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Fatal Crash Report

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Crash #2021510749 Crash #2021510749
Fatalities 1
State VIRGINIA
County FAIRFAX
City
Date Nov. 17, 2021
Time 10:37 a.m.
Location(38.9627972, -77.1847389) - Fatality Map - Google Maps
Street Name 1 I-495
Street Name 2 nan
WeatherNot Reported
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 Interstate
Rural / Urban Urban
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 149
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Sideswipe - Same Direction
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not an Intersection
Relation to Road On Roadway
Work Zone None
Light Condition Daylight
Atmospheric Condition Not Reported
School Bus Related False
Rail Grade Crossing ID 0000000
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 48 year(s) old
SexFemale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Serious Injury (A)
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 DeployedDeployed - Side (Door, Seat Back)
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 ByEMS Unknown Mode
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 75 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionSecond Seat, Left Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Side (Door, Seat Back)
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 ByEMS Unknown Mode
Died En RouteNot Applicable
Month of DeathNovember
Day of Death17
Year of Death2021
Hour of Death15
Minute of Death40
Lag Hours5
Lag Minutes3
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 #3 in Vehicle #1 Person #3 in Vehicle #1
Age 6 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionSecond Seat, Right Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseYes, Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Side (Door, Seat Back)
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 ByEMS Unknown Mode
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 30 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 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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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 3
Hit and Run No Hit and Run
NCSA Make Toyota
Body Type 5-Door/4-Door Hatchback
NCSA Model 46
Registration State Virginia
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN JTDKB20UX775
Model Year 2007
VPIC Make ID 448
VPIC Model ID 2209
VPIC Body Class Hatchback/Liftback/Notchback
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 5
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 7 O'Clock
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 Virginia
Driver Zip Code 20165
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 69
Driver Weight 150
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, Divided, Positive Median Barrier
Total Lanes in Roadway Four 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 Leaving a Parking Position
Critical Precrash Event THIS VEHICLE TRAVELING Over the Lane Line on Left Side of Travel Lane
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed on Roadway, but Left Original Travel Lane
Crash Type CATEGORY II: SAME TRAFFICWAY, SAME DIRECTION - CONFIGURATION F: SIDESWIPE/ANGLE - Straight Ahead on Left
Vehicle Related Factor None Noted
Driver Related Factor Failure to Yield Right-of-Way
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
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
Driver Distracted Not Distracted
Driver Impaired Reported as Unknown if Impaired
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Other Make
Body Type Single-Unit Straight Truck or Cab-Chassis (GVWR range 19,501 to 26,000 lbs) (Since 2011)
NCSA Model 806
Registration State Maryland
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 5PVNJ8JV6H4S
Model Year 2017
VPIC Make ID 514
VPIC Model ID 2168
VPIC Body Class Truck
Body Class Not Applicable
Lower Weight Rating Class 6: 19,501 - 26,000 lbs (8,845 - 11,794 kg)
Upper Weight Rating Class 6: 19,501 - 26,000 lbs (8,845 - 11,794 kg)
Vehicle Trailing No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 5700461474
Vehicle Configuration Single-Unit Truck (2 Axles and GVWR More Than 10,000 lbs)
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 55
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 2 O'Clock
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 Maryland
Driver Zip Code 21784
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 68
Driver Weight 175
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 1
Month of Oldest Violation July
Year of Oldest Violation 2021
Month of Newest Violation July
Year of Newest Violation 2021
Speeding Related No
Trafficway Description Two-Way, Divided, Positive Median Barrier
Total Lanes in Roadway Four 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 OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Parking Lane/Shoulder, Median/Crossover, Roadside
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY II: SAME TRAFFICWAY, SAME DIRECTION - CONFIGURATION F: SIDESWIPE/ANGLE - Straight Ahead on Left/Right
Vehicle Related Factor None Noted
Driver Related Factor None Noted
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 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact7 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of Impact2 O'Clock
Event #2 Event #2
VehicleVehicle #2
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Left
Event #3 Event #3
VehicleVehicle #2
Area Of Impact10 O'Clock
Sequence of EventsConcrete Traffic Barrier

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