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Fatal Crash Report

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Crash #2021300024 Crash #2021300024
Fatalities 1
State MONTANA
County LAKE
City
Date Jan. 23, 2021
Time 9:40 p.m.
Google Maps(47.6207167, -114.1989778)
Street Name 1 SR-S364S
Street Name 2 nan
WeatherCloudy
Number of Vehicles 1
Number of Vehicles in Transport 1
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 3
Number of Persons in Motor Vehicles in Transport 3
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 Indian Reservation
Milepoint 62
First Harmful Event Boulder
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 Outside Trafficway
Work Zone None
Light Condition Dark - Not Lighted
Atmospheric Condition Cloudy
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 22
EMS Notified Minute 21
EMS Arrived Hour 22
EMS Arrived Minute 13
Arrived At Hospital Hour 22
Arrived at Hospital Minute 57
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 18 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
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 DeployedDeployed - Front
EjectionNot Reported
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementYes (Alcohol Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.221
Police Reported Drug InvolvementYes (Drugs Involved)
Drug TestedTest Given
Transported To Medical Facility ByLaw Enforcement
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 #2 in Vehicle #1 Person #2 in Vehicle #1
Age 18 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Right 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 InvolvementYes (Alcohol Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeVitreous
Alcohol Test Result0.102
Police Reported Drug InvolvementYes (Drugs Involved)
Drug TestedTest Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathJanuary
Day of Death23
Year of Death2021
Hour of Death21
Minute of Death40
Lag Hours0
Lag Minutes0
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race North American Indian or Alaska Native
Person Related Factor None Noted
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Person #3 in Vehicle #1 Person #3 in Vehicle #1
Age 19 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionSecond Seat, Unknown
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 PathEjection Path Unknown
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementYes (Alcohol Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.031
Police Reported Drug InvolvementYes (Drugs Involved)
Drug TestedTest 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 3
Hit and Run No Hit and Run
NCSA Make Ford
Body Type 2-Door Sedan/Hardtop/Coupe
NCSA Model 3
Registration State Montana
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 1ZVHT82H4652
Model Year 2006
VPIC Make ID 460
VPIC Model ID 1781
VPIC Body Class Coupe
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 Not Applicable
Rollover Rollover
Rollover Location Outside of Trafficway
Initial Contact Point Undercarriage
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Rollover/Overturn
Fire Occurence False
Automated Driving System Present Not Reported
Automated Driving System Level Not Reported
Automated Driving System Engaged Not Reported
Driver Drinking Drinking
Driver Present Driver Present
Drivers License State Montana
Driver Zip Code 59865
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 999
Driver Weight 999
Previous Recorded Crashes 98
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 Curve Left
Roadway Grade Downhill
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 Unknown
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Precrash Stability Unknown
Pre-impact Location Departed Roadway
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION A: RIGHT ROADSIDE DEPARTURE - Specifics Unknown
Vehicle Related Factor None Noted
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Driver Related Factor Improper Lane Usage
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 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 Under the Influence of Alcohol, Drugs, or
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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 ImpactUndercarriage
Sequence of EventsBoulder
Event #3 Event #3
VehicleVehicle #1
Area Of ImpactNot Reported
Sequence of EventsEmbankment
Event #4 Event #4
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsRollover/Overturn

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