| Age | 5 year(s) old |
| Sex | Male |
| Person Type | Passenger 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 | Nonmotorist |
| Ejection | Reported as Unknown if Ejected |
| Ejection Path | Ejection Path Unknown |
| Extrication | Not Extricated/Not Applicable |
| Police Reported Alcohol Involvement | No (Alcohol Not Involved) |
| Alcohol Test Given | Test Given |
| Alcohol Test Type | Blood Test |
| Alcohol Test Result | 0.0 |
| Police Reported Drug Involvement | No (Drugs Not Involved) |
| Drug Tested | Test Given |
| Transported To Medical Facility By | EMS Air |
| Died En Route | Not Applicable |
| Month of Death | September |
| Day of Death | 5 |
| Year of Death | 2009 |
| Hour of Death | 18 |
| Minute of Death | 28 |
| Lag Hours | 0 |
| Lag Minutes | 18 |
| 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 |
|---|
| Fatalities | 1 |
| Number of Occupants |
1 |
| Hit and Run | No Hit and Run |
| NCSA Make | Chevrolet |
| Body Type | Large Utility (ANSI D-16 Utility Vehicle Categories “Full Size” and “Large”) |
| NCSA Model | 421 |
| Registration State | West Virginia |
| Registered Vehicle Owner | Driverless/Motor Vehicle Parked/Stopped off Roadway |
| VIN | CKL148F50411 |
| Model Year | 1978 |
| 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 | 25 |
| Travel Speed | Unknown |
| Underride / Override | No Underride or Override |
| Rollover | No Rollover |
| Rollover Location | No Rollover |
| Initial Contact Point | 6 O'Clock |
| 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 | Hillcrest |
| 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 |
| Visibility Obstructions | Reported as Unknown |
| Visibility Obstructions | Reported as Unknown |
| Visibility Obstructions | Reported as Unknown |
| Damaged Areas | 6 O'Clock |
| Vehicle Event 1 | Fell/Jumped From Vehicle |
| Vehicle Event 2 | Vehicle Occupant Struck or Run Over by Own Vehicle |
| Collapse Table | Collapse Table |
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