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Fatal Crash Report

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Crash #2016370991 Crash #2016370991
Fatalities 2
State NORTH CAROLINA
County FORSYTH
City WINSTON SALEM
Date Oct. 1, 2016
Time 2:36 a.m.
Location(36.0733417, -80.2301944) - Fatality Map - Google Maps
Street Name 1 VARGRAVE ST
Street Name 2 WAUGHTOWN ST
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 Municipal
Rural / Urban Urban
Functional System Local
Road Owner City or Municipal Highway Agency
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 0
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection Yes
Relation to Junction Intersection
Type of Intersection Four-Way Intersection
Relation to Road On Roadway
Work Zone None
Light Condition Dark - Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 2
EMS Notified Minute 39
EMS Arrived Hour 3
EMS Arrived Minute 2
Arrived At Hospital Hour 3
Arrived at Hospital Minute 24
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 23 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 DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementYes (Alcohol Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeUnknown Test Type (Since 2009)
Alcohol Test ResultAC Test Performed, Results Unknown
Police Reported Drug InvolvementNo (Drugs Not Involved)
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 #1 in Vehicle #2 Person #1 in Vehicle #2
Age 21 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 UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeNot Reported
Alcohol Test ResultPositive Reading With No Actual Value
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest Given
Transported To Medical Facility ByEMS Ground
Died En RouteNot Applicable
Month of DeathOctober
Day of Death1
Year of Death2016
Hour of Death7
Minute of Death48
Lag Hours5
Lag Minutes12
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race White
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Person #2 in Vehicle #2 Person #2 in Vehicle #2
Age 22 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionSecond Seat, Left Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenReported as Unknown if Tested
Alcohol Test TypeReported as Unknown if Tested
Alcohol Test ResultReported as Unknown if Tested
Police Reported Drug InvolvementReported as Unknown
Drug TestedReported as Unknown if Tested
Transported To Medical Facility ByEMS Ground
Died En RouteNot Applicable
Month of DeathOctober
Day of Death8
Year of Death2016
Hour of Death15
Minute of Death26
Lag Hours180
Lag Minutes50
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race Black or African American
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Person #3 in Vehicle #2 Person #3 in Vehicle #2
Age 22 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityPossible Injury (C)
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 DeployedDeployed - Front
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 InvolvementNo (Drugs Not Involved)
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 #2 Person #4 in Vehicle #2
Age 22 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityPossible Injury (C)
Seating PositionSecond 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 DeployedDeployed - Front
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 InvolvementNo (Drugs Not Involved)
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 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type Compact Utility (ANSI D-16 Utility Vehicle Categories “Small” and “Midsize”)
NCSA Model 401
Registration State North Carolina
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1GNES16S9561
Model Year 2005
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 35
Travel Speed 45
Underride / Override No Underride or Override
Rollover Rollover
Rollover Location On Roadway
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Rollover/Overturn
Fire Occurence False
Driver Drinking Drinking
Driver Present Driver Present
Drivers License State North Carolina
Driver Zip Code 27107
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 No Restrictions or Not Applicable
Driver Height 68
Driver Weight 999
Previous Recorded Crashes 3
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 1
Previous Speeding Convictions 0
Previous Other Moving Violations 3
Month of Oldest Violation August
Year of Oldest Violation 2012
Month of Newest Violation September
Year of Newest Violation 2016
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Five Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Flashing Traffic Control Signal
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Going Straight
Critical Precrash Event THIS VEHICLE TRAVELING Crossing Over (Passing Through) Intersection
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Precrash Stability Unknown
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 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 Distracted
Driver Impaired None/Apparently Normal
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Vehicle #2 Vehicle #2
Fatalities 2
Number of Occupants 4
Hit and Run No Hit and Run
NCSA Make Toyota
Body Type 4-Door Sedan/Hardtop
NCSA Model 32
Registration State North Carolina
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1NXBR32E03Z0
Model Year 2003
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 35
Travel Speed 35
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Left
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 North Carolina
Driver Zip Code 27103
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 No Restrictions or Not Applicable
Driver Height 65
Driver Weight 999
Previous Recorded Crashes 1
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 August
Year of Oldest Violation 2012
Month of Newest Violation August
Year of Newest Violation 2012
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Five Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Flashing Traffic Control Signal
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Going Straight
Critical Precrash Event THIS VEHICLE TRAVELING Crossing Over (Passing Through) Intersection
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Precrash Stability Unknown
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY V: INTERSECTING PATHS (VEHICLE DAMAGE) - CONFIGURATION L: STRAIGHT PATHS - Struck on the Left
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
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 Top
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of ImpactLeft
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsRollover/Overturn

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