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Fatal Crash Report

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Crash #2021410242 Crash #2021410242
Fatalities 1
State OREGON
County CLACKAMAS
City
Date April 1, 2021
Time 12:37 p.m.
Google Maps(45.1443111, -122.7573389)
Street Name 1 SR-211 ODOT 161
Street Name 2 CR-S MERIDIAN RD
WeatherClear
Number of Vehicles 2
Number of Vehicles in Transport 2
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 State Highway
Rural / Urban Rural
Functional System Minor Arterial
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 37
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Intersection
Type of Intersection Four-Way 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 12
EMS Notified Minute 58
EMS Arrived Hour 14
EMS Arrived Minute 4
Arrived At Hospital Hour 14
Arrived at Hospital Minute 48
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 84 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 UseNot Reported
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Reported
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 Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathApril
Day of Death1
Year of Death2021
Hour of Death12
Minute of Death37
Lag Hours0
Lag Minutes0
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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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 83 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionNot Reported
Restraint System UseNot Reported
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Reported
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationUnknown
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 Air
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 #3 in Vehicle #1 Person #3 in Vehicle #1
Age 63 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
Seating PositionNot Reported
Restraint System UseNot Reported
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Reported
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationUnknown
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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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 55 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 UseNot Reported
Restraint System MisuseNone Used/Not Applicable
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Reported
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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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 3
Hit and Run No Hit and Run
NCSA Make Ford
Body Type Compact Utility (ANSI D-16 Utility Vehicle Categories “Small” and “Midsize”)
NCSA Model 401
Registration State Oregon
Registered Vehicle Owner Unknown
VIN 1FM5K8D84DGB
Model Year 2013
VPIC Make ID 460
VPIC Model ID 1800
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 Unknown
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Not Reported
Extent of Damage Not Reported
Vehicle Towed Not Reported
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 97303
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 71
Driver Weight 185
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 Not Reported
Roadway Surface Condition Dry
Traffic Control Device Stop Sign
Traffic Control Device Functioning Device Functioning Properly
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 Into Path, Turn into Opposite Directions [Turning Left]
Vehicle Related Factor None Noted
Driver Related Factor Failure to Obey Actual Traffic Signs, Traffic Control Devices or Traffic Officers, Failure to Observe Safety Zone Traffic Laws
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas Damage Areas Unknown
Driver Distracted Not Reported
Driver Impaired Not Reported
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Peterbilt
Body Type Truck/Tractor (Cab Only, or With Any Number of Trailing Units: Any Weight)
NCSA Model 881
Registration State Oregon
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 1XP5DB9X2SD3
Model Year 1995
VPIC Make ID 495
VPIC Model ID 2046
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 One Trailer
Trailer VIN 1 5DN165344EB0
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 57378944
Vehicle Configuration Truck Tractor/Semi-Trailer
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 Unknown
Travel Speed 53
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Not Reported
Extent of Damage Not Reported
Vehicle Towed Not Reported
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 97355
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 67
Driver Weight 200
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 Not Reported
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 Braking
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY IV: CHANGING TRAFFICWAY, VEHICLE TURNING - Turn Into Path, Turn into 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 Damage Areas Unknown
Driver Distracted Not Reported
Driver Impaired Not Reported
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of ImpactNot Reported
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of ImpactNot Reported

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