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Fatal Crash Report

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Crash #2021270170 Crash #2021270170
Fatalities 1
State MINNESOTA
County ST LOUIS
City CHISHOLM
Date June 23, 2021
Time 2:56 p.m.
Google Maps(47.4792278, -92.8719389)
Street Name 1 US-169
Street Name 2 CR-67 4TH AVE NE
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 U.S. Highway
Rural / Urban Rural
Functional System Other Principal Arterial
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 3427
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Intersection
Type of Intersection Four-Way 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 15
EMS Notified Minute 59
EMS Arrived Hour 15
EMS Arrived Minute 59
Arrived At Hospital Hour 16
Arrived at Hospital Minute 30
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 69 year(s) old
SexFemale
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 DeployedDeployed - Combination
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 ByEMS Ground
Died En RouteNot Applicable
Month of DeathJune
Day of Death23
Year of Death2021
Hour of Death16
Minute of Death36
Lag Hours1
Lag Minutes40
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race Filipino
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 TypeDriver of a Motor Vehicle In-Transport
Injury SeverityPossible Injury (C)
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 DeployedDeployed - Combination
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 Ford
Body Type Station Wagon (Excluding Van- and Truck-Based)
NCSA Model 24
Registration State Minnesota
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 2FMPK4J90JBB
Model Year 2018
VPIC Make ID 460
VPIC Model ID 1797
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 30
Travel Speed 30
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 9 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed 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 Minnesota
Driver Zip Code 55719
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 Complied With
Driver Height 65
Driver Weight 132
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, Unprotected Median
Total Lanes in Roadway One Lane
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Stop Sign
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Turning Left
Critical Precrash Event THIS VEHICLE TRAVELING Turning Left
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY IV: CHANGING TRAFFICWAY, VEHICLE TURNING - Turn Into Path, Turn into Opposite Directions [Turning Left]
Vehicle Related Factor None Noted
Driver Related Factor Failure to Yield Right-of-Way
Visibility Obstructions No Obstruction Noted
Moving Violations Fail to Yield Generally
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
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 Reported as Unknown if Distracted
Driver Impaired Reported as Unknown if Impaired
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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 Light Pickup
NCSA Model 481
Registration State Minnesota
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1FTSX21586EC
Model Year 2006
VPIC Make ID 460
VPIC Model ID 1805
VPIC Body Class Pickup
Body Class Not Applicable
Lower Weight Rating Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)
Upper Weight Rating Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)
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 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 Minnesota
Driver Zip Code 55746
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 Restrictions Complied With
Driver Height 75
Driver Weight 250
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 0
Previous DWI 0
Previous Speeding Convictions 1
Previous Other Moving Violations 0
Month of Oldest Violation July
Year of Oldest Violation 2017
Month of Newest Violation July
Year of Newest Violation 2017
Speeding Related No
Trafficway Description Two-Way, Divided, Unprotected Median
Total Lanes in Roadway Two Lanes
Roadway Alignment Curve Left
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 OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Crossing Street, Across Path
Attempted Avoidance Maneuver Steering Left
Precrash Stability Tracking
Pre-impact Location Stayed on Roadway, but Left Original Travel Lane
Crash Type CATEGORY IV: CHANGING TRAFFICWAY, VEHICLE TURNING - Turn Into Path, Turn into Opposite Directions [Going Straight]
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 2 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #2
Area Of Impact12 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #1
Area Of Impact9 O'Clock

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