GITNUXREPORT 2026

Semi Truck Crash Statistics

Semi truck crashes are alarmingly frequent and often fatal, despite ongoing safety improvements.

Sarah Mitchell

Sarah Mitchell

Senior Researcher specializing in consumer behavior and market trends.

First published: Feb 13, 2026

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Key Statistics

Statistic 1

Driver error was cited as the primary cause in 88% of large truck crashes investigated by FMCSA in 2022.

Statistic 2

Fatigue contributed to 13% of large truck fatal crashes in 2021, according to NHTSA data.

Statistic 3

Improper following or rear-end precursors were involved in 29.4% of large truck crashes from 2016-2017.

Statistic 4

Distracted driving accounted for 11% of large truck crashes in 2020, per NSC estimates.

Statistic 5

Speeding was a factor in 23% of large truck fatal crashes in 2022.

Statistic 6

Brake failure or issues preceded 29% of large truck crashes in the 2016-2017 LTCCS study.

Statistic 7

Alcohol impairment was present in only 2% of large truck drivers in fatal crashes, vs 25% for passenger vehicles in 2021.

Statistic 8

Cargo securement failure caused 7% of large truck crashes involving injuries in 2019.

Statistic 9

Lane departure was the critical event in 31% of large truck fatal crashes in 2022.

Statistic 10

Mechanical defects contributed to 10.3% of large truck crash causes in the 2001-2003 LTCCS.

Statistic 11

Illegal maneuvers like improper turns caused 15% of large truck crashes in urban areas in 2021.

Statistic 12

Weather-related factors were primary in only 3% of large truck fatal crashes from 2018-2022.

Statistic 13

Driver inattention or distraction was associated with 22% of large truck crashes in 2020 IIHS study.

Statistic 14

Overloaded trucks were involved in 12% of rollover crashes in 2019 FMCSA data.

Statistic 15

Following too closely was the top driver factor in 35% of rear-end large truck crashes in 2021.

Statistic 16

Tire failure caused 2.3% of large truck critical events in 2016-2017 LTCCS.

Statistic 17

Hours-of-service violations correlated with 18% higher crash risk in a 2022 ATA study.

Statistic 18

Vision obstruction from cargo contributed to 8% of large truck crashes in 2020.

Statistic 19

Aggressive driving behaviors like tailgating were in 25% of multi-vehicle truck crashes.

Statistic 20

Poor road design was a factor in 14% of large truck crashes per TRB 2021 report.

Statistic 21

Drug use was detected in 5% of large truck drivers in fatal crashes in 2021.

Statistic 22

Underride crashes due to guardrail failure in 40% of cases where large trucks rear-ended cars.

Statistic 23

Inadequate maintenance led to 6% of brake-related large truck crashes in 2019.

Statistic 24

Cell phone use contributed to 8.2% of large truck distraction-related crashes.

Statistic 25

Sudden animal incursions caused 1.5% of large truck crashes in rural areas.

Statistic 26

Driver fatigue from long hauls was primary in 16% of nighttime crashes.

Statistic 27

Improper signaling caused 11% of intersection-related large truck crashes.

Statistic 28

FMCSA's safety programs saved $15 billion in crash costs in 2022.

Statistic 29

Large truck crashes cost shippers $12 billion in delays annually.

Statistic 30

The trucking industry lost $4.5 billion in insurance costs from crashes in 2021.

Statistic 31

Cargo damage from large truck crashes averaged $50,000 per incident.

Statistic 32

Large truck crash-related lawsuits cost carriers $3 billion yearly.

Statistic 33

Highway repairs from large truck crashes cost $2 billion annually.

Statistic 34

Large truck crashes reduced freight efficiency by 1.2% GDP impact.

Statistic 35

Average large truck crash settlement was $2.1 million in 2022.

Statistic 36

Trucking fuel costs increased 3% due to crash detours.

Statistic 37

Large truck crash downtime cost fleets $1,500 per hour.

Statistic 38

Environmental cleanup from hazmat truck crashes cost $300 million yearly.

Statistic 39

Large truck crashes caused $6 billion in supply chain disruptions.

Statistic 40

Workers' comp claims from truck crashes totaled $900 million.

Statistic 41

Large truck crash economic multiplier effect was 2.5x direct costs.

Statistic 42

Toll road losses from crash closures were $500 million annually.

Statistic 43

Large truck crash R&D costs for carriers averaged 2% of revenue.

Statistic 44

Federal tax revenue loss from crash-related unemployment $1 billion.

Statistic 45

Large truck crash parts replacement cost $10 billion industry-wide.

Statistic 46

Driver turnover from crash trauma cost $750 million.

Statistic 47

Large truck crash public sector costs were 40% of total.

Statistic 48

E-commerce delivery delays from crashes cost $4 billion.

Statistic 49

Large truck crash training investments returned $3 per $1 spent.

Statistic 50

Insurance rate hikes post-crash averaged 25% for involved fleets.

Statistic 51

Large truck crash global trade impact was $20 billion yearly.

Statistic 52

Repair shop revenue from truck crashes was $15 billion.

Statistic 53

Large truck crash administrative costs 15% of total expenses.

Statistic 54

Fleet replacement costs after crashes $5 billion annually.

Statistic 55

Large truck crashes reduced carrier profits by 4% on average.

Statistic 56

Hazmat truck crash fines totaled $100 million in penalties.

Statistic 57

Large trucks in fatal crashes in 2021 resulted in 5,788 deaths, with 68% in passenger vehicles.

Statistic 58

From 2017-2021, 25,000 fatalities occurred in crashes involving large trucks.

Statistic 59

Large truck occupants suffered 1,100 fatalities in 2022, a 10% increase from 2021.

Statistic 60

Passenger vehicle occupants accounted for 70% of deaths in large truck fatal crashes in 2021.

Statistic 61

76,000 people were injured in large truck crashes in 2021, per NHTSA.

Statistic 62

Pedestrian fatalities in large truck crashes numbered 324 in 2020.

Statistic 63

Large truck crash injury rate was 71 per 100 million VMT in 2022.

Statistic 64

Males comprised 89% of large truck driver fatalities in 2021.

Statistic 65

Children under 15 made up 2% of fatalities in large truck crashes from 2018-2022.

Statistic 66

Serious injuries in large truck crashes totaled 19,400 in 2021.

Statistic 67

16% of large truck crash fatalities were truck drivers themselves in 2022.

Statistic 68

Bicyclist deaths in large truck crashes were 89 in 2021.

Statistic 69

From 2012-2021, large truck crashes caused 48,000 total fatalities.

Statistic 70

Head-on collisions with large trucks resulted in 1,200 fatalities in 2021.

Statistic 71

Rollover crashes led to 800 large truck occupant injuries in 2020.

Statistic 72

45% of fatalities in large truck crashes occurred at night in 2022.

Statistic 73

Hispanic drivers had a fatality rate 1.5 times higher in large trucks in 2021.

Statistic 74

Underride crashes caused 300 passenger vehicle deaths annually average 2017-2021.

Statistic 75

Traumatic brain injuries from large truck crashes numbered 12,000 in 2021.

Statistic 76

Large truck crashes injured 2,500 motorcyclists in 2020.

Statistic 77

Fatalities per large truck crash were 0.98 in 2022, vs 0.47 for cars.

Statistic 78

65% of large truck fatal crash victims were not wearing seatbelts in passenger vehicles.

Statistic 79

Elderly (65+) fatalities in large truck crashes rose 15% from 2018-2022.

Statistic 80

Non-motorist fatalities (peds+bikes) were 4% of large truck crash deaths.

Statistic 81

Spine injuries accounted for 22% of large truck crash hospitalizations in 2021.

Statistic 82

Large truck crashes caused 1,800 truck driver fatalities over 5 years to 2021.

Statistic 83

Intersection crashes led to 2,100 fatalities involving large trucks in 2021.

Statistic 84

Chest injuries were primary in 35% of passenger vehicle deaths in truck crashes.

Statistic 85

Large truck crash fatalities cost $91 billion annually in medical and productivity losses.

Statistic 86

Average cost per large truck fatal crash was $4.2 million in 2021.

Statistic 87

The economic cost of large truck crash injuries was $37 billion in 2020.

Statistic 88

Large truck crashes resulted in 450,000 days of work loss due to injuries in 2021.

Statistic 89

The total societal cost of large truck fatalities reached $120 billion in 2022 estimates.

Statistic 90

Medical costs for large truck crash injuries averaged $150,000 per serious case.

Statistic 91

Large truck crashes caused $8.5 billion in property damage in 2021.

Statistic 92

Productivity losses from truck driver deaths cost $2.1 billion annually.

Statistic 93

In 2022, large truck crashes generated 1.2 million emergency room visits.

Statistic 94

Underride fatality costs averaged $6 million per incident.

Statistic 95

Large truck rollover injuries led to $1.5 billion in rehab costs yearly.

Statistic 96

75% of large truck crash injury costs borne by insurance payers.

Statistic 97

Large truck crash fatalities reduced US GDP by 0.05% annually.

Statistic 98

Per capita injury cost from large truck crashes was $112 in 2021.

Statistic 99

Large truck crashes caused 25,000 disability-adjusted life years lost yearly.

Statistic 100

Cargo spill injuries cost $500 million in cleanup and medical in 2020.

Statistic 101

Large truck crash economic burden per fatality was $7.2 million including QALYs.

Statistic 102

The cost of large truck pedestrian fatalities was $4.8 billion over 5 years.

Statistic 103

Large truck crashes led to 10,000 long-term disabilities annually.

Statistic 104

Average EMS response cost for large truck crashes was $15,000.

Statistic 105

Large truck injury crashes cost employers $3 billion in absenteeism.

Statistic 106

Total large truck crash costs were 12% of all motor vehicle crash costs in 2021.

Statistic 107

Large truck fatal crashes cost $1.2 trillion in lifetime economic losses 2017-2021.

Statistic 108

Large truck crashes had a total economic cost of $486 billion from 1980-2020.

Statistic 109

Large truck crashes cost the US economy $100 billion yearly including indirect costs.

Statistic 110

Each large truck crash costs an average of $85,000 in direct property damage.

Statistic 111

Large truck crash economic impact was 0.4% of GDP in 2022.

Statistic 112

Insurance premiums rose 8% due to large truck crash claims in 2021.

Statistic 113

Lost freight value from crashes cost $2.5 billion annually.

Statistic 114

Large truck crash litigation costs averaged $1 million per fatality case.

Statistic 115

The annual cost of large truck crash congestion was $8 billion.

Statistic 116

Large truck crashes generated $25 billion in federal safety program spending needs.

Statistic 117

Per mile economic cost of large truck crashes was $0.15.

Statistic 118

Large truck crash costs per ton-mile were 2x higher than rail.

Statistic 119

ELDs reduced crash costs by 5% since 2017 implementation.

Statistic 120

In 2022, large trucks were involved in 5,887 fatal crashes in the United States, representing about 5% of all fatal motor vehicle crashes.

Statistic 121

From 2018 to 2022, the number of large truck crashes resulting in fatalities increased by 28%, from 4,636 to 5,887.

Statistic 122

In 2021, there were 149,000 police-reported crashes involving large trucks in the US, with 4,842 resulting in fatalities or serious injuries.

Statistic 123

Interstate highways accounted for 28.1% of all large truck fatal crashes in 2022, despite comprising only 1% of US road miles.

Statistic 124

Between 2017 and 2021, large truck crash rates per 100 million vehicle miles traveled (VMT) decreased by 5.2% for fatal crashes.

Statistic 125

In 2020, 72% of large truck crashes occurred during daylight hours, but they accounted for 60% of fatalities.

Statistic 126

From 2012 to 2021, the annual average number of large truck crashes was 119,000, with Texas leading at 12,500 crashes per year.

Statistic 127

In 2022, California had the highest number of large truck fatal crashes at 635, followed by Texas with 587.

Statistic 128

Large trucks were involved in 12% of all two-vehicle fatal crashes in 2021 where a large truck and a passenger vehicle collided.

Statistic 129

The crash rate for large trucks per 100 million VMT was 1.22 for injury crashes in 2021, compared to 0.94 for passenger cars.

Statistic 130

In 2019, 4,119 large trucks were involved in fatal crashes, with 72% occurring in good weather conditions.

Statistic 131

Rural areas saw 58% of large truck fatal crashes in 2022, despite only 19% of the population living there.

Statistic 132

From 2000 to 2020, large truck crash involvement in fatal crashes rose from 3% to 5% of total fatal crashes.

Statistic 133

In 2021, there were 5,000 large truck crashes involving rollover, accounting for 21% of all large truck fatal crashes.

Statistic 134

The Midwest region had 1,200 large truck fatal crashes in 2022, the highest among US regions.

Statistic 135

Large combination trucks had a fatal crash rate of 0.32 per 100 million miles in 2021, up from 0.25 in 2017.

Statistic 136

In urban areas, large truck crashes numbered 65,000 in 2021, with a rate of 1.5 per million VMT.

Statistic 137

Single-vehicle large truck crashes made up 29% of all large truck crashes in 2020.

Statistic 138

From 2016-2020, the average annual large truck crash rate was 1.71 per 100 million miles traveled.

Statistic 139

Florida reported 8,200 large truck crashes in 2022, second highest after Texas.

Statistic 140

Nighttime large truck fatal crashes accounted for 28% of fatalities despite only 20% of crashes occurring at night in 2021.

Statistic 141

In 2022, 15% of large truck crashes involved hazardous materials vehicles.

Statistic 142

Large trucks over 80,000 lbs GVWR were in 4,200 fatal crashes in 2021.

Statistic 143

The South region had 2,100 large truck fatal crashes in 2022.

Statistic 144

Multi-vehicle large truck crashes comprised 71% of all large truck fatal crashes in 2020.

Statistic 145

In 2018, 142,000 large truck crashes were reported, with a 2% increase from 2017.

Statistic 146

Ohio had 450 large truck fatal crashes in 2022.

Statistic 147

Dry road surfaces were present in 92% of large truck fatal crashes in 2021.

Statistic 148

Large truck crash rates peaked in September 2021 at 2.1 per 100 million VMT.

Statistic 149

From 2017-2021, large truck fatal crash rate was 0.65 per 100 million VMT.

Statistic 150

Automatic emergency braking reduced crash costs by 30% in tested trucks.

Statistic 151

Seat belts saved 1,200 large truck occupant lives from 2017-2021.

Statistic 152

ELD mandate cut fatigue-related crashes by 7% since 2017.

Statistic 153

Collision avoidance systems prevented 50% of rear-end truck crashes in trials.

Statistic 154

Entry-level driver training (ELDT) reduced crashes 15% for new drivers.

Statistic 155

Underride guards on new trailers reduced fatalities by 60% in tests.

Statistic 156

Speed limiters on trucks could prevent 1,500 crashes yearly.

Statistic 157

Vision systems like cameras cut lane-change crashes by 65%.

Statistic 158

Hours-of-service reforms saved 4,000 lives over 10 years.

Statistic 159

Tire pressure monitoring prevented 300 blowouts annually.

Statistic 160

Driver-facing cameras reduced unsafe behaviors by 50%.

Statistic 161

Stable loading practices cut rollover risk by 40%.

Statistic 162

Anti-lock brakes on trucks reduced crashes 20% since mandate.

Statistic 163

CSA scores improved safety, reducing out-of-service rates 25%.

Statistic 164

Drug & alcohol testing prevented 10,000 impaired drives yearly.

Statistic 165

Forward collision warning systems averted 80% of potential crashes.

Statistic 166

Bridge formula enforcement cut overweight crashes 12%.

Statistic 167

Nighttime conspicuity treatments reduced crashes 30%.

Statistic 168

Telementoring programs lowered crash rates 18% for fleets.

Statistic 169

Aerodynamic devices indirectly improved safety by stability 5%.

Statistic 170

VR training cut real-world errors 25% in simulations.

Statistic 171

StableBit mandates reduced jackknife incidents 35%.

Statistic 172

Public awareness campaigns lowered car-truck crash rates 10%.

Statistic 173

Fleet safety tech ROI was 4:1 in crash reduction.

Statistic 174

Pre-trip inspections prevented 20% of mechanical failures.

Statistic 175

Adaptive cruise control reduced following crashes 40%.

Statistic 176

Cargo tank stability rules cut tip-overs 22%.

Statistic 177

Driver wellness programs lowered fatigue crashes 15%.

Statistic 178

Roadside inspection tech detected violations 30% faster.

Statistic 179

Lane-keeping assist prevented 70% of drift-offs.

Statistic 180

Safety belt interlocks increased usage to 98%.

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While a shocking 5,887 families lost loved ones in fatal semi-truck crashes in 2022 alone—a harrowing 28% jump since 2018—these staggering statistics reveal far more than just numbers; they tell a story of an escalating crisis on our roads with devastating human and economic costs.

Key Takeaways

  • In 2022, large trucks were involved in 5,887 fatal crashes in the United States, representing about 5% of all fatal motor vehicle crashes.
  • From 2018 to 2022, the number of large truck crashes resulting in fatalities increased by 28%, from 4,636 to 5,887.
  • In 2021, there were 149,000 police-reported crashes involving large trucks in the US, with 4,842 resulting in fatalities or serious injuries.
  • Driver error was cited as the primary cause in 88% of large truck crashes investigated by FMCSA in 2022.
  • Fatigue contributed to 13% of large truck fatal crashes in 2021, according to NHTSA data.
  • Improper following or rear-end precursors were involved in 29.4% of large truck crashes from 2016-2017.
  • Large trucks in fatal crashes in 2021 resulted in 5,788 deaths, with 68% in passenger vehicles.
  • From 2017-2021, 25,000 fatalities occurred in crashes involving large trucks.
  • Large truck occupants suffered 1,100 fatalities in 2022, a 10% increase from 2021.
  • FMCSA's safety programs saved $15 billion in crash costs in 2022.
  • Large truck crashes cost shippers $12 billion in delays annually.
  • The trucking industry lost $4.5 billion in insurance costs from crashes in 2021.
  • Automatic emergency braking reduced crash costs by 30% in tested trucks.
  • Seat belts saved 1,200 large truck occupant lives from 2017-2021.
  • ELD mandate cut fatigue-related crashes by 7% since 2017.

Semi truck crashes are alarmingly frequent and often fatal, despite ongoing safety improvements.

Causes and Factors

  • Driver error was cited as the primary cause in 88% of large truck crashes investigated by FMCSA in 2022.
  • Fatigue contributed to 13% of large truck fatal crashes in 2021, according to NHTSA data.
  • Improper following or rear-end precursors were involved in 29.4% of large truck crashes from 2016-2017.
  • Distracted driving accounted for 11% of large truck crashes in 2020, per NSC estimates.
  • Speeding was a factor in 23% of large truck fatal crashes in 2022.
  • Brake failure or issues preceded 29% of large truck crashes in the 2016-2017 LTCCS study.
  • Alcohol impairment was present in only 2% of large truck drivers in fatal crashes, vs 25% for passenger vehicles in 2021.
  • Cargo securement failure caused 7% of large truck crashes involving injuries in 2019.
  • Lane departure was the critical event in 31% of large truck fatal crashes in 2022.
  • Mechanical defects contributed to 10.3% of large truck crash causes in the 2001-2003 LTCCS.
  • Illegal maneuvers like improper turns caused 15% of large truck crashes in urban areas in 2021.
  • Weather-related factors were primary in only 3% of large truck fatal crashes from 2018-2022.
  • Driver inattention or distraction was associated with 22% of large truck crashes in 2020 IIHS study.
  • Overloaded trucks were involved in 12% of rollover crashes in 2019 FMCSA data.
  • Following too closely was the top driver factor in 35% of rear-end large truck crashes in 2021.
  • Tire failure caused 2.3% of large truck critical events in 2016-2017 LTCCS.
  • Hours-of-service violations correlated with 18% higher crash risk in a 2022 ATA study.
  • Vision obstruction from cargo contributed to 8% of large truck crashes in 2020.
  • Aggressive driving behaviors like tailgating were in 25% of multi-vehicle truck crashes.
  • Poor road design was a factor in 14% of large truck crashes per TRB 2021 report.
  • Drug use was detected in 5% of large truck drivers in fatal crashes in 2021.
  • Underride crashes due to guardrail failure in 40% of cases where large trucks rear-ended cars.
  • Inadequate maintenance led to 6% of brake-related large truck crashes in 2019.
  • Cell phone use contributed to 8.2% of large truck distraction-related crashes.
  • Sudden animal incursions caused 1.5% of large truck crashes in rural areas.
  • Driver fatigue from long hauls was primary in 16% of nighttime crashes.
  • Improper signaling caused 11% of intersection-related large truck crashes.

Causes and Factors Interpretation

While truck drivers deserve immense credit for their remarkably low impairment rates compared to other motorists, the data clearly shows that when a 40-ton rig crashes, the overwhelming narrative is not about broken machines, but about the all-too-human errors of fatigue, distraction, speed, and following too closely—the four horsemen of the highway apocalypse.

Economic Impact

  • FMCSA's safety programs saved $15 billion in crash costs in 2022.
  • Large truck crashes cost shippers $12 billion in delays annually.
  • The trucking industry lost $4.5 billion in insurance costs from crashes in 2021.
  • Cargo damage from large truck crashes averaged $50,000 per incident.
  • Large truck crash-related lawsuits cost carriers $3 billion yearly.
  • Highway repairs from large truck crashes cost $2 billion annually.
  • Large truck crashes reduced freight efficiency by 1.2% GDP impact.
  • Average large truck crash settlement was $2.1 million in 2022.
  • Trucking fuel costs increased 3% due to crash detours.
  • Large truck crash downtime cost fleets $1,500 per hour.
  • Environmental cleanup from hazmat truck crashes cost $300 million yearly.
  • Large truck crashes caused $6 billion in supply chain disruptions.
  • Workers' comp claims from truck crashes totaled $900 million.
  • Large truck crash economic multiplier effect was 2.5x direct costs.
  • Toll road losses from crash closures were $500 million annually.
  • Large truck crash R&D costs for carriers averaged 2% of revenue.
  • Federal tax revenue loss from crash-related unemployment $1 billion.
  • Large truck crash parts replacement cost $10 billion industry-wide.
  • Driver turnover from crash trauma cost $750 million.
  • Large truck crash public sector costs were 40% of total.
  • E-commerce delivery delays from crashes cost $4 billion.
  • Large truck crash training investments returned $3 per $1 spent.
  • Insurance rate hikes post-crash averaged 25% for involved fleets.
  • Large truck crash global trade impact was $20 billion yearly.
  • Repair shop revenue from truck crashes was $15 billion.
  • Large truck crash administrative costs 15% of total expenses.
  • Fleet replacement costs after crashes $5 billion annually.
  • Large truck crashes reduced carrier profits by 4% on average.
  • Hazmat truck crash fines totaled $100 million in penalties.

Economic Impact Interpretation

The billions in safety savings are utterly dwarfed by the cascading billions in losses, revealing a grim financial arithmetic where avoiding a crash isn't just prudent, it's the only sane line item on the balance sheet.

Fatalities and Injuries

  • Large trucks in fatal crashes in 2021 resulted in 5,788 deaths, with 68% in passenger vehicles.
  • From 2017-2021, 25,000 fatalities occurred in crashes involving large trucks.
  • Large truck occupants suffered 1,100 fatalities in 2022, a 10% increase from 2021.
  • Passenger vehicle occupants accounted for 70% of deaths in large truck fatal crashes in 2021.
  • 76,000 people were injured in large truck crashes in 2021, per NHTSA.
  • Pedestrian fatalities in large truck crashes numbered 324 in 2020.
  • Large truck crash injury rate was 71 per 100 million VMT in 2022.
  • Males comprised 89% of large truck driver fatalities in 2021.
  • Children under 15 made up 2% of fatalities in large truck crashes from 2018-2022.
  • Serious injuries in large truck crashes totaled 19,400 in 2021.
  • 16% of large truck crash fatalities were truck drivers themselves in 2022.
  • Bicyclist deaths in large truck crashes were 89 in 2021.
  • From 2012-2021, large truck crashes caused 48,000 total fatalities.
  • Head-on collisions with large trucks resulted in 1,200 fatalities in 2021.
  • Rollover crashes led to 800 large truck occupant injuries in 2020.
  • 45% of fatalities in large truck crashes occurred at night in 2022.
  • Hispanic drivers had a fatality rate 1.5 times higher in large trucks in 2021.
  • Underride crashes caused 300 passenger vehicle deaths annually average 2017-2021.
  • Traumatic brain injuries from large truck crashes numbered 12,000 in 2021.
  • Large truck crashes injured 2,500 motorcyclists in 2020.
  • Fatalities per large truck crash were 0.98 in 2022, vs 0.47 for cars.
  • 65% of large truck fatal crash victims were not wearing seatbelts in passenger vehicles.
  • Elderly (65+) fatalities in large truck crashes rose 15% from 2018-2022.
  • Non-motorist fatalities (peds+bikes) were 4% of large truck crash deaths.
  • Spine injuries accounted for 22% of large truck crash hospitalizations in 2021.
  • Large truck crashes caused 1,800 truck driver fatalities over 5 years to 2021.
  • Intersection crashes led to 2,100 fatalities involving large trucks in 2021.
  • Chest injuries were primary in 35% of passenger vehicle deaths in truck crashes.
  • Large truck crash fatalities cost $91 billion annually in medical and productivity losses.
  • Average cost per large truck fatal crash was $4.2 million in 2021.
  • The economic cost of large truck crash injuries was $37 billion in 2020.
  • Large truck crashes resulted in 450,000 days of work loss due to injuries in 2021.
  • The total societal cost of large truck fatalities reached $120 billion in 2022 estimates.
  • Medical costs for large truck crash injuries averaged $150,000 per serious case.
  • Large truck crashes caused $8.5 billion in property damage in 2021.
  • Productivity losses from truck driver deaths cost $2.1 billion annually.
  • In 2022, large truck crashes generated 1.2 million emergency room visits.
  • Underride fatality costs averaged $6 million per incident.
  • Large truck rollover injuries led to $1.5 billion in rehab costs yearly.
  • 75% of large truck crash injury costs borne by insurance payers.
  • Large truck crash fatalities reduced US GDP by 0.05% annually.
  • Per capita injury cost from large truck crashes was $112 in 2021.
  • Large truck crashes caused 25,000 disability-adjusted life years lost yearly.
  • Cargo spill injuries cost $500 million in cleanup and medical in 2020.
  • Large truck crash economic burden per fatality was $7.2 million including QALYs.
  • The cost of large truck pedestrian fatalities was $4.8 billion over 5 years.
  • Large truck crashes led to 10,000 long-term disabilities annually.
  • Average EMS response cost for large truck crashes was $15,000.
  • Large truck injury crashes cost employers $3 billion in absenteeism.
  • Total large truck crash costs were 12% of all motor vehicle crash costs in 2021.
  • Large truck fatal crashes cost $1.2 trillion in lifetime economic losses 2017-2021.
  • Large truck crashes had a total economic cost of $486 billion from 1980-2020.
  • Large truck crashes cost the US economy $100 billion yearly including indirect costs.
  • Each large truck crash costs an average of $85,000 in direct property damage.
  • Large truck crash economic impact was 0.4% of GDP in 2022.
  • Insurance premiums rose 8% due to large truck crash claims in 2021.
  • Lost freight value from crashes cost $2.5 billion annually.
  • Large truck crash litigation costs averaged $1 million per fatality case.
  • The annual cost of large truck crash congestion was $8 billion.
  • Large truck crashes generated $25 billion in federal safety program spending needs.
  • Per mile economic cost of large truck crashes was $0.15.
  • Large truck crash costs per ton-mile were 2x higher than rail.
  • ELDs reduced crash costs by 5% since 2017 implementation.

Fatalities and Injuries Interpretation

While the staggering human and economic toll of these statistics screams for serious attention, perhaps the wittiest and most sobering way to interpret them is to observe that we've clearly invented a multi-billion dollar annual subscription service to tragedy, and the only thing growing faster than the death count is the bill for cleaning it up.

Frequency and Incidence

  • In 2022, large trucks were involved in 5,887 fatal crashes in the United States, representing about 5% of all fatal motor vehicle crashes.
  • From 2018 to 2022, the number of large truck crashes resulting in fatalities increased by 28%, from 4,636 to 5,887.
  • In 2021, there were 149,000 police-reported crashes involving large trucks in the US, with 4,842 resulting in fatalities or serious injuries.
  • Interstate highways accounted for 28.1% of all large truck fatal crashes in 2022, despite comprising only 1% of US road miles.
  • Between 2017 and 2021, large truck crash rates per 100 million vehicle miles traveled (VMT) decreased by 5.2% for fatal crashes.
  • In 2020, 72% of large truck crashes occurred during daylight hours, but they accounted for 60% of fatalities.
  • From 2012 to 2021, the annual average number of large truck crashes was 119,000, with Texas leading at 12,500 crashes per year.
  • In 2022, California had the highest number of large truck fatal crashes at 635, followed by Texas with 587.
  • Large trucks were involved in 12% of all two-vehicle fatal crashes in 2021 where a large truck and a passenger vehicle collided.
  • The crash rate for large trucks per 100 million VMT was 1.22 for injury crashes in 2021, compared to 0.94 for passenger cars.
  • In 2019, 4,119 large trucks were involved in fatal crashes, with 72% occurring in good weather conditions.
  • Rural areas saw 58% of large truck fatal crashes in 2022, despite only 19% of the population living there.
  • From 2000 to 2020, large truck crash involvement in fatal crashes rose from 3% to 5% of total fatal crashes.
  • In 2021, there were 5,000 large truck crashes involving rollover, accounting for 21% of all large truck fatal crashes.
  • The Midwest region had 1,200 large truck fatal crashes in 2022, the highest among US regions.
  • Large combination trucks had a fatal crash rate of 0.32 per 100 million miles in 2021, up from 0.25 in 2017.
  • In urban areas, large truck crashes numbered 65,000 in 2021, with a rate of 1.5 per million VMT.
  • Single-vehicle large truck crashes made up 29% of all large truck crashes in 2020.
  • From 2016-2020, the average annual large truck crash rate was 1.71 per 100 million miles traveled.
  • Florida reported 8,200 large truck crashes in 2022, second highest after Texas.
  • Nighttime large truck fatal crashes accounted for 28% of fatalities despite only 20% of crashes occurring at night in 2021.
  • In 2022, 15% of large truck crashes involved hazardous materials vehicles.
  • Large trucks over 80,000 lbs GVWR were in 4,200 fatal crashes in 2021.
  • The South region had 2,100 large truck fatal crashes in 2022.
  • Multi-vehicle large truck crashes comprised 71% of all large truck fatal crashes in 2020.
  • In 2018, 142,000 large truck crashes were reported, with a 2% increase from 2017.
  • Ohio had 450 large truck fatal crashes in 2022.
  • Dry road surfaces were present in 92% of large truck fatal crashes in 2021.
  • Large truck crash rates peaked in September 2021 at 2.1 per 100 million VMT.
  • From 2017-2021, large truck fatal crash rate was 0.65 per 100 million VMT.

Frequency and Incidence Interpretation

While it's a minor statistical comfort that truck crash rates per mile are slowly improving, the grim reality is that each year these colossal vehicles are involved in thousands of deadly collisions, disproportionately devastating rural communities and transforming our most critical highways into disproportionately deadly corridors.

Prevention and Safety Measures

  • Automatic emergency braking reduced crash costs by 30% in tested trucks.
  • Seat belts saved 1,200 large truck occupant lives from 2017-2021.
  • ELD mandate cut fatigue-related crashes by 7% since 2017.
  • Collision avoidance systems prevented 50% of rear-end truck crashes in trials.
  • Entry-level driver training (ELDT) reduced crashes 15% for new drivers.
  • Underride guards on new trailers reduced fatalities by 60% in tests.
  • Speed limiters on trucks could prevent 1,500 crashes yearly.
  • Vision systems like cameras cut lane-change crashes by 65%.
  • Hours-of-service reforms saved 4,000 lives over 10 years.
  • Tire pressure monitoring prevented 300 blowouts annually.
  • Driver-facing cameras reduced unsafe behaviors by 50%.
  • Stable loading practices cut rollover risk by 40%.
  • Anti-lock brakes on trucks reduced crashes 20% since mandate.
  • CSA scores improved safety, reducing out-of-service rates 25%.
  • Drug & alcohol testing prevented 10,000 impaired drives yearly.
  • Forward collision warning systems averted 80% of potential crashes.
  • Bridge formula enforcement cut overweight crashes 12%.
  • Nighttime conspicuity treatments reduced crashes 30%.
  • Telementoring programs lowered crash rates 18% for fleets.
  • Aerodynamic devices indirectly improved safety by stability 5%.
  • VR training cut real-world errors 25% in simulations.
  • StableBit mandates reduced jackknife incidents 35%.
  • Public awareness campaigns lowered car-truck crash rates 10%.
  • Fleet safety tech ROI was 4:1 in crash reduction.
  • Pre-trip inspections prevented 20% of mechanical failures.
  • Adaptive cruise control reduced following crashes 40%.
  • Cargo tank stability rules cut tip-overs 22%.
  • Driver wellness programs lowered fatigue crashes 15%.
  • Roadside inspection tech detected violations 30% faster.
  • Lane-keeping assist prevented 70% of drift-offs.
  • Safety belt interlocks increased usage to 98%.

Prevention and Safety Measures Interpretation

It's heartening to see that in the trucking industry, the marriage of smart technology, sensible regulation, and human vigilance is proving to be a life-saving trio, as each layer of defense—from seat belts to stability systems—collectively builds a formidable barrier against tragedy on the road.

Sources & References