| Age | 23 year(s) old |
| Sex | Male |
| Person Type | Driver of a Motor Vehicle In-Transport |
| Injury Severity | Suspected Minor Injury (B) |
| Seating Position | Front Seat, Left Side (Driver's Side) |
| Restraint System Use | Shoulder and Lap Belt Used |
| Restraint System Misuse | None Used/Not Applicable |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Not Deployed |
| Ejection | Not Ejected |
| Ejection Path | Ejection Path Not Applicable |
| Extrication | Not Extricated/Not Applicable |
| Police Reported Alcohol Involvement | Yes (Alcohol Involved) |
| Alcohol Test Given | Test Given |
| Alcohol Test Type | Blood Test |
| Alcohol Test Result | AC Test Performed, Results Unknown |
| Police Reported Drug Involvement | No (Drugs Not Involved) |
| Drug Tested | Test Not Given |
| Transported To Medical Facility By | EMS Air |
| Died En Route | Not Applicable |
| Non Motorist Location | Occupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006) |
| At Work | Not Aplicable |
| Hispanic | Not a Fatality (Not Applicable) |
| Race | Not a Fatality (Not Applicable) |
| Collapse Table | Collapse Table |
|---|
| Fatalities | 1 |
| Number of Occupants |
2 |
| Hit and Run | No Hit and Run |
| NCSA Make | Chevrolet |
| Body Type | 4-Door Sedan/Hardtop |
| NCSA Model | 37 |
| Registration State | New Jersey |
| Registered Vehicle Owner | Driver (in This Crash) Was Registered Owner |
| VIN | 1G1ZH57B3941 |
| Model Year | 2009 |
| 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 | 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 | 51 |
| Underride / Override | No Underride or Override |
| Rollover | Rollover |
| Rollover Location | Outside of Trafficway |
| Initial Contact Point | Top |
| Extent of Damage | Disabling Damage |
| Vehicle Towed | Towed |
| Most Harmful Event | Parked Motor Vehicle |
| Fire Occurence | False |
| Driver Drinking | Drinking |
| Driver Present | Driver Present |
| Drivers License State | Arizona |
| Driver Zip Code | 85225 |
| 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 | 73 |
| Driver Weight | 170 |
| 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, Divided, Positive Median Barrier |
| Total Lanes in Roadway | Six Lanes |
| Roadway Alignment | Curve - Unknown Direction |
| 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 - CONFIGURATION M: BACKING, ETC. - Other Crash Type |
| Driver Related Factor | Under the Influence of Alcohol, Drugs, or Medication (2003-2009) |
| Driver Related Factor | Improper Lane Usage |
| Moving Violations | Driving While Intoxicated (Alcohol or Drugs) or BAC Above Limit (Any Detectable BAC for CDLs) |
| Damaged Areas | Top |
| Driver Impaired | Under the Influence of Alcohol, Drugs, or |
| Vehicle Event 1 | Ran off Road - Right |
| Vehicle Event 2 | Other Traffic Barrier |
| Vehicle Event 3 | Vehicle Went Airborne |
| Vehicle Event 4 | Rollover/Overturn |
| Vehicle Event 5 | Parked Motor Vehicle |
| Vehicle Event 6 | Other Object (Not Fixed) |
| Collapse Table | Collapse Table |
|---|
| Fatalities | 0 |
| Number of Occupants | 0 |
| NCSA Make | Ford |
| Body Type | Single-Unit Straight Truck or Cab-Chassis (GVWR range 19,501 to 26,000 lbs) (Since 2011) |
| Hit and Run | No Hit and Run |
| NCSA Model | 881 |
| Registration State | Virginia |
| Registered Vehicle Owner | Driverless/Motor Vehicle Parked/Stopped off Roadway |
| VIN | 3FDNF65A9YMA |
| Model Year | 2000 |
| 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 | 51999999999 |
| Vehicle Configuration | Single-Unit Truck (3 or More Axles) |
| Cargo Body Type | Dump |
| 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 | 5 O'Clock |
| Extent of Damage | Disabling Damage |
| Vehicle Towed | Reported as Unknown |
| Most Harmful Event | Motor Vehicle In-Transport |
| Fire Occurence | False |
| Collapse Table | Collapse Table |
|---|