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Fatal Crash Report

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Crash #2021250177 Crash #2021250177
Fatalities 1
State MASSACHUSETTS
County MIDDLESEX
City WOBURN
Date June 22, 2021
Time 9:58 a.m.
Google Maps(42.4928306, -71.1177417)
Street Name 1 I-93
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 2
Number of Persons in Motor Vehicles in Transport 1
Number of Persons in Parked Vehicles 1
Number of Nonmotorists 0
Route Signing Interstate
Rural / Urban Urban
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 99998
First Harmful Event Working Motor Vehicle
Manner of Collision First Harmful Event was Not a Collision with Motor Vehicle In-Transport
At Intersection Yes
Relation to Junction Through Roadway
Type of Intersection Not an Intersection
Relation to Road On Roadway
Work Zone Work Zone, Type Unknown
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 9
EMS Notified Minute 59
EMS Arrived Hour 9
EMS Arrived Minute 59
Arrived At Hospital Hour 10
Arrived at Hospital Minute 18
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 87 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 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 ByEMS Ground
Died En RouteNot Applicable
Month of DeathJune
Day of Death24
Year of Death2021
Hour of Death16
Minute of Death15
Lag Hours54
Lag Minutes17
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race White
Person Related Factor None Noted
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 63 year(s) old
SexMale
Person TypeOccupant of a Motor Vehicle Not In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseNot Reported
Restraint System MisuseNone Used/Not Applicable
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 Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNo (Drugs Not Involved)
Drug TestedTest Not Given
Transported To Medical Facility ByEMS Ground
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)
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 Cadillac
Body Type Station Wagon (Excluding Van- and Truck-Based)
NCSA Model 20
Registration State Massachusetts
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 3GYFNEE35FS5
Model Year 2015
VPIC Make ID 469
VPIC Model ID 1844
VPIC Body Class Sport Utility Vehicle (SUV)/Multi-Purpose Vehicle (MPV)
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 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 65
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 Working Motor Vehicle
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 Massachusetts
Driver Zip Code 2474
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 Restrictions, Compliance Unknown
Driver Height 70
Driver Weight 224
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, Divided, Positive Median Barrier
Total Lanes in Roadway Three Lanes
Roadway Alignment Straight
Roadway Grade Not Reported
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Flashing Traffic Control Signal
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Going Straight
Critical Precrash Event OTHER MOTOR VEHICLE IN LANE Other Vehicle Stopped
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION C: FORWARD IMPACT - Specifics Other
Vehicle Related Factor None Noted
Driver Related Factor Failure to Obey Actual Traffic Signs, Traffic Control Devices or Traffic Officers, Failure to Observe Safety Zone Traffic Laws
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 12 O'Clock
Driver Distracted Not Reported
Driver Impaired Not Reported
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
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 881
Registration State Massachusetts
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 1FDAF47R69EB
Model Year 2009
VPIC Make ID 460
VPIC Model ID 1807
VPIC Body Class Incomplete - Chassis Cab (Single Cab)
Body Class Truck
Lower Weight Rating Class 5: 16,001 - 19,500 lbs (7,258 - 8,845 kg)
Upper Weight Rating Class 5: 16,001 - 19,500 lbs (7,258 - 8,845 kg)
Vehicle Trailing One Trailer
Trailer VIN 1 888888888888
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 Not Reported
Trailer Weight Rating 2 No Trailing Units
Trailer Weight Rating 3 No Trailing Units
Motor Carrier ID 88888888888
Vehicle Configuration Truck Pulling Trailer(s)
Cargo Body Type No Cargo Body Type
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 Truck Operating With Crash Attenuator Equipment
Emergency Vehicle Use Not Applicable
Underride / Override No Underride or Override
Initial Contact Point 6 O'Clock
Extent of Damage Minor Damage
Vehicle Towed Not Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Related Factors None Noted
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsWorking Motor Vehicle
Vehicle Vehicle #2
Area Of Impact6 O'Clock

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