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Fatal Crash Report

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Crash #2017040690 Crash #2017040690
Fatalities 1
State ARIZONA
County APACHE
City
Date Oct. 15, 2017
Time 12:21 p.m.
Location(36.0258500, -109.6060750) - Fatality Map - Google Maps
Street Name 1 US-191
Street Name 2 nan
WeatherClear
Number of Vehicles 1
Number of Vehicles in Transport 1
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 3
Number of Persons in Motor Vehicles in Transport 3
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 1
Route Signing U.S. Highway
Rural / Urban Rural
Functional System Major Collector
Road Owner State Highway Agency
National Highway System Not in the National Highway System
Special Jurisdiction Indian Reservation
Milepoint 4356
First Harmful Event Other Object (Not Fixed)
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 Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 12
EMS Notified Minute 21
EMS Arrived Hour 12
EMS Arrived Minute 45
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
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Persons

Person #1 (Pedestrian) Person #1 (Pedestrian)
Age 77 year(s) old
SexMale
Person TypePedestrian
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 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 RouteDied at Scene
Month of DeathOctober
Day of Death15
Year of Death2017
Hour of Death12
Minute of Death54
Lag Hours0
Lag Minutes33
Non Motorist LocationNon at Intersection-On Roadway, Not in Marked Crosswalk
At WorkNo
HispanicNon-Hispanic
Race White
Nonmotorist Bicycle HelmetNot Reported
Nonmotorist PadsNot Reported
Nonmotorist LightsNot Reported
Nonmotorist ReflectorsYes
Nonmotorist Other Protective EquipmentYes
Nonmotorist Other Preventative EquipmentNot Reported
Nonmotorist Marked Crosswalk PresentNone Noted
Nonmotorist Sidewalk PresentNone Noted
Nonmotorist In School ZoneNone Noted
Pedestrian Crash TypeWalking/Running Along Roadway With Traffic - From Behind
Bicycle Crash TypeNot a Cyclist
Pedestrian LocationNot at Intersection
Pedestrian PositionTravel Lane
Pedestrian DirectionNot Applicable
Bicycle LocationNot a Cyclist
Bicycle PositionNot a Cyclist
Bicycle DirectionNot a Cyclist
Motorist DirectionNot Applicable
Nonmotorist Prior Action Movement Along Roadway With Traffic (in or Adjacent to Travel Lane)
Nonmotorist Impaired None/Apparently Normal
Nonmotorist Contributing Circumstance Wrong-Way Riding or Walking
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Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 37 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 InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypePreliminary Breath Test (PBT)
Alcohol Test Result0.0
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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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 6 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionFront Seat, Middle
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 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 #3 in Vehicle #1 Person #3 in Vehicle #1
Age 7 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
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 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)
Person Related Factor Interfering With Driver
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 0
Number of Occupants 3
Hit and Run No Hit and Run
NCSA Make Dodge
Body Type Medium/Heavy Pickup (GVWR > 10,000 lbs) (Since 2001)
NCSA Model 880
Registration State Arizona
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 3C63RRHL7GG3
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 No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 88888888888
Vehicle Configuration Single-Unit Truck (2 Axles and GVWR More Than 10,000 lbs)
Cargo Body Type Other
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 12 O'Clock
Extent of Damage Minor Damage
Vehicle Towed Not Towed
Most Harmful Event Pedestrian
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Arizona
Driver Zip Code 86040
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 76
Driver Weight 230
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 June
Year of Oldest Violation 2013
Month of Newest Violation March
Year of Newest Violation 2014
Speeding Related No
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 PEDESTRIAN OR PEDALCYCLIST OR OTHER NON-MOTORIST Pedestrian 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 - Specifics Other
Driver Related Factor Reported as Unknown
Driver Related Factor Reported as Unknown
Driver Related Factor Reported as Unknown
Driver Related Factor Reported as Unknown
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 12 O'Clock
Driver Distracted By Other Occupant(s)
Driver Distracted While Using or Reaching for Device/Object Brought Into Vehicle
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsOther Object (Not Fixed)
Event #2 Event #2
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsPedestrian

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