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Fatal Crash Report

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Crash #2021380059 Crash #2021380059
Fatalities 1
State NORTH DAKOTA
County BURLEIGH
City
Date Aug. 18, 2021
Time 7:33 p.m.
Google Maps(46.8364500, -100.4222167)
Street Name 1 I-94
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 4
Number of Persons in Motor Vehicles in Transport 4
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing Interstate
Rural / Urban Rural
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 1762
First Harmful Event Rollover/Overturn
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 Median
Work Zone None
Light Condition Daylight
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 19
EMS Notified Minute 36
EMS Arrived Hour 19
EMS Arrived Minute 48
Arrived At Hospital Hour 20
Arrived at Hospital Minute 28
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 33 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 Belt Only 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 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 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 #2 in Vehicle #1 Person #2 in Vehicle #1
Age 34 year(s) old
SexMale
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 DeployedNot Deployed
EjectionTotally Ejected
Ejection PathThrough Side Window
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementReported as Unknown
Alcohol Test GivenTest Given
Alcohol Test TypeVitreous
Alcohol Test Result0.0
Police Reported Drug InvolvementReported as Unknown
Drug TestedTest Given
Transported To Medical Facility ByEMS Ground
Died En RouteNot Applicable
Month of DeathAugust
Day of Death18
Year of Death2021
Hour of Death20
Minute of Death20
Lag Hours0
Lag Minutes47
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicHispanic, Origin Not Specified or Other Origin
Race White
Person Related Factor None Noted
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Person #3 in Vehicle #1 Person #3 in Vehicle #1
Age 36 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionSecond Seat, Right Side
Restraint System UseNone Used/Not Applicable
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 InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
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 #4 in Vehicle #1 Person #4 in Vehicle #1
Age 46 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionSecond Seat, Left Side
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionPartially Ejected
Ejection PathThrough Side Window
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
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 4
Hit and Run No Hit and Run
NCSA Make Chevrolet
Body Type Large Utility (ANSI D-16 Utility Vehicle Categories “Full Size” and “Large”)
NCSA Model 421
Registration State Minnesota
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1GNEK13R6XJ5
Model Year 1999
VPIC Make ID 467
VPIC Model ID 1852
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 00000000000
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 75
Travel Speed 70
Underride / Override Not Applicable
Rollover Rollover
Rollover Location On Median/Separator
Initial Contact Point Non-Collision
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 No Drinking
Driver Present Driver Present
Drivers License State Not Reported
Driver Zip Code 55060
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 Not Licensed
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, Divided, Positive Median Barrier
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 IN LANE Traveling in Same Direction With Higher Speed
Attempted Avoidance Maneuver Braking
Precrash Stability Precrash Stability Unknown
Pre-impact Location Departed Roadway
Crash Type CATEGORY I: SINGLE DRIVER - CONFIGURATION B: LEFT ROADSIDE DEPARTURE - Avoid Collision With Vehicle, Pedestrian, Animal
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Phantom/Non-Contact Motor Vehicle
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 Not Distracted
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsCross Median
Event #3 Event #3
VehicleVehicle #1
Area Of ImpactNon-Collision
Sequence of EventsRollover/Overturn

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