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Causes of Truck Crash Accidents When a truck accident occurs, the driver may be at fault, however, there are other factors that can cause an accident. The most frequent causes are fatigue of the driver, Impaired driving, and the fact that a truck is loaded with hazardous cargo. Manufacturers of such equipment could also be held responsible for damages. In any case, medical attention should be sought out as soon as possible, and you should see your primary care physician if you've suffered any injuries. Keep a record of the crash and exchange