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Causes of Truck Crash Accidents When a truck crash happens, the driver may be the one to blame, but there are other factors that could contribute to an accident. The most frequent causes are fatigue of the driver or impaired driving, as well as trucks loaded with hazardous cargo. Companies that produce such equipment could be accountable for damage. If you have suffered injuries, you should seek medical treatment as soon as you can. Record evidence of the crash and share information with the other party. Take a copy of the police report. Also