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Fatal Crash Report

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Crash #2017410100 Crash #2017410100
Fatalities 1
State OREGON
County DOUGLAS
City
Date May 23, 2017
Time 11:28 a.m.
Google Maps(43.6113861, -123.2187889)
Street Name 1 I-5
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 1
Number of Persons in Motor Vehicles in Transport 1
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 1547
First Harmful Event Ditch
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection Yes
Relation to Junction Entrance/Exit Ramp Related
Type of Intersection Not an Intersection
Relation to Road Gore
Work Zone None
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 11
EMS Notified Minute 30
EMS Arrived Hour 11
EMS Arrived Minute 36
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 55 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 DeployedNot Deployed
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathMay
Day of Death23
Year of Death2017
Hour of Death11
Minute of Death36
Lag Hours0
Lag Minutes8
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkYes
HispanicNon-Hispanic
Race White
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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 Peterbilt
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 884
Registration State Multiple State Registrations
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 1XP5DB9X0XD4
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 One Trailer
Trailer VIN 1 999999999999
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 57514404
Vehicle Configuration Truck Tractor/Semi-Trailer
Cargo Body Type Flatbed
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 55
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 Ditch
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Oregon
Driver Zip Code 97437
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 No Restrictions or Not Applicable
Driver Height 76
Driver Weight 265
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 May
Year of Oldest Violation 2013
Month of Newest Violation May
Year of Newest Violation 2013
Speeding Related No
Trafficway Description Entrance/Exit Ramp
Total Lanes in Roadway One Lane
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 Going Straight
Critical Precrash Event THIS VEHICLE TRAVELING Off the Edge of the Road on the Left Side
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Departed Roadway
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION B: LEFT ROADSIDE DEPARTURE - Drive off Road
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 12 O'Clock
Damaged Areas Top
Driver Distracted Not Reported
Driver Impaired Ill, Blackout
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #2 Event #2
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsDitch

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