Key Takeaways
- In 2022, large trucks were involved in 5,887 fatal crashes resulting in 6,221 deaths, accounting for 23.2% of all traffic fatalities despite comprising only 4.1% of registered vehicles
- Truck occupants accounted for 1,796 fatalities in 2022, with 74.4% being drivers, while non-motorists had 210 deaths in large truck crashes
- From 2018-2022, an average of 4,927 people died annually in crashes involving large trucks, a 28% increase from the 2013-2017 average
- Drowsy driving contributed to 13% of fatal large truck crashes between 2018-2022
- Speeding was a factor in 29% of fatal truck crashes in 2021, per NHTSA data
- Driver fatigue caused 16.5% of large truck crashes involving fatalities from 2016-2020
- Truck crashes cost the U.S. economy $91.1 billion in 2019, including medical, property damage, and productivity losses
- Average cost per large truck fatal crash was $4.5 million in 2022 dollars, per AAA estimates
- Property damage from truck crashes averaged $172,276 per incident in 2021
- Truck drivers under 25 years old were involved in 12% of fatal crashes despite being 8% of drivers in 2022
- Male truck drivers accounted for 97% of fatalities in truck crashes from 2018-2022
- Drivers with hours-of-service violations had 3.2 times higher crash risk per FMCSA data 2021
- Electronic logging devices reduced crash rates by 7.3% in fleets adopting them post-2017 mandate
- Automatic emergency braking (AEB) systems prevented 40% of rear-end truck crashes in IIHS tests 2022
- Speed limiters on trucks could reduce crashes by 30% per NHTSA simulation 2023
Despite making up only 4% of vehicles, trucks cause 23% of fatal crashes with alarming and rising fatality rates.
Causes and Risk Factors
- Drowsy driving contributed to 13% of fatal large truck crashes between 2018-2022
- Speeding was a factor in 29% of fatal truck crashes in 2021, per NHTSA data
- Driver fatigue caused 16.5% of large truck crashes involving fatalities from 2016-2020
- Alcohol impairment was present in 4% of truck drivers in fatal crashes in 2022, compared to 25% for passenger vehicle drivers
- Improper lane change accounted for 27% of truck-involved crashes in 2021 FMCSA reports
- Rear-end crashes made up 29.4% of all police-reported large truck crashes in 2021
- Intersection-related crashes comprised 23% of fatal large truck crashes in 2020
- Brake problems were cited in 29% of truck crash inspections from 2019-2023
- Weather conditions contributed to 21% of large truck crashes annually from 2017-2021
- Rollover crashes accounted for 17% of fatal large truck crashes in 2022, often due to high center of gravity
- Drowsy driving contributed to 13% of fatal large truck crashes between 2018-2022
- Speeding was a factor in 29% of fatal truck crashes in 2021, per NHTSA data
- Driver fatigue caused 16.5% of large truck crashes involving fatalities from 2016-2020
- Alcohol impairment was present in 4% of truck drivers in fatal crashes in 2022, compared to 25% for passenger vehicle drivers
- Improper lane change accounted for 27% of truck-involved crashes in 2021 FMCSA reports
- Rear-end crashes made up 29.4% of all police-reported large truck crashes in 2021
- Intersection-related crashes comprised 23% of fatal large truck crashes in 2020
Causes and Risk Factors Interpretation
Driver Demographics and Behaviors
- Truck drivers under 25 years old were involved in 12% of fatal crashes despite being 8% of drivers in 2022
- Male truck drivers accounted for 97% of fatalities in truck crashes from 2018-2022
- Drivers with hours-of-service violations had 3.2 times higher crash risk per FMCSA data 2021
- Distracted driving, including cell phones, factored in 14% of truck crashes in 2022
- 22% of truck drivers in fatal crashes had prior DWI convictions from 2017-2021
- Interstate truck drivers averaged 2.1 violations per 100 inspections in 2023, correlating to higher crash rates
- Drivers over 60 years had 15% lower crash involvement rate than 25-40 age group in 2022
- Seatbelt non-use by truck drivers contributed to 26% of occupant fatalities in 2021
- Aggressive driving behaviors present in 33% of truck-passenger vehicle conflicts per naturalistic study
Driver Demographics and Behaviors Interpretation
Economic Costs
- Truck crashes cost the U.S. economy $91.1 billion in 2019, including medical, property damage, and productivity losses
- Average cost per large truck fatal crash was $4.5 million in 2022 dollars, per AAA estimates
- Property damage from truck crashes averaged $172,276 per incident in 2021
- Lost productivity from truck crash fatalities totaled $37 billion annually from 2016-2020
- Insurance claims for commercial truck accidents averaged $147,000 per crash in 2022
- Total societal cost of truck crashes reached $457 billion from 2010-2019
- Medical costs for truck crash injuries averaged $1.2 million per fatality in 2021
- Cargo spillage from truck crashes costs $5.5 billion yearly in cleanup and delays
Economic Costs Interpretation
Fatalities and Injuries
- In 2022, large trucks were involved in 5,887 fatal crashes resulting in 6,221 deaths, accounting for 23.2% of all traffic fatalities despite comprising only 4.1% of registered vehicles
- Truck occupants accounted for 1,796 fatalities in 2022, with 74.4% being drivers, while non-motorists had 210 deaths in large truck crashes
- From 2018-2022, an average of 4,927 people died annually in crashes involving large trucks, a 28% increase from the 2013-2017 average
- In 2021, there were 72,000 police-reported crashes involving large trucks, injuring 84,000 people nationwide
- Passenger vehicle occupants suffered 86% of all fatalities in large truck-passenger vehicle crashes in 2022, totaling 4,285 deaths
- Between 2000 and 2022, truck-related fatalities increased by 55%, from 4,010 to 6,221 deaths
- In 2020, 4,842 people died in large truck crashes, with a rate of 133 fatalities per million registered large trucks
- Large trucks were involved in 14% of all fatal crashes in 2022 but only 6% of injury crashes
- From 2017-2021, 21,456 fatalities occurred in truck crashes, with 74% in cars and light trucks colliding with heavy trucks
- In rural areas, truck crash fatality rate was 1.9 per 100 million vehicle miles traveled in 2022, versus 1.0 in urban areas
- In 2022, large trucks were involved in 5,887 fatal crashes resulting in 6,221 deaths, accounting for 23.2% of all traffic fatalities despite comprising only 4.1% of registered vehicles
- Truck occupants accounted for 1,796 fatalities in 2022, with 74.4% being drivers, while non-motorists had 210 deaths in large truck crashes
- From 2018-2022, an average of 4,927 people died annually in crashes involving large trucks, a 28% increase from the 2013-2017 average
- In 2021, there were 72,000 police-reported crashes involving large trucks, injuring 84,000 people nationwide
- Passenger vehicle occupants suffered 86% of all fatalities in large truck-passenger vehicle crashes in 2022, totaling 4,285 deaths
- Between 2000 and 2022, truck-related fatalities increased by 55%, from 4,010 to 6,221 deaths
- In 2020, 4,842 people died in large truck crashes, with a rate of 133 fatalities per million registered large trucks
- Large trucks were involved in 14% of all fatal crashes in 2022 but only 6% of injury crashes
- From 2017-2021, 21,456 fatalities occurred in truck crashes, with 74% in cars and light trucks colliding with heavy trucks
- In rural areas, truck crash fatality rate was 1.9 per 100 million vehicle miles traveled in 2022, versus 1.0 in urban areas
Fatalities and Injuries Interpretation
Prevention and Safety Measures
- Electronic logging devices reduced crash rates by 7.3% in fleets adopting them post-2017 mandate
- Automatic emergency braking (AEB) systems prevented 40% of rear-end truck crashes in IIHS tests 2022
- Speed limiters on trucks could reduce crashes by 30% per NHTSA simulation 2023
- Stability control systems lowered rollover risk by 50% in heavy trucks since 2015 mandate
- Enhanced rear underride guards prevented 60% of fatal underrides in crash tests 2021
- Vision systems like cameras reduced lane change crashes by 65% in fleet trials 2022
- Hours-of-service reforms in 2020 decreased fatigue-related crashes by 11%
- Side underride guards mandated in EU reduced fatalities by 25% since 2015, applicable to US
- Driver training programs cut crash rates by 23% in participating carriers 2021-2023
- Alcohol interlocks in high-risk trucks reduced impairment crashes by 70% in pilots
Prevention and Safety Measures Interpretation
Sources & References
- Reference 1NHTSAnhtsa.govVisit source
- Reference 2CDANcdan.nhtsa.govVisit source
- Reference 3FMCSAfmcsa.dot.govVisit source
- Reference 4CRASHSTATScrashstats.nhtsa.dot.govVisit source
- Reference 5IIHSiihs.orgVisit source
- Reference 6TRUCKSAFETYtrucksafety.orgVisit source
- Reference 7WEATHERweather.govVisit source
- Reference 8AAAFOUNDATIONaaafoundation.orgVisit source
- Reference 9NEWSROOMnewsroom.aaa.comVisit source
- Reference 10INJURYFACTSinjuryfacts.nsc.orgVisit source
- Reference 11INSUREONinsureon.comVisit source
- Reference 12TRUCKINGRESEARCHtruckingresearch.orgVisit source
- Reference 13CDCcdc.govVisit source
- Reference 14TTNEWSttnews.comVisit source
- Reference 15DISTRACTIONdistraction.govVisit source
- Reference 16AIai.fmcsa.dot.govVisit source
- Reference 17VIRGINIATECHvirginiatech.govVisit source
- Reference 18ETSCetsc.euVisit source
- Reference 19TTISAFETYttisafety.comVisit source






