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Fatal Crash Report

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Crash #2012270137 Crash #2012270137
Fatalities 1
State MINNESOTA
County HENNEPIN
City EDINA
Date May 4, 2012
Time 12:57 p.m.
Location(44.8635583, -93.3278639) - Fatality Map - Google Maps
Street Name 1 PRIVATE SERVICE RD
Street Name 2 nan
WeatherNot Reported
Number of Vehicles 1
Number of Vehicles in Transport 1
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 2
Number of Persons in Motor Vehicles in Transport 2
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing Other
Rural / Urban Urban
Functional System Local
Road Owner Unknown
National Highway System Not in the National Highway System
Special Jurisdiction Unknown
Milepoint 0
First Harmful Event Fell/Jumped From Vehicle
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection No
Relation to Junction Not Reported
Type of Intersection Not Reported
Relation to Road On Roadway
Work Zone None
Light Condition Not Reported
Atmospheric Condition Not Reported
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 12
EMS Notified Minute 57
EMS Arrived Hour 13
EMS Arrived Minute 2
Arrived At Hospital Hour 13
Arrived at Hospital Minute 37
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
AgeUnknown Age
SexSex Unknown
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseNot Reported
Restraint System MisuseNo Indication of Misuse
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 #2 in Vehicle #1 Person #2 in Vehicle #1
Age 86 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionOther Passenger in Enclosed Passenger or Cargo Area (Since 2009)
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNo Indication of Misuse
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 GivenNot Reported
Alcohol Test TypeNot Reported
Alcohol Test ResultNot Reported
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByEMS Ground
Died En RouteNot Applicable
Month of DeathMay
Day of Death7
Year of Death2012
Hour of Death13
Minute of Death0
Lag Hours72
Lag Minutes3
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 2
Hit and Run No Hit and Run
NCSA Make Ford
Body Type Step Van (GVWR > 10,000 lbs)
NCSA Model 881
Registration State Minnesota
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 1FDXE4FS2ADA
Model Year 2010
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 99999999999
Vehicle Configuration Single-Unit Truck (2 Axles and GVWR More Than 10,000 lbs)
Cargo Body Type Van/Enclosed Box
Bus Use Shuttle
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit Unknown
Travel Speed 0
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Non-Collision
Extent of Damage No Damage
Vehicle Towed Not Towed
Most Harmful Event Fell/Jumped From Vehicle
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Reported as Unknown
Driver Zip Code 99999
Non CDL License Type Unknown License Type
Non CDL License Status Unknown License Status
CDL License Status Unknown License Status
CDL Endorsements Unknown, if Required
License Compliance With Class of Vehicle Unknown
Compliance with LIcense Restrictions Unknown
Driver Height 999
Driver Weight 999
Previous Recorded Crashes 99
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 99
Previous Speeding Convictions 99
Previous Other Moving Violations 99
Month of Oldest Violation Unknown
Year of Oldest Violation 9999
Month of Newest Violation Unknown
Year of Newest Violation 9999
Speeding Related No
Trafficway Description Not Reported
Total Lanes in Roadway Not Reported
Roadway Alignment Not Reported
Roadway Grade Not Reported
Roadway Surface Type Not Reported
Roadway Surface Condition Not Reported
Traffic Control Device Not Reported
Traffic Control Device Functioning Not Reported
Pre Event Movement Stopped in Roadway
Critical Precrash Event OTHER Other Critical Precrash Event
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type No Impact
Driver Related Factor Reported as Unknown
Driver Related Factor Reported as Unknown
Driver Related Factor Reported as Unknown
Driver 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 None Noted
Damaged Areas No Damage
Driver Distracted Not Distracted
Driver Impaired Not Reported
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsFell/Jumped From Vehicle

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