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What Causes Trucking Accidents? Trucks are only a small percentage of the vehicles that travel on the roads but they can cause serious injuries or even death. Accidents involving large trucks can happen when drivers are distracted or fail to watch their blind spots. Accidents involving trucks can also be the result of driver fatigue. They work long hours with no rest breaks in order to fulfill their targets. Driver Error Trucking accidents are caused by driver error, which is a serious issue. Driver errors can be caused by a number of causes.