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Fatal Crash Report

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Crash #2012300178 Crash #2012300178
Fatalities 1
State MONTANA
County ROOSEVELT
City
Date Nov. 22, 2012
Time 3:57 p.m.
Location(48.1209833, -105.2649278) - Fatality Map - Google Maps
Street Name 1 US-2
Street Name 2 nan
WeatherCloudy
Number of Vehicles 1
Number of Vehicles in Transport 1
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 4
Number of Persons in Motor Vehicles in Transport 4
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing U.S. Highway
Rural / Urban Rural
Functional System Other Principal Arterial
Road Owner Unknown
National Highway System Part of the National Highway System
Special Jurisdiction Indian Reservation
Milepoint 6086
First Harmful Event Post, Pole, or Other Supports
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not an Intersection
Relation to Road On Roadside
Work Zone None
Light Condition Daylight
Atmospheric Condition Cloudy
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 16
EMS Notified Minute 5
EMS Arrived Hour 16
EMS Arrived Minute 13
Arrived At Hospital Hour 16
Arrived at Hospital Minute 27
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 26 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
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 DeployedNot Deployed
EjectionReported as Unknown if Ejected
Ejection PathEjection Path Unknown
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementYes (Drugs Involved)
Drug TestedTest Given
Transported To Medical Facility ByEMS Ground
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 47 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 DeployedNot Deployed
EjectionTotally Ejected
Ejection PathEjection Path Unknown
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathNovember
Day of Death22
Year of Death2012
Hour of Death16
Minute of Death17
Lag Hours0
Lag Minutes20
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race North American Indian or Alaska Native
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Person #3 in Vehicle #1 Person #3 in Vehicle #1
Age 28 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 DeployedNot Deployed
EjectionTotally Ejected
Ejection PathEjection Path Unknown
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest Not Given
Transported To Medical Facility ByEMS Ground
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 #1 Person #4 in Vehicle #1
Age 21 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionSecond Seat, Right Side
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionTotally Ejected
Ejection PathEjection Path Unknown
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest Not Given
Transported To Medical Facility ByEMS Ground
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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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 4
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 Montana
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1GNEK13T01R1
Model Year 2001
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 70
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover Rollover
Rollover Location On Roadside
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Rollover/Overturn
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Montana
Driver Zip Code 59255
Non CDL License Type Full Driver License
Non CDL License Status Suspended
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 Restrictions Not Complied With
Driver Height 999
Driver Weight 999
Previous Recorded Crashes 98
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 Unknown
Year of Oldest Violation 9999
Month of Newest Violation Unknown
Year of Newest Violation 9999
Speeding Related Yes
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
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 THIS VEHICLE TRAVELING Off the Edge of the Road on the Left Side
Attempted Avoidance Maneuver Steering Right
Precrash Stability Skidding Laterally - Counterclockwise Rotation
Pre-impact Location Departed Roadway
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION B: LEFT ROADSIDE DEPARTURE - Drive off Road
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Driver Related Factor Failure to Obey Actual Traffic Signs, Traffic Control Devices or Traffic Officers, Failure to Observe Safety Zone Traffic Laws
Driver Related Factor Over Correcting
Driver Related Factor Driver Has Not Complied With Physical or Other Imposed Restrictions
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas 12 O'Clock
Driver Distracted Not Distracted
Driver Impaired Under the Influence of Alcohol, Drugs, or
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsCross Centerline
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #3 Event #3
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsPost, Pole or Other Support
Event #4 Event #4
VehicleVehicle #1
Area Of ImpactRight
Sequence of EventsEmbankment
Event #5 Event #5
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsRollover/Overturn

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