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Fatal Crash Report

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Crash #2024122047 Crash #2024122047
Fatalities 1
State FLORIDA
County POLK
City HAINES CITY
Date Sept. 30, 2024
Time 4:02 p.m.
Location(28.1066000, -81.6481861) - Fatality Map - Google Maps
Street Name 1 US-17
Street Name 2 KENTUCKY ST
WeatherClear
Number of Vehicles 3
Number of Vehicles in Transport 3
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 6
Number of Persons in Motor Vehicles in Transport 6
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing U.S. Highway
Rural / Urban Urban
Functional System Other Principal Arterial
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 99999
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
Crash Related FactorNone Noted
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 29 year(s) old
SexFemale
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 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 Type96
Non Motorist Device Motorization8
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 1 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionSecond Seat, Right Side
Restraint System UseChild Restraint System - Forward Facing (Since 2008)
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 Type96
Non Motorist Device Motorization8
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 9 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
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 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 Type96
Non Motorist Device Motorization8
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 41 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 UseDOT-Compliant Motorcycle Helmet
Helmet MisuseNo Indication of Misuse
Airbag DeployedNot Deployed
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 InvolvementNo (Drugs Not Involved)
Drug TestedTest Given
Transported To Medical Facility ByEMS Ground
Died En RouteNot Applicable
Month of DeathSeptember
Day of Death30
Year of Death2024
Hour of Death18
Minute of Death35
Lag Hours2
Lag Minutes33
Non Motorist Device Type96
Non Motorist Device Motorization8
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicPuerto Rican
Race White
Person Related Factor None Noted
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Person #1 in Vehicle #3 Person #1 in Vehicle #3
Age 71 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 Device Type96
Non Motorist Device Motorization8
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 #3 Person #2 in Vehicle #3
Age 72 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
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 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 Device Type96
Non Motorist Device Motorization8
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 3
Hit and Run No Hit and Run
NCSA Make Ford
Body Type 4-Door Sedan/Hardtop
NCSA Model 23
Registration State Florida
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 3FA6P0K99FR3
Model Year 2015
VPIC Make ID 460
VPIC Model ID 1780
VPIC Body Class Sedan/Saloon
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 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 25
Travel Speed 15
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 9 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 Florida
Driver Zip Code 33844
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 66
Driver Weight 999
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) 0
Previous BAC Suspensions 0
Previous Other Suspensions 1
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 0
Month of Oldest Violation November
Year of Oldest Violation 2021
Month of Newest Violation November
Year of Newest Violation 2021
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 - CONFIGURATION K: TURN INTO PATH - Turn Into Opposite Directions (Turning Left)
Vehicle Related Factor None Noted
Driver Related Factor Failure to Yield Right-of-Way
Visibility Obstructions Reported as Unknown
Moving Violations None
Driver Maneuvered to Avoid Reported as Unknown
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 9 O'Clock
Driver Distracted Reported as Unknown if Distracted
Driver Impaired None/Apparently Normal
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Vehicle #2 Vehicle #2
Fatalities 1
Number of Occupants 1
Hit and Run No Hit and Run
NCSA Make Suzuki
Body Type Two Wheel Motorcycle (excluding motor scooters)
NCSA Model 704
Registration State Florida
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN JS1SK44A4M71
Model Year 2021
VPIC Make ID 509
VPIC Model ID 27299
VPIC Body Class Motorcycle - Dual Sport/Adventure/Supermoto/On/Off-Road
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 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 50
Travel Speed 50
Underride / Override Not Applicable
Rollover Not Applicable
Rollover Location Not Applicable
Initial Contact Point 12 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 North Carolina
Driver Zip Code 27604
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 999
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 September
Year of Oldest Violation 2022
Month of Newest Violation September
Year of Newest Violation 2022
Speeding Related No
Trafficway Description Two-Way, Divided, Unprotected Median
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Not Reported
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 Crossing Street, Across Path
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 - CONFIGURATION K: TURN INTO PATH - Turn Into Opposite Directions (Going Straight)
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions Reported as Unknown
Moving Violations None
Driver Maneuvered to Avoid Reported as Unknown
Vehicle Factors None Noted
Damaged Areas 12 O'Clock
Driver Distracted Reported as Unknown if Distracted
Driver Impaired None/Apparently Normal
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Vehicle #3 Vehicle #3
Fatalities 0
Number of Occupants 2
Hit and Run No Hit and Run
NCSA Make Dodge
Body Type Station Wagon (Excluding Van- and Truck-Based)
NCSA Model 27
Registration State Florida
Registered Vehicle Owner Driver (in This Crash) Was Registered Owner
VIN 3C4PDCBG8FT6
Model Year 2015
VPIC Make ID 476
VPIC Model ID 1939
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 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 50
Travel Speed 50
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 11 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 Florida
Driver Zip Code 33881
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, Compliance Unknown
Driver Height 69
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, Divided, Unprotected Median
Total Lanes in Roadway Two Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Not Reported
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 Adjacent Lane (Same Direction) Over Left Lane Line
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY VI: MISCELLANEOUS - CONFIGURATION M: BACKING, ETC. - Other Crash Type
Vehicle Related Factor None Noted
Driver Related Factor None Noted
Visibility Obstructions Reported as Unknown
Moving Violations None
Driver Maneuvered to Avoid Reported as Unknown
Vehicle Factors None Noted
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Driver Distracted Reported as Unknown if Distracted
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #2
Area Of Impact12 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #1
Area Of Impact9 O'Clock
Event #2 Event #2
VehicleVehicle #1
Area Of Impact1 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #3
Area Of Impact11 O'Clock

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