| Age | 55 year(s) old |
| Sex | Male |
| Person Type | Driver of a Motor Vehicle In-Transport |
| Injury Severity | Fatal Injury (K) |
| Seating Position | Front Seat, Left Side (Driver's Side) |
| Restraint System Use | Shoulder and Lap Belt Used |
| Restraint System Misuse | No Indication of Misuse |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Reported as Deployment Unknown |
| 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 Given |
| Transported To Medical Facility By | Not Transported for Treatment |
| Died En Route | Died at Scene |
| Month of Death | November |
| Day of Death | 30 |
| Year of Death | 2011 |
| Hour of Death | 2 |
| Minute of Death | 15 |
| Lag Hours | 1 |
| Lag Minutes | 19 |
| Non Motorist Location | Occupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006) |
| At Work | Yes |
| Hispanic | Unknown |
| Race | Unknown |
| Collapse Table | Collapse Table |
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| Fatalities | 1 |
| Number of Occupants |
1 |
| Hit and Run | No Hit and Run |
| NCSA Make | Freightliner |
| Body Type | Unknown if Single-Unit or Combination-Unit Heavy Truck (GVWR > 26,000 lbs) |
| NCSA Model | 884 |
| Registration State | Tennessee |
| Registered Vehicle Owner | Vehicle Registered as Commercial/Business/Company/Government |
| VIN | 1FUJBBCK69LA |
| 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 | 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 | 57001133511 |
| Vehicle Configuration | Vehicle More Than 10,000 lbs., Other |
| Cargo Body Type | Van/Enclosed Box |
| Bus Use | Not a Bus |
| Special Vehicle Use | No Special Use Noted |
| Emergency Vehicle Use | Not Applicable |
| Speed Limit | 55 |
| Travel Speed | 55 |
| Underride / Override | No Underride or Override |
| Rollover | No Rollover |
| Rollover Location | No Rollover |
| Initial Contact Point | 1 O'Clock |
| Extent of Damage | Disabling Damage |
| Vehicle Towed | Towed |
| Most Harmful Event | Fire/Explosion |
| Fire Occurence | True |
| Driver Drinking | Drinking |
| Driver Present | Driver Present |
| Drivers License State | New Jersey |
| Driver Zip Code | 7003 |
| Non CDL License Type | Full Driver License |
| Non CDL License Status | Valid |
| CDL License Status | Valid |
| CDL Endorsements | Endorsements Required, Compliance Unknown |
| License Compliance With Class of Vehicle | Valid License for This Class Vehicle |
| Compliance with LIcense Restrictions | Restrictions, Compliance Unknown |
| Driver Height | 66 |
| Driver Weight | 999 |
| 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 | 1 |
| Month of Oldest Violation | September |
| Year of Oldest Violation | 2011 |
| Month of Newest Violation | September |
| Year of Newest Violation | 2011 |
| Speeding Related | No |
| Trafficway Description | Two-Way, Divided, Positive Median Barrier |
| Total Lanes in Roadway | Two Lanes |
| Roadway Alignment | Straight |
| Roadway Grade | Level |
| Roadway Surface Type | Blacktop, Bituminous, or Asphalt |
| Roadway Surface Condition | Wet |
| Traffic Control Device | No Controls |
| Traffic Control Device Functioning | No Controls |
| Pre Event Movement | Going Straight |
| Critical Precrash Event | THIS VEHICLE TRAVELING Over the Lane Line on Right Side of Travel Lane |
| Attempted Avoidance Maneuver | Unknown/Not Reported |
| Precrash Stability | Tracking |
| Pre-impact Location | Departed Roadway |
| Crash Type | CATEGORY I: SINGLE DRIVER - CONFIGURATION A: RIGHT ROADSIDE DEPARTURE - Drive off Road |
| Vehicle Related Factor | Reported as Unknown |
| Vehicle Related Factor | Reported as Unknown |
| Visibility Obstructions | No Obstruction Noted |
| Moving Violations | None |
| Driver Maneuvered to Avoid | Driver Did Not Maneuver to Avoid |
| Vehicle Factors | Reported as Unknown |
| Damaged Areas | 1 O'Clock |
| Driver Distracted | Not Distracted |
| Driver Impaired | None/Apparently Normal |
| Collapse Table | Collapse Table |
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