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Fatal Crash Report

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Crash #2021290686 Crash #2021290686
Fatalities 1
State MISSOURI
County POLK
City
Date Sept. 20, 2021
Time 11:18 a.m.
Google Maps(37.4561639, -93.2930500)
Street Name 1 SR-215
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 State Highway
Rural / Urban Rural
Functional System Major Collector
Road Owner State Highway Agency
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 220
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Driveway Access Related
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 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 41 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 Result0.0
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not 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)
Person Related Factor None Noted
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 77 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 UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionTotally Ejected
Ejection PathThrough Side Door Opening
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Reported
Alcohol Test ResultNot Reported
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathSeptember
Day of Death20
Year of Death2021
Hour of Death11
Minute of Death45
Lag Hours0
Lag Minutes27
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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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Mercedes-Benz
Body Type Large Utility (ANSI D-16 Utility Vehicle Categories “Full Size” and “Large”)
NCSA Model 422
Registration State Missouri
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 4JGDF6EE0HA8
Model Year 2017
VPIC Make ID 449
VPIC Model ID 14005
VPIC Body Class Sport Utility Vehicle (SUV)/Multi-Purpose Vehicle (MPV)
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 55
Travel Speed 65
Underride / Override Not Reported
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 Missouri
Driver Zip Code 65809
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 70
Driver Weight 183
Previous Recorded Crashes 1
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 February
Year of Oldest Violation 2020
Month of Newest Violation February
Year of Newest Violation 2020
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 Passing or Overtaking Another Vehicle
Critical Precrash Event OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Adjacent Lane (Same Direction) Over Right Lane Line
Attempted Avoidance Maneuver Steering Left
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY IV: CHANGING TRAFFICWAY, VEHICLE TURNING - Turn Across Path, Initial Same Directions [Going Straight]
Vehicle Related Factor None Noted
Driver Related Factor Passing Where Prohibited by Posted Signs, Pavement Markings, or School Bus Displaying Warning Not to Pass
Visibility Obstructions No Obstruction Noted
Moving Violations Unsafe Reckless (Not Willful, Wanton Reckless) Driving
Driver Maneuvered to Avoid Contact Motor Vehicle (in This Crash)
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 12 O'Clock
Damaged Areas Undercarriage
Driver Distracted Distraction/Inattention
Driver Impaired Not Reported
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Vehicle #2 Vehicle #2
Fatalities 1
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Other Make
Body Type Farm Equipment Other Than Trucks
NCSA Model 998
Registration State Missouri
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 2650121U0204
Model Year 1971
VPIC Make ID 99997
VPIC Model ID 99997
VPIC Body Class Off-Road Vehicle - Farm Equipment
Body Class Not Applicable
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing One Trailer
Trailer VIN 1 1649********
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
Jackknife No
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 55
Travel Speed Unknown
Underride / Override Not Reported
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 10 O'Clock
Extent of Damage Not Reported
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 65725
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 62
Driver Weight 80
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 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 Turning Left
Critical Precrash Event THIS VEHICLE TRAVELING Turning Left
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY IV: CHANGING TRAFFICWAY, VEHICLE TURNING - Turn Across Path, Initial Same Directions [Turning Left]
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas Undercarriage
Driver Distracted Not Reported
Driver Impaired Reported as Unknown if Impaired
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of Impact10 O'Clock
Event #2 Event #2
VehicleVehicle #2
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #3 Event #3
VehicleVehicle #2
Area Of ImpactNon-Harmful Event
Sequence of EventsRe-Entering Highway
Event #4 Event #4
VehicleVehicle #2
Area Of ImpactNon-Harmful Event
Sequence of EventsCross Centerline
Event #5 Event #5
VehicleVehicle #2
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Right
Event #6 Event #6
VehicleVehicle #2
Area Of ImpactNot Reported
Sequence of EventsFence
Event #7 Event #7
VehicleVehicle #2
Area Of ImpactNot Reported
Sequence of EventsUtility Pole/Light Support
Event #8 Event #8
VehicleVehicle #2
Area Of ImpactNot Reported
Sequence of EventsFence

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