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Causes of Truck Crash Accidents Although the truck driver is usually at fault for a truck accident however, there are other factors that could trigger an accident. The most frequent causes include driver fatigue impaired driving, driver fatigue, and the truck being loaded with dangerous cargo. Companies that manufacture such equipment may also be held liable for damage. In any case medical attention must be sought as quickly as possible. You should consult your primary care physician if you've suffered any injuries. Keep a record of the crash