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Fatal Crash Report

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Crash #2004040649 Crash #2004040649
Fatalities 1
State ARIZONA
County COCONINO
City
Date Nov. 16, 2004
Time 5:20 a.m.
Location(34.8741222, -111.6344944) - Fatality Map - Google Maps
Street Name 1 I-17
Street Name 2 99999999999999999999
WeatherClear
Number of Vehicles 0
Number of Vehicles in Transport 1
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 2
Number of Persons in Motor Vehicles in Transport 0
Number of Persons in Parked Vehicles 2
Number of Nonmotorists 0
Route Signing Interstate
Rural / Urban Rural
Functional System Interstate
Road Owner Unknown
National Highway System Part of the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 3170
First Harmful Event Jackknife (Harmful to This Vehicle)
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not Reported
Relation to Road On Roadway
Work Zone None
Light Condition Dark - Not Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 5
EMS Notified Minute 21
EMS Arrived Hour 5
EMS Arrived Minute 30
Arrived At Hospital Hour 0
Arrived at Hospital Minute 0
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 27 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 29 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionSleeper Section of Cab (Truck)
Restraint System UseUnknown/Reported as Unknown (Since 2018)
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionTotally Ejected
Ejection PathEjection Path Unknown
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathNovember
Day of Death16
Year of Death2004
Hour of Death5
Minute of Death49
Lag Hours0
Lag Minutes29
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkYes
HispanicHispanic, Origin Not Specified or Other Origin
Race White
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 2
Hit and Run No Hit and Run
NCSA Make Kenworth
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 881
Registration State Unknown
Registered Vehicle Owner Unknown
VIN 1XKADR9X8PJ5
Model Year 1993
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing One Trailer
Trailer VIN 1 None
Trailer VIN 2 None
Trailer VIN 3 None
Trailer Weight Rating 1 Not Reported
Trailer Weight Rating 2 Not Reported
Trailer Weight Rating 3 Not Reported
Jackknife Yes, First Event
Motor Carrier ID 571198072.0
Vehicle Configuration Truck Tractor/Semi-Trailer
Cargo Body Type Van/Enclosed Box
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 75
Travel Speed 65
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point 9 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Embankment
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Reported as Unknown
Driver Zip Code 90006
Non CDL License Type Unknown License Type
Non CDL License Status Unknown License Status
CDL License Status Unknown License Status
CDL Endorsements Unknown, if Required
License Compliance With Class of Vehicle Unknown
Compliance with LIcense Restrictions Unknown
Driver Height 999
Driver Weight 999
Previous Recorded Crashes 99
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 99
Previous Speeding Convictions 99
Previous Other Moving Violations 99
Month of Oldest Violation Unknown
Year of Oldest Violation 9999
Month of Newest Violation Unknown
Year of Newest Violation 9999
Speeding Related Yes, Too Fast for Conditions
Trafficway Description Two-Way, Divided, Unprotected Median
Total Lanes in Roadway Two Lanes
Roadway Alignment Curve - Unknown Direction
Roadway Grade Grade, Unknown Slope
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Ice/Frost
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Unknown
Critical Precrash Event OTHER Unknown
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Unknown
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Driver Related Factor Ice, Water, Snow, Slush, Sand, Dirt, Oil, Wet Leaves on Road
Moving Violations Speed Greater Than Reasonable and Prudent (Not Necessarily Over the Limit)
Driver Maneuvered to Avoid Poor Road Conditions (Puddle, Ice, Pothole, etc.)
Damaged Areas 9 O'Clock
Vehicle Event 1 Ran off Road - Left
Vehicle Event 2 Jackknife (Harmful to This Vehicle)
Vehicle Event 3 Ran off Road - Right
Vehicle Event 4 Embankment
Vehicle Event 5 Vehicle Occupant Struck or Run Over by Own Vehicle
Vehicle Event 6 Unknown/Reported as Unknown (Since 2018)
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