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Fatal Crash Report

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Crash #2004200190 Crash #2004200190
Fatalities 1
State KANSAS
County MONTGOMERY
City
Date July 14, 2004
Time 10:15 p.m.
Location(37.1980944, -95.8927917) - Fatality Map - Google Maps
Street Name 1 CR-4000
Street Name 2 CR-1900
WeatherClear
Number of Vehicles 0
Number of Vehicles in Transport 1
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 1
Number of Persons in Motor Vehicles in Transport 0
Number of Persons in Parked Vehicles 1
Number of Nonmotorists 0
Route Signing County
Rural / Urban Rural
Functional System Major Collector
Road Owner Unknown
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 0
First Harmful Event Other Fixed Object
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection No
Relation to Junction Intersection
Type of Intersection Not Reported
Relation to Road On Roadside
Work Zone None
Light Condition Dark - Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 10
EMS Notified Minute 52
EMS Arrived Hour 11
EMS Arrived Minute 24
Arrived At Hospital Hour 12
Arrived at Hospital Minute 18
Crash Related FactorDate of Crash and Date of EMS Notification Were Not Same Day
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 66 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
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 DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationExtricated
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 ByTransported Unknown Source
Died En RouteNot Applicable
Month of DeathJuly
Day of Death18
Year of Death2004
Hour of Death15
Minute of Death50
Lag Hours89
Lag Minutes35
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race White
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make GMC
Body Type Utility Station Wagon
NCSA Model 431
Registration State Nebraska
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 3GKGK26J3XG5
Model Year 1999
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 No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 0.0
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 55
Travel Speed 55
Underride / Override No Underride or Override
Rollover Rollover
Rollover Location Unknown
Initial Contact Point 11 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Rollover/Overturn
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Nebraska
Driver Zip Code 68310
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle Valid License for This Class Vehicle
Compliance with LIcense Restrictions Restrictions Complied With
Driver Height 72
Driver Weight 190
Previous Recorded Crashes 1
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 1
Previous Other Moving Violations 0
Month of Oldest Violation July
Year of Oldest Violation 2002
Month of Newest Violation June
Year of Newest Violation 2004
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Slag, Gravel, or Stone
Roadway Surface Condition Dry
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 Careless Driving, Inattentive Operation, Improper Driving, Driving Without Due Care
Driver Related Factor Unfamiliar With Roadway
Damaged Areas 11 O'Clock
Damaged Areas 9 O'Clock
Vehicle Event 1 Ran off Road - Right
Vehicle Event 2 Ditch
Vehicle Event 3 Other Fixed Object
Vehicle Event 4 Rollover/Overturn
Vehicle Event 5 Unknown/Reported as Unknown (Since 2018)
Vehicle Event 6 Unknown/Reported as Unknown (Since 2018)
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