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Fatal Crash Report

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Crash #2019200267 Crash #2019200267
Fatalities 1
State KANSAS
County MONTGOMERY
City COFFEYVILLE
Date Sept. 28, 2019
Time 4:05 p.m.
Location(37.1004694, -95.5828611) - Fatality Map - Google Maps
Street Name 1 B INDUSTRIAL RD
Street Name 2 nan
WeatherClear
Number of Vehicles 2
Number of Vehicles in Transport 2
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 2
Number of Persons in Motor Vehicles in Transport 2
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing Municipal
Rural / Urban Rural
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 Sideswipe - Same Direction
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 16
EMS Notified Minute 7
EMS Arrived Hour 16
EMS Arrived Minute 16
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 27 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
ExtricationExtricated
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 DeathSeptember
Day of Death28
Year of Death2019
Hour of Death16
Minute of Death17
Lag Hours0
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 #1 in Vehicle #2 Person #1 in Vehicle #2
Age 43 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 ResultPositive Reading With No Actual Value
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest 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 1
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Pontiac
Body Type 3-Door/2-Door Hatchback
NCSA Model 9
Registration State Iowa
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 2G2FV22G1Y21
Model Year 2000
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 Unknown
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 4 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Other Fixed Object
Fire Occurence False
Automated Driving System Present Not Reported
Automated Driving System Level Not Reported
Automated Driving System Engaged Not Reported
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Iowa
Driver Zip Code 51501
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 72
Driver Weight 180
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 0
Previous DWI 0
Previous Speeding Convictions 2
Previous Other Moving Violations 0
Month of Oldest Violation June
Year of Oldest Violation 2016
Month of Newest Violation September
Year of Newest Violation 2018
Speeding Related Yes, Exceeded Speed Limit
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 THIS VEHICLE LOSS OF CONTROL DUE TO: Traveling Too Fast for Conditions
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed on Roadway, but Left Original Travel Lane
Crash Type CATEGORY II: SAME TRAFFICWAY, SAME DIRECTION - CONFIGURATION F: SIDESWIPE/ANGLE - Specifics Other
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Driver Related Factor Careless Driving, Inattentive Operation, Improper Driving, Driving Without Due Care
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors Not Reported
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 Reported
Driver Impaired Not Reported
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Ford
Body Type Station Wagon (Excluding Van- and Truck-Based)
NCSA Model 12
Registration State Missouri
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN OK94B129117
Model Year 1980
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 Unknown
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 11 O'Clock
Extent of Damage Minor Damage
Vehicle Towed Not Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Automated Driving System Present Not Reported
Automated Driving System Level Not Reported
Automated Driving System Engaged Not Reported
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Missouri
Driver Zip Code 64836
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 68
Driver Weight 203
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 0
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 0
Month of Oldest Violation No Record
Year of Oldest Violation 0
Month of Newest Violation No Record
Year of Newest Violation 0
Speeding Related Yes, Exceeded Speed Limit
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 OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Adjacent Lane (Same Direction) Over Left Lane Line
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY II: SAME TRAFFICWAY, SAME DIRECTION - CONFIGURATION F: SIDESWIPE/ANGLE - Specifics Other
Driver Related Factor Careless Driving, Inattentive Operation, Improper Driving, Driving Without Due Care
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors Not Reported
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
Damaged Areas Top
Driver Distracted Not Reported
Driver Impaired Not Reported
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact4 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of Impact11 O'Clock
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 ImpactLeft
Sequence of EventsOther Fixed Object

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