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Fatal Crash Report

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Crash #2021300075 Crash #2021300075
Fatalities 1
State MONTANA
County ROOSEVELT
City
Date May 28, 2021
Time 8:55 p.m.
Google Maps(48.1520861, -104.8301750)
Street Name 1 BIA ROUTE 1
Street Name 2 nan
WeatherClear
Number of Vehicles 1
Number of Vehicles in Transport 1
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 Other
Rural / Urban Rural
Functional System Local
Road Owner Bureau of Indian Affairs
National Highway System Not in the National Highway System
Special Jurisdiction Indian Reservation
Milepoint 99998
First Harmful Event Embankment
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 - Not Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 20
EMS Notified Minute 42
EMS Arrived Hour 21
EMS Arrived Minute 1
Arrived At Hospital Hour 21
Arrived at Hospital Minute 37
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 35 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
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 Ejected
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 Result0.24
Police Reported Drug InvolvementNo (Drugs Not 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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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 34 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Right 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 Ejected
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 Result0.089
Police Reported Drug InvolvementYes (Drugs Involved)
Drug TestedTest Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathMay
Day of Death28
Year of Death2021
Hour of Death99
Minute of Death99
Lag Hours999
Lag Minutes99
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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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 2
Hit and Run No Hit and Run
NCSA Make Ford
Body Type 4-Door Sedan/Hardtop
NCSA Model 17
Registration State Unknown
Registered Vehicle Owner Unknown
VIN 1FAFP56U55A1
Model Year 2005
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 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 Applicable
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Ditch
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 Not Reported
Driver Zip Code 59255
Non CDL License Type Not Licensed
Non CDL License Status Not Licensed
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle No License Required for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 999
Driver Weight 999
Previous Recorded Crashes 99
Previous BAC Suspensions (Underage) 99
Previous BAC Suspensions 99
Previous Other Suspensions 99
Previous DWI 99
Previous Speeding Convictions 99
Previous Other Moving Violations 99
Month of Oldest Violation Unknown
Year of Oldest Violation 9999
Month of Newest Violation Unknown
Year of Newest Violation 9999
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 Going Straight
Critical Precrash Event THIS VEHICLE LOSS OF CONTROL DUE TO: Unknown Cause of Control Loss
Attempted Avoidance Maneuver Steering Left
Precrash Stability Other Vehicle Loss-of-Control
Pre-impact Location Departed Roadway
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION B: LEFT ROADSIDE DEPARTURE - Control/Traction Loss
Vehicle Related Factor None Noted
Driver Related Factor Operating the Vehicle in an Erratic, Reckless, Careless or Negligent Manner
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Driver Did Not Maneuver to Avoid
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 2 O'Clock
Damaged Areas 3 O'Clock
Damaged Areas 9 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
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 ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #3 Event #3
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsEmbankment
Event #4 Event #4
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsDitch

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