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
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
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
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
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
Sources & References
- Reference 1FMCSAfmcsa.dot.govVisit source
- Reference 2CRASHSTATScrashstats.nhtsa.dot.govVisit source
- Reference 3GHSAghsa.orgVisit source
- Reference 4INJURYFACTSinjuryfacts.nsc.orgVisit source
- Reference 5IIHSiihs.orgVisit source
- Reference 6ATSDRatsdr.cdc.govVisit source
- Reference 7PHMSAphmsa.dot.govVisit source
- Reference 8TRUCKINGtrucking.orgVisit source
- Reference 9TRBtrb.orgVisit source
- Reference 10CDCcdc.govVisit source
- Reference 11NHTSAnhtsa.govVisit source
- Reference 12NCBIncbi.nlm.nih.govVisit source
- Reference 13AAAFOUNDATIONaaafoundation.orgVisit source
- Reference 14ATATRUCKINGatatrucking.orgVisit source
- Reference 15IIIiii.orgVisit source
- Reference 16TTNEWSttnews.comVisit source
- Reference 17RANDrand.orgVisit source
- Reference 18BTSbts.govVisit source
- Reference 19FHWAfhwa.dot.govVisit source
- Reference 20JURYVERDICTRESEARCHjuryverdictresearch.comVisit source
- Reference 21MCKINSEYmckinsey.comVisit source
- Reference 22NASInasi.orgVisit source
- Reference 23ERSers.usda.govVisit source
- Reference 24CBOcbo.govVisit source
- Reference 25AFTERMARKETNEWSaftermarketnews.comVisit source
- Reference 26GAOgao.govVisit source
- Reference 27USCHAMBERuschamber.comVisit source
- Reference 28IBISWORLDibisworld.comVisit source
- Reference 29EQUIPMENTWORLDequipmentworld.comVisit source
- Reference 30STOCKPRstockpr.comVisit source
- Reference 31NETRADYNEnetradyne.comVisit source
- Reference 32CSAcsa.fmcsa.dot.govVisit source
- Reference 33VOLVOTRUCKSvolvotrucks.usVisit source
- Reference 34EPAepa.govVisit source
- Reference 35LYTXlytx.comVisit source






