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Fatal Crash Report

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Crash #2015410414 Crash #2015410414
Fatalities 1
State OREGON
County POLK
City
Date Dec. 30, 2015
Time 6:41 p.m.
Location(44.8637472, -123.2152750) - Fatality Map - Google Maps
Street Name 1 CR-HOFFMAN RD
Street Name 2 nan
WeatherClear
Number of Vehicles 2
Number of Vehicles in Transport 2
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 1
Route Signing County
Rural / Urban Urban
Functional System Major Collector
Road Owner County Highway Agency
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 12
First Harmful Event Pedalcyclist
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 Roadway
Work Zone None
Light Condition Dark - Not Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 18
EMS Notified Minute 41
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
Crash Related FactorMotor Vehicle Struck by Falling Cargo or Something That Came Loose From or Something That Was Set in Motion by a Vehicle
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Persons

Person #1 (Pedestrian) Person #1 (Pedestrian)
Age 52 year(s) old
SexMale
Person TypeBicyclist
Injury SeverityFatal Injury (K)
Vehicle which Struck Non MotoristVehicle #1
Seating PositionNot a Motor Vehicle Occupant (2005-Later)
Restraint System UseNot a Motor Vehicle Occupant
Restraint System MisuseNot a Motor Vehicle Occupant
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot a Motor Vehicle Occupant
EjectionNot Applicable
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathDecember
Day of Death30
Year of Death2015
Hour of Death18
Minute of Death50
Lag Hours0
Lag Minutes9
Non Motorist LocationNon at Intersection-On Roadway, Not in Marked Crosswalk
At WorkNo
HispanicNon-Hispanic
Race White
Nonmotorist Bicycle HelmetNo
Nonmotorist PadsNo
Nonmotorist LightsNo
Nonmotorist ReflectorsNo
Nonmotorist Other Protective EquipmentNo
Nonmotorist Other Preventative EquipmentNot Reported
Nonmotorist Marked Crosswalk PresentNone Noted
Nonmotorist Sidewalk PresentNone Noted
Nonmotorist In School ZoneNone Noted
Pedestrian Crash TypeNot a Pedestrian
Bicycle Crash TypeMotorist Overtaking - Other/Unknown
Pedestrian LocationNot a Pedestrian
Pedestrian PositionNot a Pedestrian
Pedestrian DirectionNot a Pedestrian
Bicycle LocationNot at Intersection
Bicycle PositionTravel Lane
Bicycle DirectionWith Traffic
Motorist DirectionNot a Pedestrian
Nonmotorist Prior Action Movement Along Roadway With Traffic (in or Adjacent to Travel Lane)
Nonmotorist Impaired Not Reported
Nonmotorist Contributing Circumstance None Noted
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Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 40 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 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 InvolvementReported as Unknown
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.068
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest 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 74 year(s) old
SexFemale
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 DeployedNot Reported
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 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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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Datsun/Nissan
Body Type Light Pickup
NCSA Model 471
Registration State Oregon
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1N6SD11S1RC3
Model Year 1994
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 Unknown
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 Reported as Unknown
Vehicle Towed Reported as Unknown
Most Harmful Event Pedalcyclist
Fire Occurence False
Driver Drinking Drinking
Driver Present Driver Present
Drivers License State Oregon
Driver Zip Code 97344
Non CDL License Type Full Driver License
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 Valid License for This Class Vehicle
Compliance with LIcense Restrictions Restrictions, Compliance Unknown
Driver Height 68
Driver Weight 245
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 2
Previous Other Moving Violations 0
Month of Oldest Violation May
Year of Oldest Violation 2011
Month of Newest Violation March
Year of Newest Violation 2014
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Three Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Not Reported
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Going Straight
Critical Precrash Event PEDESTRIAN OR PEDALCYCLIST OR OTHER NON-MOTORIST Pedalcyclist/Other Non-Motorist in Road
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION C: FORWARD IMPACT - Pedestrian/Animal
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors Not Reported
Damaged Areas 12 O'Clock
Driver Distracted Not Reported
Driver Impaired Not Reported
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Toyota
Body Type 4-Door Sedan/Hardtop
NCSA Model 40
Registration State Oregon
Registered Vehicle Owner Not Applicable, Vehicle Not Registered
VIN 4T4BF1FK4FR5
Model Year 2015
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 Unknown
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 Reported as Unknown
Vehicle Towed Not Towed
Most Harmful Event MotorMotor Vehicle In-Transport Strikes or Is Struck by Cargo, Persons or Objects Setin-Motion From/by Another Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Oregon
Driver Zip Code 97344
Non CDL License Type Full Driver License
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 Valid License for This Class Vehicle
Compliance with LIcense Restrictions Restrictions Complied With
Driver Height 68
Driver Weight 245
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 2
Previous Other Moving Violations 0
Month of Oldest Violation May
Year of Oldest Violation 2011
Month of Newest Violation March
Year of Newest Violation 2014
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Three Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Not Reported
Traffic Control Device No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Going Straight
Critical Precrash Event PEDESTRIAN OR PEDALCYCLIST OR OTHER NON-MOTORIST Pedalcyclist/Other Non-Motorist in Road
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
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
Damaged Areas Top
Driver Distracted Not Reported
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsPedalcyclist
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactOther Objects or Person Set-in-Motion
Sequence of EventsMotor Vehicle In-Transport Strikes or Is Struck by Cargo, Persons or Objects Set-in-Motion From/by Another Motor Vehicle In-Transport
Vehicle Vehicle #2
Area Of Impact12 O'Clock

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