Use EMERGENCY OPERATOR, EMERGENC Special Function NO SPECIAL FUNCTION Most Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 45 Pre CrashTire Mark Direction Of Travel NORTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 0 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type (SPORT) UTILITY VEHICLE01 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UN IT Model FORESTER Year 2007 Make SUBARU Vehicle Identification Number 11120101 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number Vehicle Crash Time 01:35 PM Crash Date 09/04/2018Wisconsin Motor Vehicle Crash Form DT4000 2 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0L WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address CABLE, WI 54821 , US Owner Name 01 Driver DistractionsNOT DISTRACTED 01 Driver Actions NO CONTRIBUTING ACTION Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing LEFT TURN Vehicle Removed By A-1 TOWING Towed Due To Damage TOWED DUE TO DISABLING DAMAGE Extent Of Damage DISABLING DAMAGE Vehicle Damage 5--RIGHT REAR CORNER, 6--REAR Initial Contact Point 6--REAR Bus UseNOT A BUSBody Style UT - SPORT UTILITY VEHICLE Color GRY - GRAY VE H I C L E UN I T UN I T VE H I C L E Sequence Of Events EventLEFT TURN01 EventMOTOR VEH IN TRANSPORT02 Event 03 Event 04 IndividualInsurance Company PROGRESSIVE-CLASSIC-INS-CO Policy Holder UN I T Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address CABLE, WI 54821 , US Race WHITEDate of Birth 12/16/ Sex FEMALE Citations Issued 0 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 01:35 PM Crash Date 09/04/2018Wisconsin Motor Vehicle Crash Form DT4000 3 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0L WISCONSIN MOTOR VEHICLE CRASH REPORT Injury 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 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 # 18090412647 EMS Agency Identifier 6000954 Medical Transport EMS GROUND Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity SUSPECTED MINOR INJURY00 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 NON DEPLOYED Injury Severity SUSPECTED MINOR INJURY00 2 01 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address CABLE, WI 54821 , US Race WHITEDate of Birth 10/19/ Sex FEMALE Citations Issued 0 Passenger IT Equipment Individual UN IN D I V ID U A L Crash Time 01:35 PM Crash Date 09/04/2018Wisconsin Motor Vehicle Crash Form DT4000 4 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0L 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 # 18090412647 EMS Agency Identifier 6000954 Medical Transport EMS GROUND UN I T Non Motorist IN D I V I D U A L 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 DIVIDED HWY W/O TRAFFIC BARRIER Emergency Motor Vehicle Use EMERGENCY OPERATOR, EMERGENC Special Function NO SPECIAL FUNCTIONMost Harmful Event: Collision With MOTOR VEH IN TRANSPORT Total Lanes 2 Speed Limit 45Pre CrashTire Mark Direction Of Travel NORTHBOUND Insurance? YES Total HazMat Types 0 Total Trailers 0 Total # Citations Issued 1 Train/Bus # InjuredTotal Occs 2 Operating As EndorsementsVehicle Type PASSENGER VAN02 Unit Type AUTOMOBILE Vehicle Operating As Classification D CLASS Unit Status IN TRANSIT Unit Summary UN IT Extent Of Damage DISABLING DAMAGE Vehicle Damage 11--LEFT FRONT CORNER, 12--FRONT Initial Contact Point 12--FRONT Bus UseNOT A BUSBody Style VN - VAN Color WHI - WHITE Model TOWN & COU Year 2000 Make CHRYSLER Vehicle Identification Number 94460202 Country of Issuance UNITED STATES St WI Plate Type AUT - AUTOMOBILE License Plate Number VE H I C L E UN I T Vehicle Crash Time 01:35 PM Crash Date 09/04/2018Wisconsin Motor Vehicle Crash Form DT4000 5 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0L WISCONSIN MOTOR VEHICLE CRASH REPORT Owner Address SPOONER, WI 54801 , US Owner Name 02 Driver DistractionsDISTRACTION/INATTENTION 02 Driver Actions FAILED TO YIELD RIGHT-OF-WAY Driver Prior Action Other Vehicle Factors NOT APPLICABLE What Driver Was Doing GOING STRAIGHT Vehicle Removed By A-1 TOWING Towed Due To Damage TOWED DUE TO DISABLING DAMAGE UN I T VE H I C L E Sequence Of Events EventMOTOR VEH IN TRANSPORT01 Event 02 Event 03 Event 04 IndividualInsurance Company STATE-FARM-GENERAL-INS-CO Policy Holder UN I T Injury Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00 3 02 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 1--FRONT SEAT-LEFT SIDE (DRIVER/MOTORCY Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address SPOONER, WI 54801 , US Race WHITE Date of Birth 09/01/ Sex FEMALE Citations Issued 1 Driver IT Equipment Individual UN IN D I V ID U A L Crash Time 01:35 PM Crash Date 09/04/2018Wisconsin Motor Vehicle Crash Form DT4000 6 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0L WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 3 02 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 EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED 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 EMS Run #EMS Agency IdentifierMedical Transport NOT TRANSPORTED Trapped/Extricated NOT TRAPPED Ejection Path NOT EJECTED/NOT APPLICABL Ejected NOT EJECTED Airbag NON DEPLOYED Injury Severity NO APPARENT INJURY00 4 02 Tint ComplianceEye Protection Helmet ComplianceHelmet Use Seat Position 3--FRONT SEAT-RIGHT SIDE (TRAIN ENGINEER Safety Equipment SHOULDER & LAP BELT On Duty Crash Driver License Number STATE: WISCONSIN COUNTRY: UNITED STATES Address SPOONER, WI 54801 , US Race WHITEDate of Birth 09/08/ Sex FEMALE Citations Issued 0 Passenger IT Equipment Non Motorist Individual UN IN D I V ID U A L Crash Time 01:35 PM Crash Date 09/04/2018Wisconsin Motor Vehicle Crash Form DT4000 7 of 8 This report does not include any CJIS data. SAWYER COUNTY SHERIFFS DEPT 15880 EAST FIFTH STREET HAYWARD, WI 54843 (715) 634-4858 6VL12XVN0L WISCONSIN MOTOR VEHICLE CRASH REPORT Drug & Alcohol Individual Condition APPEARED NORMAL Drug Type 00 4 02 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 Violations DescriptionINATTENTIVE DRIVINGSeq Num001Statute Number346.89(1)Issue To? 003 UTC Number AE01409501 Crash Time 01:35 PM Crash Date 09/04/2018Wisconsin Motor Vehicle Crash Form DT4000 8 of 8 This report does not include any CJIS data.