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Fatal Crash Report

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Crash #2021410210 Crash #2021410210
Fatalities 1
State OREGON
County POLK
City
Date July 28, 2021
Time 10:51 a.m.
Google Maps(44.7721222, -123.1873139)
Street Name 1 CR-CORVALLIS RD
Street Name 2 CR-PARKER RD
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 County
Rural / Urban Rural
Functional System Major Collector
Road Owner County Highway Agency
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 53
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Intersection
Type of Intersection T-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 11
EMS Notified Minute 3
EMS Arrived Hour 11
EMS Arrived Minute 40
Arrived At Hospital Hour 12
Arrived at Hospital Minute 17
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 85 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 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 InvolvementNot Reported
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
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 50 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseUnknown/Reported as Unknown (Since 2018)
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Reported
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationExtricated
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNot Reported
Drug TestedTest Given
Transported To Medical Facility ByEMS Air
Died En RouteNot Applicable
Month of DeathJuly
Day of Death28
Year of Death2021
Hour of Death12
Minute of Death47
Lag Hours1
Lag Minutes56
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 International Harvester/Navistar
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 884
Registration State Oregon
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 2HSFMAMRXTC0
Model Year 1996
VPIC Make ID 526
VPIC Model ID 9527
VPIC Body Class Truck-Tractor
Body Class Not Applicable
Lower Weight Rating Class 8: 33,001 lbs and above (14,969 kg and above)
Upper Weight Rating Class 8: 33,001 lbs and above (14,969 kg and above)
Vehicle Trailing Two Trailers
Trailer VIN 1 888888888888
Trailer VIN 2 888888888888
Trailer VIN 3 777777777777
Trailer Weight Rating 1 Not Reported
Trailer Weight Rating 2 Not Reported
Trailer Weight Rating 3 No Trailing Units
Jackknife No
Motor Carrier ID 57623695
Vehicle Configuration Truck Tractor/Double
Cargo Body Type Van/Enclosed Box
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 55
Travel Speed 25
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 12 O'Clock
Extent of Damage Not Reported
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 Oregon
Driver Zip Code 97386
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status Valid
CDL Endorsements Endorsements Required, Complied With
License Compliance With Class of Vehicle Valid License for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 68
Driver Weight 190
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 May
Year of Oldest Violation 2018
Month of Newest Violation May
Year of Newest Violation 2018
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 Not Reported
Traffic Control Device Functioning Not Reported
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 Across Path, Initial Opposite Directions [Left/Right]
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 11 O'Clock
Damaged Areas 12 O'Clock
Driver Distracted Inattention (Inattentive), Details Unknown
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 Toyota
Body Type Light Pickup
NCSA Model 482
Registration State Oregon
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 5TBET38195S4
Model Year 2005
VPIC Make ID 448
VPIC Model ID 2467
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 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 55
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Not Reported
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 Oregon
Driver Zip Code 97361
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 72
Driver Weight 300
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 Grade, Unknown Slope
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Not Reported
Traffic Control Device Functioning Not Reported
Pre Event Movement Going Straight
Critical Precrash Event OTHER MOTOR VEHICLE IN LANE In Crossover
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 Across Path, Initial 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 3 O'Clock
Damaged Areas 4 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
Driver Distracted Not Reported
Driver Impaired Not Reported
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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 ImpactNot Reported

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