| Age | 55 year(s) old |
| Sex | Male |
| Person Type | Driver of a Motor Vehicle In-Transport |
| Injury Severity | Fatal Injury (K) |
| Seating Position | Front Seat, Left Side (Driver's Side) |
| Restraint System Use | None Used/Not Applicable |
| Restraint System Misuse | No Indication of Misuse |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Deployment - Unknown Location |
| Ejection | Not Ejected |
| Ejection Path | Ejection Path Not Applicable |
| Extrication | Extricated |
| Police Reported Alcohol Involvement | Not Reported |
| Alcohol Test Given | Test Given |
| Alcohol Test Type | Unknown Test Type (Since 2009) |
| Alcohol Test Result | AC Test Performed, Results Unknown |
| Police Reported Drug Involvement | Yes (Drugs Involved) |
| Drug Tested | Test Given |
| Transported To Medical Facility By | Not Transported for Treatment |
| Died En Route | Died at Scene |
| Month of Death | September |
| Day of Death | 27 |
| Year of Death | 2017 |
| Hour of Death | 11 |
| Minute of Death | 35 |
| Lag Hours | 0 |
| Lag Minutes | 12 |
| Non Motorist Location | Occupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006) |
| At Work | No |
| Hispanic | Non-Hispanic |
| Race | White |
| Collapse Table | Collapse Table |
|---|
| Fatalities | 1 |
| Number of Occupants |
1 |
| Hit and Run | No Hit and Run |
| NCSA Make | GMC |
| Body Type | Compact Utility (ANSI D-16 Utility Vehicle Categories “Small” and “Midsize”) |
| NCSA Model | 401 |
| Registration State | Indiana |
| Registered Vehicle Owner | Driver (in This Crash) Was Registered Owner |
| VIN | 1GKDT13W6122 |
| 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 | 40 |
| 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 | Disabling Damage |
| Vehicle Towed | Towed |
| Most Harmful Event | Parked Motor Vehicle |
| Fire Occurence | False |
| Driver Drinking | No Drinking |
| Driver Present | Driver Present |
| Drivers License State | Indiana |
| Driver Zip Code | 46034 |
| 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, Compliance Unknown |
| Driver Height | 70 |
| Driver Weight | 185 |
| 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 | July |
| Year of Oldest Violation | 2017 |
| Month of Newest Violation | July |
| Year of Newest Violation | 2017 |
| Speeding Related | No |
| Trafficway Description | Two-Way, Not Divided |
| Total Lanes in Roadway | Two Lanes |
| Roadway Alignment | Curve - Unknown Direction |
| Roadway Grade | Level |
| Roadway Surface Type | Blacktop, Bituminous, or Asphalt |
| Roadway Surface Condition | Dry |
| Traffic Control Device | Stop Sign |
| Traffic Control Device Functioning | Device Functioning Properly |
| Pre Event Movement | Negotiating a Curve |
| 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 | Failure to Obey Actual Traffic Signs, Traffic Control Devices or Traffic Officers, Failure to Observe Safety Zone Traffic Laws |
| Driver Related Factor | Improper or Erratic Lane Changing |
| Driver Related Factor | Road Rage/Aggressive Driving |
| 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 | Ill, Blackout |
| Collapse Table | Collapse Table |
|---|
| Fatalities | 0 |
| Number of Occupants | 0 |
| NCSA Make | Ford |
| Body Type | Single-Unit Straight Truck or Cab-Chassis (GVWR range 10,001 to 19,500 lbs) (Since 2011) |
| Hit and Run | No Hit and Run |
| NCSA Model | 870 |
| Registration State | Indiana |
| Registered Vehicle Owner | Driverless/Motor Vehicle Parked/Stopped off Roadway |
| VIN | 1FDWS9PV3GKA |
| Model Year | 2016 |
| Body Class | Unknown |
| Lower Weight Rating | Not Reported |
| Upper Weight Rating | Not Reported |
| Vehicle Trailing | No Trailers |
| Trailer VIN 1 | 777777777777 |
| 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 | 5700926150 |
| Vehicle Configuration | Single-Unit Truck (2 Axles and GVWR More Than 10,000 lbs) |
| 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 | 11 O'Clock |
| Extent of Damage | Disabling Damage |
| Vehicle Towed | Towed |
| Most Harmful Event | Motor Vehicle In-Transport |
| Fire Occurence | False |
| Collapse Table | Collapse Table |
|---|