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Fatal Crash Report

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Crash #2016180690 Crash #2016180690
Fatalities 1
State INDIANA
County LAGRANGE
City SHIPSHEWANA
Date Nov. 21, 2016
Time 12:26 p.m.
Location(41.7534250, -85.5803417) - Fatality Map - Google Maps
Street Name 1 I-80
Street Name 2 nan
WeatherClear
Number of Vehicles 3
Number of Vehicles in Transport 2
Number of Parked Vehicles 1
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 Interstate
Rural / Urban Rural
Functional System Interstate
Road Owner State Highway Agency
National Highway System Part of the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 1120
First Harmful Event Parked Motor Vehicle (Not In-Transport)
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 Outside Trafficway
Work Zone None
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
Crash Related FactorIndication of a Stalled/Disabled Vehicle
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 53 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseUnknown/Reported as Unknown (Since 2018)
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 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 ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathNovember
Day of Death21
Year of Death2016
Hour of Death12
Minute of Death26
Lag Hours0
Lag Minutes0
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkYes
HispanicNon-Hispanic
Race White
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Person #1 in Vehicle #3 Person #1 in Vehicle #3
Age 34 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseLap Belt Only 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 Given
Alcohol Test TypeBreath Test (AC)
Alcohol Test Result0.0
Police Reported Drug InvolvementNot Reported
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 1
Hit and Run No Hit and Run
NCSA Make Kenworth
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 884
Registration State Indiana
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 1XKWD49X8AJ2
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 One Trailer
Trailer VIN 1 888888888888
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 Not Reported
Trailer Weight Rating 2 Not Reported
Trailer Weight Rating 3 Not Reported
Jackknife No
Motor Carrier ID 5700002103
Vehicle Configuration Truck Tractor/Semi-Trailer
Cargo Body Type Cargo Tank
Hazardous Material Involvement True
Hazardous Material Placard Yes
Hazardous Material ID 1203
Hazardous Material Class Number Flammable/Combustible Liquid
Relase of Hazardous Material Yes
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 65
Travel Speed Unknown
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 No Drinking
Driver Present Driver Present
Drivers License State Indiana
Driver Zip Code 46506
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status Other - Not Valid
CDL Endorsements Endorsements Required, Not Complied With
License Compliance With Class of Vehicle No Valid License for This Class Vehicle
Compliance with LIcense Restrictions Restrictions Not Complied With
Driver Height 68
Driver Weight 170
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 1
Previous Other Moving Violations 0
Month of Oldest Violation April
Year of Oldest Violation 2015
Month of Newest Violation April
Year of Newest Violation 2015
Speeding Related No
Trafficway Description Two-Way, Divided, Positive Median Barrier
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Grade, Unknown Slope
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 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
Driver Related Factor Improper or Erratic Lane Changing
Driver Related Factor Improper Lane Usage
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 Not Reported
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 8 O'Clock
Damaged Areas 9 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
Damaged Areas Top
Damaged Areas Undercarriage
Driver Distracted Not Distracted
Driver Impaired Reported as Unknown if Impaired
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Vehicle #3 Vehicle #3
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Kenworth
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 881
Registration State Arizona
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 999999999999
Model Year 2016
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 888888888888
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 Not Reported
Trailer Weight Rating 2 Not Reported
Trailer Weight Rating 3 Not Reported
Jackknife No
Motor Carrier ID 5700000542
Vehicle Configuration Truck Tractor/Semi-Trailer
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 65
Travel Speed Unknown
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 Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Louisiana
Driver Zip Code 70126
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 Restrictions, Compliance Unknown
Driver Height 73
Driver Weight 206
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, Divided, Positive Median Barrier
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Grade, Unknown Slope
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 Adjacent Lane (Same Direction) Over Right Lane Line
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY VI: MISCELLANEOUS - Other Crash Type
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
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 12 O'Clock
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 0
NCSA Make Volvo
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
Hit and Run No Hit and Run
NCSA Model 881
Registration State Wisconsin
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 4V4N99EH7DN1
Model Year 2013
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing One Trailer
Trailer VIN 1 888888888888
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 Not Reported
Trailer Weight Rating 2 Not Reported
Trailer Weight Rating 3 Not Reported
Motor Carrier ID 5700000752
Vehicle Configuration Truck Tractor/Semi-Trailer
Cargo Body Type Van/Enclosed Box
Hazardous Material Involvement False
Hazardous Material Placard Not Applicable
Hazardous Materia ID 0
Hazardous Material Class Number Not Applicable
Relase of Hazardous Material Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Underride / Override Not Reported
Initial Contact Point Left
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Right
Event #2 Event #2
VehicleVehicle #1
Area Of Impact1 O'Clock
Sequence of EventsParked Motor Vehicle
Vehicle Vehicle #2
Area Of ImpactLeft
Event #3 Event #3
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRe-Entering Highway
Event #4 Event #4
VehicleVehicle #1
Area Of Impact10 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #3
Area Of Impact1 O'Clock
Event #5 Event #5
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsFire/Explosion
Event #6 Event #6
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #7 Event #7
VehicleVehicle #1
Area Of ImpactUndercarriage
Sequence of EventsDitch
Event #8 Event #8
VehicleVehicle #3
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #9 Event #9
VehicleVehicle #3
Area Of ImpactUndercarriage
Sequence of EventsDitch

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