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Causes of Truck Crash Accidents While the driver of the truck is typically at fault for a truck accident however, there are other elements that can cause accidents. Some of the most common causes include driver fatigue impaired driving, driver fatigue, and the truck being loaded with dangerous cargo. Companies that manufacture such equipment could also be held liable for injuries. In any case medical attention must be sought out as soon as you can, and you must see your primary healthcare physician if you've suffered any injuries. You should