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Fatal Crash Report

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Crash #2017340600 Crash #2017340600
Fatalities 3
State NEW JERSEY
County BURLINGTON
City TABERNACLE
Date Dec. 18, 2017
Time 12:03 p.m.
Google Maps(39.8420306, -74.7112444)
Street Name 1 CR-648
Street Name 2 nan
WeatherClear
Number of Vehicles 2
Number of Vehicles in Transport 1
Number of Parked Vehicles 1
Number of Persons in Motor Vehicles 4
Number of Persons in Motor Vehicles in Transport 3
Number of Persons in Parked Vehicles 1
Number of Nonmotorists 0
Route Signing County
Rural / Urban Rural
Functional System Local
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 60
First Harmful Event Post, Pole, or Other Supports
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 Roadside
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 5
EMS Arrived Hour 12
EMS Arrived Minute 13
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
Crash Related FactorPolice-Pursuit-Involved
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 in Vehicle #1 Person #1 in Vehicle #1
Age 18 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 DeployedReported as Deployment Unknown
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementYes (Drugs Involved)
Drug TestedTest Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathDecember
Day of Death18
Year of Death2017
Hour of Death12
Minute of Death30
Lag Hours0
Lag Minutes27
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 #1 Person #2 in Vehicle #1
Age 16 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Right Side
Restraint System UseUnknown/Reported as Unknown (Since 2018)
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedReported as Deployment Unknown
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathDecember
Day of Death18
Year of Death2017
Hour of Death12
Minute of Death30
Lag Hours0
Lag Minutes27
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race Multiple Races, Unspecified
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Person #3 in Vehicle #1 Person #3 in Vehicle #1
Age 16 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionSecond Seat, Right Side
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedReported as Deployment Unknown
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathDecember
Day of Death18
Year of Death2017
Hour of Death12
Minute of Death30
Lag Hours0
Lag Minutes27
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicMexican
Race Multiple Races, Unspecified
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 66 year(s) old
SexMale
Person TypeOccupant of a Motor Vehicle Not 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 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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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 3
Number of Occupants 3
Hit and Run No Hit and Run
NCSA Make GMC
Body Type Large Utility (ANSI D-16 Utility Vehicle Categories “Full Size” and “Large”)
NCSA Model 421
Registration State New Jersey
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1GKEK13RXXJ7
Model Year 1999
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 50
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 3 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 New Jersey
Driver Zip Code 8016
Non CDL License Type Not Licensed
Non CDL License Status Not Licensed
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle Not Licensed
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 999
Driver Weight 999
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 2
Month of Oldest Violation October
Year of Oldest Violation 2016
Month of Newest Violation August
Year of Newest Violation 2017
Speeding Related Yes, Specifics Unknown
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Two Lanes
Roadway Alignment Curve Right
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 Negotiating a Curve
Critical Precrash Event THIS VEHICLE TRAVELING Off the Edge of the Road on the Left Side
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Skidding Laterally - Counterclockwise Rotation
Pre-impact Location Departed Roadway
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION B: LEFT ROADSIDE DEPARTURE - Control/Traction Loss
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Driver Related Factor Police Pursuing This Driver or Police Officer in Pursuit (See Police Pursuits in Appendix C: Additional Data Element Information)
Driver Related Factor Improper Lane Usage
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas 3 O'Clock
Damaged Areas Top
Driver Distracted Not Distracted
Driver Impaired Reported as Unknown if Impaired
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
NCSA Make Lexus
Body Type Compact Utility (ANSI D-16 Utility Vehicle Categories “Small” and “Midsize”)
Hit and Run No Hit and Run
NCSA Model 403
Registration State New Jersey
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 2T2BK1BA2CC1
Model Year 2012
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 00000000000
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
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 9 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Not Towed
Most Harmful Event Object That Had Fallen From 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 EventsCross Centerline
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #3 Event #3
VehicleVehicle #1
Area Of Impact3 O'Clock
Sequence of EventsPost, Pole or Other Support
Event #4 Event #4
VehicleVehicle #1
Area Of Impact3 O'Clock
Sequence of EventsUtility Pole/Light Support
Event #5 Event #5
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsFire/Explosion
Event #6 Event #6
VehicleVehicle #1
Area Of ImpactCargo/Vehicle Parts Set-in-Motion
Sequence of EventsParked Motor Vehicle
Vehicle Vehicle #2
Area Of Impact9 O'Clock

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