Causes of Truck Crash Accidents When a truck accident occurs, the driver may be the one to blame, but there are other elements that could contribute to an accident. Impaired driving, driver fatigue and trucks carrying dangerous cargo are among the most frequently cited reasons for truck crashes. The manufacturers of these equipment can also be held responsible for damages. In any event, medical attention should be sought out as soon as you can, and you should consult your primary care physician in case you have injuries. Document the accident