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Fatal Crash Report

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Crash #2023371482 Crash #2023371482
Fatalities 1
State NORTH CAROLINA
County PERSON
City
Date Oct. 3, 2023
Time 6:43 p.m.
Google Maps(77.7777000, 777.7777000)
Street Name 1 SSR-1517 GILLIS RD
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 2
Number of Persons in Motor Vehicles in Transport 2
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing Secondary Route
Rural / Urban Rural
Functional System Local
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 99998
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Not Reported
At Intersection No
Relation to Junction Non-Junction
Type of Intersection Not an Intersection
Relation to Road On Roadway
Work Zone None
Light Condition Not Reported
Atmospheric Condition Not Reported
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 18
EMS Notified Minute 39
EMS Arrived Hour 18
EMS Arrived Minute 54
Arrived At Hospital Hour 88
Arrived at Hospital Minute 88
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 14 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 UseNone Used/Not Applicable
Restraint System MisuseNone Used/Not Applicable
Helmet UseNo Helmet
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNot Deployed
EjectionReported as Unknown if Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathOctober
Day of Death3
Year of Death2023
Hour of Death18
Minute of Death52
Lag Hours0
Lag Minutes9
Non Motorist Device TypeNot Applicable
Non Motorist Device MotorizationNot Applicable
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 #1 in Vehicle #2 Person #1 in Vehicle #2
AgeUnknown Age
SexSex Unknown
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
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 Reported
Ejection PathEjection Path Not Applicable
ExtricationUnknown
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenNot Reported
Alcohol Test TypeNot Reported
Alcohol Test ResultNot Reported
Police Reported Drug InvolvementNot Reported
Drug TestedNot Reported
Transported To Medical Facility ByNot Reported
Died En RouteNot Applicable
Non Motorist Device TypeNot Applicable
Non Motorist Device MotorizationNot 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 1
Hit and Run No Hit and Run
NCSA Make Kawasaki
Body Type ATV (All-Terrain Vehicle; Includes 3 or 4 Wheels)
NCSA Model 734
Registration State Not Applicable
Registered Vehicle Owner Not Applicable, Vehicle Not Registered
VIN 999999999999
Model Year 9999
VPIC Make ID 510
VPIC Model ID 10657
VPIC Body Class Off-Road Vehicle - All Terrain Vehicle (ATV) (Motorcycle-Style)
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 45
Travel Speed Unknown
Underride / Override Not Applicable
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 North Carolina
Driver Zip Code 27574
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 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 Not Reported
Roadway Grade Not Reported
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Not Reported
Traffic Control Device Not Reported
Traffic Control Device Functioning Not Reported
Pre Event Movement Unknown
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 VI: MISCELLANEOUS - Unknown Crash Type
Vehicle Related Factor None Noted
Driver Related Factor Improper Lane Usage
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 Unknown
Hit and Run No Hit and Run
NCSA Make Kia
Body Type Unknown Light-Vehicle Type (Automobile, Utility Vehicle, Van or Light Truck)
NCSA Model 999
Registration State Not Reported
Registered Vehicle Owner Unknown
VIN 999999999999
Model Year 9999
VPIC Make ID 499
VPIC Model ID 99999
VPIC Body Class Sport Utility Vehicle (SUV)/Multi-Purpose Vehicle (MPV)
Body Class Not Applicable
Lower Weight Rating Class 1: 6,000 lbs or less (2,722 kg or less)
Upper Weight Rating Class 2: 6,001 - 10,000 lbs (2,722 - 4,536 kg)
Vehicle Trailing Unknown
Trailer VIN 1 777777777777
Trailer VIN 2 777777777777
Trailer VIN 3 777777777777
Trailer Weight Rating 1 No Trailing Units
Trailer Weight Rating 2 No Trailing Units
Trailer Weight Rating 3 No Trailing Units
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 45
Travel Speed Unknown
Underride / Override Not Applicable
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 Not Reported
Driver Zip Code 99998
Non CDL License Type Unknown License Type
Non CDL License Status Unknown License Status
CDL License Status Unknown License Status
CDL Endorsements Unknown, if Required
License Compliance With Class of Vehicle Unknown
Compliance with LIcense Restrictions Unknown
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 Not Reported
Roadway Grade Not Reported
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Not Reported
Traffic Control Device Not Reported
Traffic Control Device Functioning Not Reported
Pre Event Movement Unknown
Critical Precrash Event OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Opposite Direction Over Left Lane Line
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed on Roadway, Not Known if Left Original Travel Lane
Crash Type CATEGORY VI: MISCELLANEOUS - Unknown Crash Type
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 ImpactNon-Harmful Event
Sequence of EventsCross Centerline
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNot Reported
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #2
Area Of ImpactNot Reported

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