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Fatal Crash Report

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Crash #2012290318 Crash #2012290318
Fatalities 1
State MISSOURI
County BENTON
City
Date June 16, 2012
Time 3:42 p.m.
Location(38.3883056, -93.4951111) - Fatality Map - Google Maps
Street Name 1 SR-C
Street Name 2 BELL AVE
WeatherClear
Number of Vehicles 2
Number of Vehicles in Transport 2
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 5
Number of Persons in Motor Vehicles in Transport 5
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing State Highway
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 11
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Driveway Access Related
Type of Intersection Not an Intersection
Relation to Road On Roadway
Work Zone None
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 15
EMS Notified Minute 51
EMS Arrived Hour 16
EMS Arrived Minute 7
Arrived At Hospital Hour 16
Arrived at Hospital Minute 38
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 15 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 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 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 34 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityPossible Injury (C)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
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 31 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionFront Seat, Right Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
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 #3 in Vehicle #2 Person #3 in Vehicle #2
Age 4 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionSecond Seat, Left Side
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 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 #4 in Vehicle #2 Person #4 in Vehicle #2
Age 67 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Right Side
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 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 ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathJune
Day of Death16
Year of Death2012
Hour of Death15
Minute of Death42
Lag Hours0
Lag Minutes0
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 #2 Vehicle #2
Fatalities 1
Number of Occupants 4
Hit and Run No Hit and Run
NCSA Make Ford
Body Type Large Utility (ANSI D-16 Utility Vehicle Categories “Full Size” and “Large”)
NCSA Model 422
Registration State Missouri
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1FMFU18L3VLA
Model Year 1997
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 0
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 55
Travel Speed Unknown
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 Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Missouri
Driver Zip Code 64740
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status Valid
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 66
Driver Weight 168
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, 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 Going Straight
Critical Precrash Event OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Driveway, Across Path
Attempted Avoidance Maneuver Braking and Steering Left
Precrash Stability Skidding Longitudinally - Rotation Less Than 30 Degrees
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY V: INTERSECTING PATHS (VEHICLE DAMAGE) - CONFIGURATION L: STRAIGHT PATHS - Striking From the Left
Visibility Obstructions Trees, Crops, Vegetation
Moving Violations None
Driver Maneuvered to Avoid Contact Motor Vehicle (in This Crash)
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 2 O'Clock
Damaged Areas 3 O'Clock
Damaged Areas 4 O'Clock
Damaged Areas 5 O'Clock
Damaged Areas 6 O'Clock
Damaged Areas 7 O'Clock
Damaged Areas 12 O'Clock
Damaged Areas Top
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Vehicle #1 Vehicle #1
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Other Make
Body Type Farm Equipment Other Than Trucks
NCSA Model 998
Registration State Missouri
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN RG6466D24205
Model Year 1983
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 0
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 0
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 11 O'Clock
Extent of Damage Minor Damage
Vehicle Towed Not Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Missouri
Driver Zip Code 65323
Non CDL License Type Learner's Permit
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 No Valid License for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 72
Driver Weight 270
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 Non-Trafficway or Driveway Access
Total Lanes in Roadway Non-Trafficway or Driveway Access
Roadway Alignment Non-Trafficway or Driveway Access
Roadway Grade Non-Trafficway or Driveway Access
Roadway Surface Type Non-Trafficway or Driveway Access
Roadway Surface Condition Non-Trafficway Area or Driveway Access
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Starting in Road
Critical Precrash Event THIS VEHICLE TRAVELING Crossing Over (Passing Through) Intersection
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY V: INTERSECTING PATHS (VEHICLE DAMAGE) - CONFIGURATION L: STRAIGHT PATHS - Struck on the Left
Driver Related Factor Failure to Yield Right-of-Way
Visibility Obstructions Trees, Crops, Vegetation
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas 11 O'Clock
Driver Distracted Distraction/Inattention
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #2
Area Of Impact12 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #1
Area Of Impact11 O'Clock

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