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Fatal Crash Report

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Crash #2020371411 Crash #2020371411
Fatalities 1
State NORTH CAROLINA
County FORSYTH
City WINSTON SALEM
Date Sept. 16, 2020
Time 12:42 a.m.
Location(36.0962583, -80.2534722) - Fatality Map - Google Maps
Street Name 1 N BROAD ST
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 1
Number of Persons in Motor Vehicles in Transport 1
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing Municipal
Rural / Urban Urban
Functional System Major Collector
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 6
First Harmful Event Utility Pole/Light Support
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 Dark - Unknown Lighting
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Minute 98
EMS Arrived Minute 98
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 64 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 DeployedDeployment - Unknown Location
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Reported
Alcohol Test ResultNot Reported
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathSeptember
Day of Death16
Year of Death2020
Hour of Death0
Minute of Death42
Lag Hours0
Lag Minutes0
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicUnknown
Race White
Person Related Factor None Noted
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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 Ford
Body Type 4-Door Sedan/Hardtop
NCSA Model 17
Registration State North Carolina
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1FAFP55U84A1
Model Year 2004
VPIC Make ID 460
VPIC Model ID 1782
VPIC Body Class Sedan/Saloon
Body Class Not Applicable
Lower Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
Upper Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
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 35
Travel Speed 35
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Not Reported
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Parked Motor Vehicle
Fire Occurence True
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 North Carolina
Driver Zip Code 27101
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 70
Driver Weight 999
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 No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Four Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Not Reported
Traffic Control Device Functioning Not Reported
Pre Event Movement Going Straight
Critical Precrash Event THIS VEHICLE LOSS OF CONTROL DUE TO: Other Cause of Control Loss
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
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions Reported as Unknown
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors Reported as Unknown
Damaged Areas 12 O'Clock
Damaged Areas Top
Damaged Areas Undercarriage
Driver Distracted Not Reported
Driver Impaired Ill, Blackout
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 0
NCSA Make Buick/Opel
Body Type Station Wagon (Excluding Van- and Truck-Based)
Hit and Run No Hit and Run
NCSA Model 7
Registration State North Carolina
Registered Vehicle Owner Driverless/Motor Vehicle Parked/Stopped off Roadway
VIN 1G4AH85N2P64
Model Year 1993
VPIC Make ID 468
VPIC Model ID 8843
VPIC Body Class Wagon
Body Class Not Applicable
Lower Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
Upper Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
Vehicle Trailing No Trailers
Trailer VIN 1 777777777777
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 No Trailing Units
Trailer Weight Rating 2 No Trailing Units
Trailer Weight Rating 3 No Trailing Units
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 Left-Front Side
Extent of Damage Disabling Damage
Vehicle Towed Not Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence True
Related Factors None Noted
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Right
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNot Reported
Sequence of EventsUtility Pole/Light Support
Event #3 Event #3
VehicleVehicle #1
Area Of ImpactNot Reported
Sequence of EventsWall
Event #4 Event #4
VehicleVehicle #1
Area Of ImpactNot Reported
Sequence of EventsWall
Event #5 Event #5
VehicleVehicle #1
Area Of ImpactNot Reported
Sequence of EventsParked Motor Vehicle
Vehicle Vehicle #2
Area Of ImpactLeft-Front Side
Event #6 Event #6
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsFire/Explosion

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