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Fatal Crash Report

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Crash #2009500068 Crash #2009500068
Fatalities 1
State VERMONT
County ADDISON
City SHOREHAM
Date Dec. 27, 2009
Time 6:39 p.m.
Google Maps(43.8716333, -73.2634833)
Street Name 1 FAS-160
Street Name 2 99999999999999999999
WeatherFog, Smog, Smoke
Number of Vehicles 2
Number of Vehicles in Transport 1
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 8
Number of Persons in Motor Vehicles in Transport 0
Number of Persons in Parked Vehicles 8
Number of Nonmotorists 1
Route Signing Township
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 27
First Harmful Event Pedestrian
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 Outside Trafficway
Work Zone None
Light Condition Dark - Not Lighted
Atmospheric Condition Fog, Smog, Smoke
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 18
EMS Notified Minute 41
EMS Arrived Hour 19
EMS Arrived Minute 11
Arrived At Hospital Hour 19
Arrived at Hospital Minute 40
Crash Related FactorIndication of a Stalled/Disabled Vehicle
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 30 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 GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Not Given
Transported To Medical Facility ByEMS Air
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 49 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionSecond 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 DeployedNonmotorist
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
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 #3 in Vehicle #1 Person #3 in Vehicle #1
Age 20 year(s) old
SexMale
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 GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
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 #1 in Vehicle #2 Person #1 in Vehicle #2
Age 43 year(s) old
SexFemale
Person TypeOccupant of a Motor Vehicle Not 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 GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
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 #2 Person #2 in Vehicle #2
Age 12 year(s) old
SexMale
Person TypeOccupant of a Motor Vehicle Not In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionSecond 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 DeployedNonmotorist
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
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 #3 in Vehicle #2 Person #3 in Vehicle #2
Age 26 year(s) old
SexFemale
Person TypeOccupant of a Motor Vehicle Not 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 GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Not Given
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 #4 in Vehicle #2 Person #4 in Vehicle #2
Age 2 year(s) old
SexFemale
Person TypeOccupant of a Motor Vehicle Not In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionSecond Seat, Middle
Restraint System UseChild Restraint - Type Unknown
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNonmotorist
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
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 #1 (Pedestrian) Person #1 (Pedestrian)
Age 43 year(s) old
SexMale
Person TypePedestrian
Injury SeverityFatal Injury (K)
Vehicle which Struck Non MotoristVehicle #1
Seating PositionNot a Motor Vehicle Occupant (2005-Later)
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNonmotorist
EjectionNot Applicable
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Given
Transported To Medical Facility ByEMS Air
Died En RouteNot Applicable
Month of DeathDecember
Day of Death27
Year of Death2009
Hour of Death19
Minute of Death45
Lag Hours1
Lag Minutes6
Non Motorist LocationNon-Trafficway Area
At WorkNo
HispanicNon-Hispanic
Race White
Person Related Factor Rain, Snow, Fog, Smoke, Sand, Dust
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 0
Number of Occupants 3
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type Light Pickup
NCSA Model 481
Registration State Vermont
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1GCHK23607F5
Model Year 2007
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, Subsequent Event
Motor Carrier ID 00000000000
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 50
Travel Speed 30
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Pedestrian
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Vermont
Driver Zip Code 5491
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 76
Driver Weight 210
Previous Recorded Crashes 0
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 October
Year of Oldest Violation 2009
Month of Newest Violation October
Year of Newest Violation 2009
Speeding Related No
Trafficway Description Two-Way, Not Divided
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 - Other Crash Type
Driver Related Factor Ice, Water, Snow, Slush, Sand, Dirt, Oil, Wet Leaves on Road
Driver Maneuvered to Avoid Poor Road Conditions (Puddle, Ice, Pothole, etc.)
Damaged Areas 12 O'Clock
Vehicle Event 1 Pedestrian
Vehicle Event 2 Utility Pole/Light Support
Vehicle Event 3 Tree (Standing Only)
Vehicle Event 4 Shrubbery
Vehicle Event 5 Jackknife (Harmful to This Vehicle)
Vehicle Event 6 Parked Motor Vehicle
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 4
NCSA Make Chevrolet
Body Type Light Pickup
Hit and Run No Hit and Run
NCSA Model 481
Registration State Vermont
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 1GCEK19M7XR1
Model Year 1999
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing Vehicle Towing Another Motor Vehicle - Non-Fixed Linkage
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 00000000000
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Hazardous Material Involvement False
Hazardous Material Placard Not Applicable
Hazardous Materia ID 0
Hazardous Material Class Number Not Applicable
Relase of Hazardous Material Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Underride / Override Not Reported
Initial Contact Point 4 O'Clock
Extent of Damage No Damage
Vehicle Towed Reported as Unknown
Most Harmful Event MotorMotor Vehicle In-Transport Strikes or Is Struck by Cargo, Persons or Objects Setin-Motion From/by Another Motor Vehicle In-Transport
Fire Occurence False
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