| Age | 82 year(s) old |
| Sex | Male |
| Person Type | Driver of a Motor Vehicle In-Transport |
| Injury Severity | Fatal Injury (K) |
| Seating Position | Front Seat, Left Side (Driver's Side) |
| Restraint System Use | None Used/Not Applicable |
| Restraint System Misuse | None Used/Not Applicable |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Not Deployed |
| Ejection | Totally Ejected |
| Ejection Path | Other Path (e.g., Back of Pickup Truck) |
| Extrication | Not Extricated/Not Applicable |
| Police Reported Alcohol Involvement | No (Alcohol Not Involved) |
| Alcohol Test Given | Not Reported |
| Alcohol Test Type | Blood Test |
| Alcohol Test Result | 0.0 |
| Police Reported Drug Involvement | Not Reported |
| Drug Tested | Not Reported |
| Transported To Medical Facility By | Transported Unknown Source |
| Died En Route | Not Applicable |
| Month of Death | July |
| Day of Death | 16 |
| Year of Death | 2004 |
| Hour of Death | 14 |
| Minute of Death | 5 |
| Lag Hours | 5 |
| Lag Minutes | 0 |
| Non Motorist Location | Occupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006) |
| At Work | No |
| Hispanic | Non-Hispanic |
| Race | White |
| Collapse Table | Collapse Table |
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| Fatalities | 1 |
| Number of Occupants |
1 |
| Hit and Run | No Hit and Run |
| NCSA Make | Other Make |
| Body Type | Farm Equipment Other Than Trucks |
| NCSA Model | 998 |
| Registration State | Not Applicable |
| Registered Vehicle Owner | Not Applicable, Vehicle Not Registered |
| VIN | 999999999999 |
| Model Year | 9999 |
| 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 | 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 | Unknown |
| Underride / Override | No Underride or Override |
| Rollover | No Rollover |
| Rollover Location | Unknown |
| Initial Contact Point | Non-Collision |
| Extent of Damage | Reported as Unknown |
| Vehicle Towed | Reported as Unknown |
| Most Harmful Event | Jackknife (Harmful to This Vehicle) |
| Fire Occurence | False |
| Driver Drinking | No Drinking |
| Driver Present | Driver Present |
| Drivers License State | Oregon |
| Driver Zip Code | 97381 |
| 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 | No Restrictions or Not Applicable |
| Driver Height | 75 |
| Driver Weight | 230 |
| Previous Recorded Crashes | 0 |
| Previous BAC Suspensions (Underage) | None |
| Previous BAC Suspensions | None |
| Previous Other Suspensions | None |
| Previous DWI | 0 |
| Previous Speeding Convictions | 0 |
| Previous Other Moving Violations | 0 |
| Month of Oldest Violation | No Record |
| Year of Oldest Violation | 0 |
| Month of Newest Violation | No Record |
| Year of Newest Violation | 0 |
| Speeding Related | No |
| Trafficway Description | Two-Way, Not Divided |
| Total Lanes in Roadway | Two Lanes |
| Roadway Alignment | Curve - Unknown Direction |
| Roadway Grade | Level |
| Roadway Surface Type | Blacktop, Bituminous, or Asphalt |
| 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 |
| Vehicle Factors | Wheels |
| Damaged Areas | Non-Collision |
| Vehicle Event 1 | Jackknife (Harmful to This Vehicle) |
| Vehicle Event 2 | Unknown/Reported as Unknown (Since 2018) |
| Vehicle Event 3 | Unknown/Reported as Unknown (Since 2018) |
| Vehicle Event 4 | Unknown/Reported as Unknown (Since 2018) |
| Vehicle Event 5 | Unknown/Reported as Unknown (Since 2018) |
| Vehicle Event 6 | Unknown/Reported as Unknown (Since 2018) |
| Collapse Table | Collapse Table |
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