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Fatal Crash Report

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Crash #2005131545 Crash #2005131545
Fatalities 1
State GEORGIA
County BROOKS
City QUITMAN
Date Dec. 4, 2005
Time 11:27 p.m.
Location(30.7917556, -83.5580083) - Fatality Map - Google Maps
Street Name 1 99999999999999999999
Street Name 2 99999999999999999999
WeatherClear
Number of Vehicles 2
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 Unknown/Not Reported
Rural / Urban Unknown
Functional System Unknown
Road Owner Unknown
National Highway System Unknown
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 99999
First Harmful Event Fence
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 Off Roadway - Location Unknown
Work Zone None
Light Condition Dark - Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 23
EMS Notified Minute 27
EMS Arrived Hour 23
EMS Arrived Minute 29
Arrived At Hospital Hour 23
Arrived at Hospital Minute 53
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 54 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 UseNone Used/Not Applicable
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 InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Month of DeathDecember
Day of Death5
Year of Death2005
Hour of Death22
Minute of Death54
Lag Hours23
Lag Minutes27
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race Black or African American
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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 47 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Right 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 InvolvementNot Reported
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
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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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 2
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type Utility Station Wagon
NCSA Model 431
Registration State Georgia
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1GNEC16K9RJ4
Model Year 1994
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
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 35
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point 12 O'Clock
Extent of Damage Functional Damage
Vehicle Towed Towed
Most Harmful Event Fence
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Georgia
Driver Zip Code 31643
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 71
Driver Weight 228
Previous Recorded Crashes 98
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 May
Year of Oldest Violation 2003
Month of Newest Violation May
Year of Newest Violation 2003
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
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
Driver Related Factor Ill, Passed out/Blackout
Driver Related Factor Improper Lane Usage
Damaged Areas 12 O'Clock
Driver Impaired Ill, Blackout
Vehicle Event 1 Ran off Road - Left
Vehicle Event 2 Fence
Vehicle Event 3 Parked Motor Vehicle
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 0
NCSA Make Mercury
Body Type 2-Door Sedan/Hardtop/Coupe
Hit and Run No Hit and Run
NCSA Model 38
Registration State Georgia
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 1ZWFT61L1X56
Model Year 1999
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
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
Motor Carrier ID 0.0
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Hazardous Material Involvement False
Hazardous Material Placard Not Reported
Hazardous Materia ID None
Hazardous Material Class Number Not Reported
Relase of Hazardous Material Not Reported
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Underride / Override Not Reported
Initial Contact Point 3 O'Clock
Extent of Damage Functional Damage
Vehicle Towed Reported as Unknown
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
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