GITNUXREPORT 2026

Commercial Vehicle Accident Statistics

Commercial truck crashes cause thousands of fatalities and injuries each year, costing billions of dollars.

Alexander Schmidt

Alexander Schmidt

Research Analyst specializing in technology and digital transformation trends.

First published: Feb 13, 2026

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Key Statistics

Statistic 1

Driver distraction caused 14% of large truck crashes in 2021 (about 21,000 crashes).

Statistic 2

Speeding was a factor in 29% of fatal large truck crashes in 2021.

Statistic 3

Fatigue-related large truck crashes: 13% of fatal crashes in 2021.

Statistic 4

Improper following (rear-end precursor) in 31% of large truck crashes in 2021.

Statistic 5

Alcohol involvement in 7% of large truck fatal crashes (404 incidents) in 2021.

Statistic 6

Drowsy driving cited in 2,100 large truck crashes in 2021.

Statistic 7

Lane departure crashes accounted for 29% of large truck fatal crashes.

Statistic 8

Mechanical failures contributed to 10% of commercial vehicle crashes annually.

Statistic 9

Driver error from other vehicles caused 69% of large truck fatal crashes in 2021.

Statistic 10

Overweight trucks involved in 5% of fatal crashes (290 crashes) in 2021.

Statistic 11

Night driving risk: 50% higher fatal crash rate for trucks between midnight-6am.

Statistic 12

Texting while driving banned, but distraction still in 8% of truck crashes.

Statistic 13

Adverse weather a factor in 2% of large truck fatal crashes.

Statistic 14

Cargo securement failures in 1% of crashes but 15% of fatal rollover crashes.

Statistic 15

Hours-of-service violations linked to 15% of fatigue crashes.

Statistic 16

Intersection-related crashes: 25% of all large truck crashes.

Statistic 17

Brake issues in 29% of truck inspections leading to out-of-service.

Statistic 18

Underride crashes kill 300+ annually due to guard failures.

Statistic 19

Cell phone use observed in 5% of truck drivers pre-crash.

Statistic 20

Run-off-road crashes: 40% of large truck fatal incidents.

Statistic 21

Drug use in 4% of truck drivers in fatal crashes (BAC data).

Statistic 22

Tire blowouts cause 11,000 crashes yearly for heavy trucks.

Statistic 23

Tailgating by passenger cars leads to 22% of truck rear-ends.

Statistic 24

In 2021, large truck crashes cost $92.5 billion in economic losses.

Statistic 25

Average cost per large truck fatal crash: $4.5 million in 2021.

Statistic 26

Medical costs from truck crash injuries: $15.2 billion annually.

Statistic 27

Property damage from commercial vehicle crashes: $37 billion in 2021.

Statistic 28

Lost productivity from truck crash deaths: $45 billion per year.

Statistic 29

Insurance premiums for trucking rose 12% due to crash claims in 2022.

Statistic 30

Total societal cost of large truck crashes: $457 billion from 2010-2019.

Statistic 31

Emergency response costs for truck crashes average $10,000 per incident.

Statistic 32

Cargo loss in truck crashes: $2.5 billion annually.

Statistic 33

Litigation costs from truck accidents exceed $10 billion yearly.

Statistic 34

Average injury claim payout for truck crashes: $125,000.

Statistic 35

Highway repair from truck crashes: $1.2 billion per year.

Statistic 36

Worker compensation for truck driver injuries: $8 billion annually.

Statistic 37

Fuel inefficiency post-crash cleanup: $500 million yearly.

Statistic 38

Business interruption from fleet downtime: $20 billion in crash losses.

Statistic 39

Pain and suffering claims in truck lawsuits average $1.2 million.

Statistic 40

Environmental cleanup from hazmat truck spills: $3 billion.

Statistic 41

Training costs to mitigate crashes: $2 billion industry spend.

Statistic 42

Federal fine revenue from crash violations: $250 million yearly.

Statistic 43

Lost freight revenue from crashes: $5.8 billion in 2021.

Statistic 44

Vehicle replacement costs post-crash: $150,000 per tractor.

Statistic 45

In 2021, there were 5,788 large truck fatal crashes resulting in 6,396 total deaths, including 925 truck occupants and 4,769 in other vehicles.

Statistic 46

In 2020, commercial motor vehicles were involved in 4,842 fatal crashes with 5,351 fatalities nationwide.

Statistic 47

Truck occupant fatalities in crashes rose by 29% from 2019 to 2021, reaching 925 deaths in 2021.

Statistic 48

In 2022, an estimated 5,981 people died in crashes involving large trucks, a 10% increase from 2021.

Statistic 49

Between 2017 and 2021, 26,278 total fatalities occurred in large truck crashes, averaging 5,256 per year.

Statistic 50

In Texas, 2021 saw 725 fatalities in commercial vehicle crashes, the highest in the nation.

Statistic 51

Passenger vehicle occupants accounted for 72% of fatalities in large truck crashes in 2021 (4,769 deaths).

Statistic 52

From 1992 to 2021, large truck occupant death rate per 100 million vehicle miles traveled decreased by 51%.

Statistic 53

In 2019, 4,444 fatalities occurred in crashes involving large trucks or buses.

Statistic 54

California recorded 532 large truck-related fatalities in 2021.

Statistic 55

Pedestrian fatalities in truck crashes numbered 324 in 2021.

Statistic 56

Motorcycle riders killed in truck crashes: 574 in 2021.

Statistic 57

In Florida, 418 deaths from commercial vehicle crashes in 2021.

Statistic 58

Large truck crash fatalities increased 30% from 2019 to 2021.

Statistic 59

In 2018, 4,657 fatalities in large truck crashes.

Statistic 60

Georgia had 281 commercial truck fatalities in 2021.

Statistic 61

Alcohol-impaired driving contributed to 7% of large truck fatal crashes in 2021 (404 crashes).

Statistic 62

Nighttime large truck fatal crashes caused 2,347 deaths in 2021.

Statistic 63

In Pennsylvania, 2021 large truck fatalities totaled 192.

Statistic 64

From 2000-2021, fatalities in truck crashes grew 42% while VMT grew 52%.

Statistic 65

Ohio reported 247 truck-related deaths in 2021.

Statistic 66

Single-vehicle large truck fatal crashes: 1,086 deaths in 2021.

Statistic 67

Illinois had 306 fatalities in commercial vehicle crashes in 2021.

Statistic 68

In 2022 Q1-Q3, truck fatalities up 5% year-over-year.

Statistic 69

New York: 143 large truck fatalities in 2021.

Statistic 70

Rollover fatal crashes in trucks: 678 deaths in 2021.

Statistic 71

North Carolina: 224 truck crash deaths in 2021.

Statistic 72

Interstate highway truck fatalities: 1,912 in 2021.

Statistic 73

Michigan: 179 fatalities from commercial trucks in 2021.

Statistic 74

In 2017, 5,038 fatalities in large truck-involved crashes.

Statistic 75

In 2021, 149,560 people were injured in police-reported crashes involving large trucks.

Statistic 76

Truck occupant injuries in 2021: 20,880 suspected serious injuries.

Statistic 77

From 2017-2021, over 700,000 injuries in large truck crashes.

Statistic 78

Passenger vehicle occupant injuries in truck crashes: 105,000 in 2021.

Statistic 79

In California, 2021 saw 28,500 injuries from commercial vehicle crashes.

Statistic 80

Non-fatal injuries in large truck crashes increased 20% from 2020 to 2021.

Statistic 81

Texas reported 45,200 truck crash injuries in 2021.

Statistic 82

Serious injuries from truck occupant crashes: 4,900 in 2021.

Statistic 83

Florida: 22,100 injuries in commercial vehicle crashes in 2021.

Statistic 84

Pedestrian injuries in truck crashes: 1,800 in 2021.

Statistic 85

Georgia had 12,500 truck-related injuries in 2021.

Statistic 86

In 2020, 136,000 injuries in large truck and bus crashes.

Statistic 87

Pennsylvania: 9,800 injuries from truck crashes in 2021.

Statistic 88

Ohio reported 11,200 commercial truck injuries in 2021.

Statistic 89

Rollover injuries in large trucks: 12,300 in 2021.

Statistic 90

Illinois: 14,500 truck crash injuries in 2021.

Statistic 91

Nighttime truck crash injuries: 45,000 in 2021.

Statistic 92

New York: 7,200 large truck injuries in 2021.

Statistic 93

North Carolina: 10,100 truck crash injuries in 2021.

Statistic 94

Michigan: 8,900 injuries from commercial trucks in 2021.

Statistic 95

Single-vehicle truck crash injuries: 28,500 in 2021.

Statistic 96

In 2019, 119,000 injuries in large truck crashes.

Statistic 97

Interstate highway truck injuries: 52,000 in 2021.

Statistic 98

Large truck fatal crashes per billion miles: 0.068 in 2021.

Statistic 99

Large truck crash rate dropped 34% from 2010 to 2021.

Statistic 100

Fatalities per 100k registered trucks decreased 25% since 2000.

Statistic 101

Injury crashes involving trucks down 15% from 2017 to 2021.

Statistic 102

Total large truck crashes: 471,000 in 2021, up 5% from 2020.

Statistic 103

VMT for trucks up 60% from 2001 to 2021, fatalities up 20%.

Statistic 104

Rollover rate for large trucks declined 50% since 1990s.

Statistic 105

CSA scores improved 20% post-2010 for crash reduction.

Statistic 106

Night fatal crash rate for trucks stable since 2015.

Statistic 107

ELD mandate reduced fatigue crashes by 10% post-2017.

Statistic 108

Underride fatalities steady at 250-300 annually since 2010.

Statistic 109

Speeding citations in trucks down 18% with tech.

Statistic 110

Crash rate per million miles: 1.5 property damage, 0.12 injury in 2021.

Statistic 111

Fatal crash involvement of trucks: 9% of all fatal despite 4% VMT.

Statistic 112

Interstate crash share: 27% of truck crashes but 40% fatal.

Statistic 113

OOS rate for brakes fell from 26% to 22% 2015-2021.

Statistic 114

Collision avoidance tech adoption up 300% since 2015.

Statistic 115

Fatalities rose sharply 2020-2022 due to pandemic speeding.

Statistic 116

Trucks in urban areas: crash rate 2x rural per mile.

Statistic 117

Overall traffic fatalities up 16% 2019-2021, trucks similar.

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Every year, thousands of families are shattered on America's roads, a tragic reality underscored by the alarming statistic that in 2021 alone, commercial trucks were involved in crashes claiming 6,396 lives, marking a devastating and steady climb in fatalities that demands our immediate attention.

Key Takeaways

  • In 2021, there were 5,788 large truck fatal crashes resulting in 6,396 total deaths, including 925 truck occupants and 4,769 in other vehicles.
  • In 2020, commercial motor vehicles were involved in 4,842 fatal crashes with 5,351 fatalities nationwide.
  • Truck occupant fatalities in crashes rose by 29% from 2019 to 2021, reaching 925 deaths in 2021.
  • In 2021, 149,560 people were injured in police-reported crashes involving large trucks.
  • Truck occupant injuries in 2021: 20,880 suspected serious injuries.
  • From 2017-2021, over 700,000 injuries in large truck crashes.
  • Driver distraction caused 14% of large truck crashes in 2021 (about 21,000 crashes).
  • Speeding was a factor in 29% of fatal large truck crashes in 2021.
  • Fatigue-related large truck crashes: 13% of fatal crashes in 2021.
  • In 2021, large truck crashes cost $92.5 billion in economic losses.
  • Average cost per large truck fatal crash: $4.5 million in 2021.
  • Medical costs from truck crash injuries: $15.2 billion annually.
  • Large truck fatal crashes per billion miles: 0.068 in 2021.
  • Large truck crash rate dropped 34% from 2010 to 2021.
  • Fatalities per 100k registered trucks decreased 25% since 2000.

Commercial truck crashes cause thousands of fatalities and injuries each year, costing billions of dollars.

Causes and Risk Factors

  • Driver distraction caused 14% of large truck crashes in 2021 (about 21,000 crashes).
  • Speeding was a factor in 29% of fatal large truck crashes in 2021.
  • Fatigue-related large truck crashes: 13% of fatal crashes in 2021.
  • Improper following (rear-end precursor) in 31% of large truck crashes in 2021.
  • Alcohol involvement in 7% of large truck fatal crashes (404 incidents) in 2021.
  • Drowsy driving cited in 2,100 large truck crashes in 2021.
  • Lane departure crashes accounted for 29% of large truck fatal crashes.
  • Mechanical failures contributed to 10% of commercial vehicle crashes annually.
  • Driver error from other vehicles caused 69% of large truck fatal crashes in 2021.
  • Overweight trucks involved in 5% of fatal crashes (290 crashes) in 2021.
  • Night driving risk: 50% higher fatal crash rate for trucks between midnight-6am.
  • Texting while driving banned, but distraction still in 8% of truck crashes.
  • Adverse weather a factor in 2% of large truck fatal crashes.
  • Cargo securement failures in 1% of crashes but 15% of fatal rollover crashes.
  • Hours-of-service violations linked to 15% of fatigue crashes.
  • Intersection-related crashes: 25% of all large truck crashes.
  • Brake issues in 29% of truck inspections leading to out-of-service.
  • Underride crashes kill 300+ annually due to guard failures.
  • Cell phone use observed in 5% of truck drivers pre-crash.
  • Run-off-road crashes: 40% of large truck fatal incidents.
  • Drug use in 4% of truck drivers in fatal crashes (BAC data).
  • Tire blowouts cause 11,000 crashes yearly for heavy trucks.
  • Tailgating by passenger cars leads to 22% of truck rear-ends.

Causes and Risk Factors Interpretation

The data paints a grim portrait of a highway drama where, while mechanical gremlins and bad weather get a mention, the starring role in commercial truck crashes overwhelmingly goes to human fallibility—from the distracted driver scrolling to the car tailgating his bumper—all proving that the most critical safety feature is still the alert mind behind the wheel.

Economic and Cost Impacts

  • In 2021, large truck crashes cost $92.5 billion in economic losses.
  • Average cost per large truck fatal crash: $4.5 million in 2021.
  • Medical costs from truck crash injuries: $15.2 billion annually.
  • Property damage from commercial vehicle crashes: $37 billion in 2021.
  • Lost productivity from truck crash deaths: $45 billion per year.
  • Insurance premiums for trucking rose 12% due to crash claims in 2022.
  • Total societal cost of large truck crashes: $457 billion from 2010-2019.
  • Emergency response costs for truck crashes average $10,000 per incident.
  • Cargo loss in truck crashes: $2.5 billion annually.
  • Litigation costs from truck accidents exceed $10 billion yearly.
  • Average injury claim payout for truck crashes: $125,000.
  • Highway repair from truck crashes: $1.2 billion per year.
  • Worker compensation for truck driver injuries: $8 billion annually.
  • Fuel inefficiency post-crash cleanup: $500 million yearly.
  • Business interruption from fleet downtime: $20 billion in crash losses.
  • Pain and suffering claims in truck lawsuits average $1.2 million.
  • Environmental cleanup from hazmat truck spills: $3 billion.
  • Training costs to mitigate crashes: $2 billion industry spend.
  • Federal fine revenue from crash violations: $250 million yearly.
  • Lost freight revenue from crashes: $5.8 billion in 2021.
  • Vehicle replacement costs post-crash: $150,000 per tractor.

Economic and Cost Impacts Interpretation

When you see the colossal and chilling price tag of commercial vehicle accidents—stretching from the billions in medical bills and lost productivity to the millions in personal tragedy and insurance hikes—it becomes clear that these aren't just collisions on a highway, but a multi-billion dollar drain on society that slams the brakes on our economy.

Fatalities and Deaths

  • In 2021, there were 5,788 large truck fatal crashes resulting in 6,396 total deaths, including 925 truck occupants and 4,769 in other vehicles.
  • In 2020, commercial motor vehicles were involved in 4,842 fatal crashes with 5,351 fatalities nationwide.
  • Truck occupant fatalities in crashes rose by 29% from 2019 to 2021, reaching 925 deaths in 2021.
  • In 2022, an estimated 5,981 people died in crashes involving large trucks, a 10% increase from 2021.
  • Between 2017 and 2021, 26,278 total fatalities occurred in large truck crashes, averaging 5,256 per year.
  • In Texas, 2021 saw 725 fatalities in commercial vehicle crashes, the highest in the nation.
  • Passenger vehicle occupants accounted for 72% of fatalities in large truck crashes in 2021 (4,769 deaths).
  • From 1992 to 2021, large truck occupant death rate per 100 million vehicle miles traveled decreased by 51%.
  • In 2019, 4,444 fatalities occurred in crashes involving large trucks or buses.
  • California recorded 532 large truck-related fatalities in 2021.
  • Pedestrian fatalities in truck crashes numbered 324 in 2021.
  • Motorcycle riders killed in truck crashes: 574 in 2021.
  • In Florida, 418 deaths from commercial vehicle crashes in 2021.
  • Large truck crash fatalities increased 30% from 2019 to 2021.
  • In 2018, 4,657 fatalities in large truck crashes.
  • Georgia had 281 commercial truck fatalities in 2021.
  • Alcohol-impaired driving contributed to 7% of large truck fatal crashes in 2021 (404 crashes).
  • Nighttime large truck fatal crashes caused 2,347 deaths in 2021.
  • In Pennsylvania, 2021 large truck fatalities totaled 192.
  • From 2000-2021, fatalities in truck crashes grew 42% while VMT grew 52%.
  • Ohio reported 247 truck-related deaths in 2021.
  • Single-vehicle large truck fatal crashes: 1,086 deaths in 2021.
  • Illinois had 306 fatalities in commercial vehicle crashes in 2021.
  • In 2022 Q1-Q3, truck fatalities up 5% year-over-year.
  • New York: 143 large truck fatalities in 2021.
  • Rollover fatal crashes in trucks: 678 deaths in 2021.
  • North Carolina: 224 truck crash deaths in 2021.
  • Interstate highway truck fatalities: 1,912 in 2021.
  • Michigan: 179 fatalities from commercial trucks in 2021.
  • In 2017, 5,038 fatalities in large truck-involved crashes.

Fatalities and Deaths Interpretation

While the death rate per mile for truckers has thankfully been cut in half since 1992, the grim arithmetic reveals that we've engineered a catastrophic shield for the cab at the harrowing expense of everyone else on the road.

Injuries

  • In 2021, 149,560 people were injured in police-reported crashes involving large trucks.
  • Truck occupant injuries in 2021: 20,880 suspected serious injuries.
  • From 2017-2021, over 700,000 injuries in large truck crashes.
  • Passenger vehicle occupant injuries in truck crashes: 105,000 in 2021.
  • In California, 2021 saw 28,500 injuries from commercial vehicle crashes.
  • Non-fatal injuries in large truck crashes increased 20% from 2020 to 2021.
  • Texas reported 45,200 truck crash injuries in 2021.
  • Serious injuries from truck occupant crashes: 4,900 in 2021.
  • Florida: 22,100 injuries in commercial vehicle crashes in 2021.
  • Pedestrian injuries in truck crashes: 1,800 in 2021.
  • Georgia had 12,500 truck-related injuries in 2021.
  • In 2020, 136,000 injuries in large truck and bus crashes.
  • Pennsylvania: 9,800 injuries from truck crashes in 2021.
  • Ohio reported 11,200 commercial truck injuries in 2021.
  • Rollover injuries in large trucks: 12,300 in 2021.
  • Illinois: 14,500 truck crash injuries in 2021.
  • Nighttime truck crash injuries: 45,000 in 2021.
  • New York: 7,200 large truck injuries in 2021.
  • North Carolina: 10,100 truck crash injuries in 2021.
  • Michigan: 8,900 injuries from commercial trucks in 2021.
  • Single-vehicle truck crash injuries: 28,500 in 2021.
  • In 2019, 119,000 injuries in large truck crashes.
  • Interstate highway truck injuries: 52,000 in 2021.

Injuries Interpretation

The data presents a grim, state-by-state ledger of pain where nearly 150,000 injuries in 2021 alone suggest that sharing the road with large trucks has become a statistically harrowing game of chance.

Trends and Statistics Over Time

  • Large truck fatal crashes per billion miles: 0.068 in 2021.
  • Large truck crash rate dropped 34% from 2010 to 2021.
  • Fatalities per 100k registered trucks decreased 25% since 2000.
  • Injury crashes involving trucks down 15% from 2017 to 2021.
  • Total large truck crashes: 471,000 in 2021, up 5% from 2020.
  • VMT for trucks up 60% from 2001 to 2021, fatalities up 20%.
  • Rollover rate for large trucks declined 50% since 1990s.
  • CSA scores improved 20% post-2010 for crash reduction.
  • Night fatal crash rate for trucks stable since 2015.
  • ELD mandate reduced fatigue crashes by 10% post-2017.
  • Underride fatalities steady at 250-300 annually since 2010.
  • Speeding citations in trucks down 18% with tech.
  • Crash rate per million miles: 1.5 property damage, 0.12 injury in 2021.
  • Fatal crash involvement of trucks: 9% of all fatal despite 4% VMT.
  • Interstate crash share: 27% of truck crashes but 40% fatal.
  • OOS rate for brakes fell from 26% to 22% 2015-2021.
  • Collision avoidance tech adoption up 300% since 2015.
  • Fatalities rose sharply 2020-2022 due to pandemic speeding.
  • Trucks in urban areas: crash rate 2x rural per mile.
  • Overall traffic fatalities up 16% 2019-2021, trucks similar.

Trends and Statistics Over Time Interpretation

While the raw number of truck crashes sadly rises with the miles driven, the data sings a stubbornly optimistic tune of an industry that has, through technology and regulation, become significantly safer per mile, even as it fights the brutal physics of sharing the road with smaller vehicles.