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Fatal Crash Report

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Crash #2005330107 Crash #2005330107
Fatalities 1
State NEW HAMPSHIRE
County SULLIVAN
City CLAREMONT
Date July 28, 2005
Time 4:12 p.m.
Google Maps(43.3423972, -72.3851639)
Street Name 1 GRISSOM LANE
Street Name 2 99999999999999999999
WeatherClear
Number of Vehicles 1
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 Other
Rural / Urban Urban
Functional System Unknown
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 Vehicle Occupant Struck or Run Over by Own Vehicle (Since 1997)
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection No
Relation to Junction Driveway Access Related
Type of Intersection Not Reported
Relation to Road Off Roadway - Location Unknown
Work Zone None
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 16
EMS Notified Minute 12
EMS Arrived Hour 16
EMS Arrived Minute 18
Arrived At Hospital Hour 16
Arrived at Hospital Minute 29
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 63 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionOther Passenger in Unenclosed Passenger or Cargo Area
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 TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByTransported Unknown Source
Died En RouteNot Applicable
Month of DeathJuly
Day of Death28
Year of Death2005
Hour of Death99
Minute of Death99
Lag Hours999
Lag Minutes99
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 Chevrolet
Body Type Light Vehicle-Based Motorhome (Chassis Mounted)
NCSA Model 481
Registration State New Hampshire
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 1GCJK39182E2
Model Year 2002
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 No
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 15
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location Unknown
Initial Contact Point Non-Collision
Extent of Damage Minor Damage
Vehicle Towed Towed
Most Harmful Event Vehicle Occupant Struck or Run Over by Own Vehicle (Since 1997)
Fire Occurence False
Driver Drinking No Drinking
Driver Present No Driver Present/Not Applicable
Drivers License State None
Driver Zip Code None
Non CDL License Type None
Non CDL License Status None
CDL License Status None
CDL Endorsements None
License Compliance With Class of Vehicle None
Compliance with LIcense Restrictions None
Driver Height None
Driver Weight None
Previous Recorded Crashes None
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI None
Previous Speeding Convictions None
Previous Other Moving Violations None
Month of Oldest Violation None
Year of Oldest Violation None
Month of Newest Violation None
Year of Newest Violation None
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Grade, Unknown Slope
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 - Other Crash Type
Driver Related Factor Reported as Unknown
Driver Related Factor Reported as Unknown
Driver Related Factor Reported as Unknown
Driver Related Factor Reported as Unknown
Damaged Areas Non-Collision
Vehicle Event 1 Fell/Jumped From Vehicle
Vehicle Event 2 Vehicle Occupant Struck or Run Over by Own Vehicle
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