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Fatal Crash Report

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Crash #2023470983 Crash #2023470983
Fatalities 1
State TENNESSEE
County HAWKINS
City SURGOINSVILLE
Date Oct. 11, 2023
Time 4:22 p.m.
Google Maps(36.4875889, -82.8247500)
Street Name 1 SR-346 E MAIN ST
Street Name 2 nan
WeatherCloudy
Number of Vehicles 2
Number of Vehicles in Transport 1
Number of Parked Vehicles 1
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 1
Route Signing State Highway
Rural / Urban Rural
Functional System Major Collector
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 58
First Harmful Event Pedestrian
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 Roadway
Work Zone Utility
Light Condition Daylight
Atmospheric Condition Cloudy
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Hour 16
EMS Notified Minute 14
EMS Arrived Hour 16
EMS Arrived Minute 54
Crash Related FactorOther Maintenance or Construction-Created Condition
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Persons

Person #1 (Pedestrian) Person #1 (Pedestrian)
Age 24 year(s) old
SexMale
Person TypePedestrian
Injury SeverityFatal Injury (K)
Vehicle which Struck Non MotoristVehicle #1
Seating PositionNot a Motor Vehicle Occupant (2005-Later)
Restraint System UseNot a Motor Vehicle Occupant
Restraint System MisuseNot a Motor Vehicle Occupant
Helmet UseNot a Motor Vehicle Occupant
Helmet MisuseNot a Motor Vehicle Occupant
Airbag DeployedNot a Motor Vehicle Occupant
EjectionNot Applicable
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 InvolvementYes (Drugs Involved)
Drug TestedTest Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteDied at Scene
Month of DeathOctober
Day of Death11
Year of Death2023
Hour of Death16
Minute of Death25
Lag Hours0
Lag Minutes3
Non Motorist Device TypeNot Applicable
Non Motorist Device MotorizationNot Applicable
Non Motorist LocationNon at Intersection-On Roadway, Not in Marked Crosswalk
At WorkYes
HispanicNon-Hispanic
Race White
Person Related Factor Construction/Maintenance/Utility Worker
Nonmotorist Bicycle HelmetNo
Nonmotorist PadsNo
Nonmotorist LightsNo
Nonmotorist ReflectorsNo
Nonmotorist Other Protective EquipmentNo
Nonmotorist Other Preventative EquipmentNo
Nonmotorist Marked Crosswalk PresentNone Noted
Nonmotorist Sidewalk PresentNone Noted
Nonmotorist In School ZoneNone Noted
Pedestrian Crash TypeWorking in Roadway
Bicycle Crash TypeNot a Cyclist
Pedestrian LocationNot at Intersection
Pedestrian PositionTravel Lane
Pedestrian DirectionNot Applicable
Bicycle LocationNot a Cyclist
Bicycle PositionNot a Cyclist
Bicycle DirectionNot a Cyclist
Motorist DirectionNot Applicable
Nonmotorist Prior Action In Roadway-Other (Working, Playing, etc.)
Nonmotorist Impaired Reported as Unknown if Impaired
Nonmotorist Distracted Not Reported
Nonmotorist Contributing Circumstance None Noted
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Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 24 year(s) old
SexMale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityPossible Injury (C)
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 - Combination
EjectionNot 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 InvolvementYes (Drugs Involved)
Drug TestedTest Given
Transported To Medical Facility ByEMS Ground
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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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 56 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityPossible Injury (C)
Seating PositionFront Seat, Right Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Combination
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 Ground
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 0
Number of Occupants 2
Hit and Run No Hit and Run
NCSA Make Honda
Body Type Compact Utility (ANSI D-16 Utility Vehicle Categories “Small” and “Midsize”)
NCSA Model 402
Registration State Tennessee
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 5J6RM4H50FL0
Model Year 2015
VPIC Make ID 474
VPIC Model ID 1865
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 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 No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 12 O'Clock
Extent of Damage Disabling Damage
Vehicle Towed Towed
Most Harmful Event Working Motor Vehicle
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 Tennessee
Driver Zip Code 37873
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 Restrictions Complied With
Driver Height 73
Driver Weight 140
Previous Recorded Crashes 3
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 1
Previous DWI 1
Previous Speeding Convictions 2
Previous Other Moving Violations 3
Month of Oldest Violation December
Year of Oldest Violation 2018
Month of Newest Violation July
Year of Newest Violation 2023
Speeding Related Reported as Unknown
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 No Controls
Traffic Control Device Functioning No Controls
Pre Event Movement Going Straight
Critical Precrash Event PEDESTRIAN OR PEDALCYCLIST OR OTHER NON-MOTORIST Pedestrian in Road
Attempted Avoidance Maneuver No Avoidance Maneuver
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY I: SINGLE DRIVER - Struck Object While Moving Forward
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 12 O'Clock
Driver Distracted Reported as Unknown if Distracted
Driver Impaired Reported as Unknown if Impaired
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Parked / Working Vehicles

Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 0
NCSA Make Ford
Body Type Single-Unit Straight Truck or Cab-Chassis (GVWR range 10,001 to 19,500 lbs) (Since 2011)
Hit and Run No Hit and Run
NCSA Model 881
Registration State Tennessee
Registered Vehicle Owner Vehicle Registered as Commercial/Business/Company/Government
VIN 1FDAF56F1XEA
Model Year 1999
VPIC Make ID 460
VPIC Model ID 1808
VPIC Body Class Incomplete - Chassis Cab (Number of Cab Unknown)
Body Class Pickup
Lower Weight Rating Class 5: 16,001 - 19,500 lbs (7,258 - 8,845 kg)
Upper Weight Rating Class 5: 16,001 - 19,500 lbs (7,258 - 8,845 kg)
Vehicle Trailing No Trailers
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
Motor Carrier ID 77777777777
Vehicle Configuration Single-Unit Truck (2 Axles and GVWR More Than 10,000 lbs)
Cargo Body Type Other
Hazardous Material Involvement False
Hazardous Material Placard Not Applicable
Hazardous Materia ID 0
Hazardous Material Class Number Not Applicable
Relase of Hazardous Material Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Underride / Override No Underride or Override
Initial Contact Point 6 O'Clock
Extent of Damage Functional Damage
Vehicle Towed Not Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Related Factors None Noted
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Crash Events

Event #1 Event #1
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsPedestrian
Event #2 Event #2
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsWorking Motor Vehicle
Vehicle Vehicle #2
Area Of Impact6 O'Clock

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