Firm Logo
Free Consultation: 215-486-0123

The Deadliest U.S. Counties for Large Truck-Related Fatalities

In 2023, there were over 5 million car accidents in the United States that resulted in injuries. Of those, nearly 45,000 people lost their lives. All vehicle accidents are tragic, but crashes involving large trucks stand out for their severity and the devastation they cause. Because of their size and design, fatal crashes involving trucks can be far more dangerous, extensive, and deadly.

While no highway in the U.S. is unknown to the trucking industry, these crashes are, unfortunately, more frequent in some areas than others. MTV Law is analyzing U.S. counties with the highest rates of large truck-related fatalities to see how Pennsylvania compares.

An Overview of Truck-Involved Fatal Accidents

Fatal truck accidents refer to collisions in which a large truck is involved and at least one life is lost. These crashes are distinct from those involving only passenger vehicles because the force of impact is so much greater. A tractor-trailer can weigh 20 to 30 times more than a car, meaning that even at lower speeds, the outcome is often devastating, especially for victims in small cars. Additionally, trucks and other tall vehicles have a much higher center of gravity, which means they can roll over much more easily than an average sedan or SUV. Because they’re much taller than most vehicles, smaller cars and motorcycles can be run over by semi-trucks in some incidents.

For these reasons, semi-truck accidents are 12% more likely to result in fatality than an accident involving a standard vehicle. In fact, in 2023, 114,552 trucks were involved in car crashes, resulting in over 5,000 deaths. Additionally, semi-trucks account for 9% of all vehicles involved in car crashes. Unfortunately, despite these figures, the number of these accidents has increased over the past decade.

With many different factors involved on the road, it makes sense that there is no single cause of trucking accidents. For example, long hours can cause driver fatigue, while distractions like phones or even the truck’s own operating system divert attention from the road. Additionally, driver errors such as unsafe speeds, improper lane changes, and poor truck maintenance all increase risks. Finally, weather conditions and road layout also play a role, with ice, rain, and steep terrain creating additional hazards.

In short, fatal truck accidents represent a pressing public safety issue. They reflect a combination of human behavior, infrastructure challenges, and systemic pressures in the trucking industry that continue to put lives at risk.

Pennsylvania’s Record on Trucking Accidents

Pennsylvania’s highways connect the Northeast to the Midwest, making it a central passage for freight. While large metro counties like Philadelphia and Allegheny show relatively low rates of truck-involved fatal crashes per capita, rural counties in the state reveal a very different reality.

Fulton County, with just over 14,000 residents, has Pennsylvania’s highest rate of fatal truck accidents, with more than 41 deadly truck crashes per 100,000 residents. Union, Clearfield, and Wyoming Counties also face alarmingly high numbers. These counties are not centers of shipping in the same way that Texas or California counties are, but their rural road networks and limited infrastructure pose serious dangers. Long stretches of highway with limited enforcement resources often lead to higher speeds and increased driver fatigue, which in turn heightens the severity of crashes.

Pennsylvania enforces strict weight limits and requires regular inspections of large trucks. These laws have contributed to reducing risks in urban areas, where monitoring is simpler, as counties like Sullivan, Delaware, and Montgomery report the lowest rates of fatal truck accidents. However, the state still struggles in rural areas, where there is less enforcement.

The contrast between Pennsylvania’s rural and urban counties reflects national trends. Smaller counties with fewer residents can see their rates rise rapidly due to just a few tragic incidents. For instance, Cameron County reported only one fatal truck accident; however, due to its small population, the per capita rate placed it among the highest in the state.

At the state level, California, Texas, and Florida rank highest in both large and small counties. In large counties, Kern County, California, reports over 15 fatal crashes involving trucks per 100,000 residents, while Dallas and Montgomery counties in Texas also rank high. For small counties, Midland County, Texas, has an alarming rate of more than 38 fatal trucking accidents per 100,000 residents.

The reason these states appear so often is partly tied to their roles in commerce. California and Texas have multiple ports that connect the United States to international markets, which necessitate a constant flow of tractor-trailers through the surrounding regions. Florida faces a similar challenge, as its highways carry heavy shipping traffic from coastal cities deep into the state.

Counties like Weld County, Colorado, and Coconino County, Arizona, rank high due to their unique terrain and weather conditions. Mountain passes and sharp turns can put both truck drivers and motorists at risk.

What to Do About Large Truck Accidents

Large trucks will remain a vital part of the economy for the foreseeable future, but the human toll of truck-involved fatal accidents must not be overlooked. States, including Pennsylvania, that face higher fatalities must take steps to improve safety. Truck accidents bring devastating consequences, and the counties most affected often face challenges beyond their control. For families who have lost loved ones in fatal crashes involving a truck, the impact is permanent. 

Van der Veen, Hartshorn, Levin & Lindheim are committed to supporting victims of trucking accidents and their families. If you or someone you love has been injured in a semi-truck accident, you do not have to face the aftermath alone. Contact our firm today to learn how we can advocate for your rights and assist you in obtaining the compensation you’re entitled to.

Counties With the Highest Rates of Fatal Truck Accidents in the U.S.

The results were categorized into large and small counties. Half of the U.S. population resides in “large” counties, which have populations of 500,000 or more. The other half lives in the remaining “small” counties, which have populations under 500,000. Counties with populations under 100,000 were excluded from the analysis because a single fatal truck accident could significantly skew the per capita results due to their smaller populations.

In the case of a tied rate, the county with the higher number of fatal accidents involving large trucks took precedence in the ranking.

Large Counties With the Most Fatal Accidents Involving Large Trucks, per Capita

Population Size: 500,000+

CountyFatal Accidents Involving Large Trucks (2019–2023)Total Fatal Accidents (2019–2023)Fatal Accidents Involving Large Trucks per 100k People
1Kern County, CA14188915.39
2Polk County, FL10067412.70
3San Joaquin County, CA8959711.22
4San Bernardino County, CA2141,7819.76
5Shelby County, TN8710629.49
6Fresno County, CA957739.36
7Stanislaus County, CA514049.25
8Bernalillo County, NM555528.18
9Davidson County, TN575868.05
10Jefferson County, AL514847.66
11Hillsborough County, FL1151,0857.60
12Jefferson County, KY575757.37
13Lancaster County, PA412567.37
14Fulton County, GA776527.17
15Greenville County, SC393997.12
16Travis County, TX947007.09
17Volusia County, FL416157.08
18Dallas County, TX18115246.96
19Adams County, CO363056.82
20Montgomery County, TX462906.78
21New Castle County, DE393066.78
22Marion County, IN656436.70
23Lee County, FL545366.57
24Oklahoma County, OK524436.48
25Pasco County, FL394816.41

Small Counties With the Most Fatal Accidents Involving Large Trucks, per Capita

CountyFatal Accidents Involving Large Trucks (2019–2023)Total Fatal Accidents (2019–2023)Fatal Accidents Involving Large Trucks per 100k People
1Midland County, TX6620138.37
2Ector County, TX4621128.59
3Coconino County, AZ4122428.46
4Liberty County, TX2911328.43
5Hunt County, TX2912926.78
6Highlands County, FL2812926.51
7Mohave County, AZ5328224.00
8Yavapai County, AZ5524722.34
9Etowah County, AL238422.31
10Robeson County, NC2626622.29
11Navajo County, AZ2316021.17
12Grant County, WA219620.73
13Weld County, CO7023119.99
14Bartow County, GA2212719.50
15Cochise County, AZ2411719.10
16Moore County, NC208318.95
17Kings County, CA2812318.30
18Florence County, SC2516018.29
19Tangipahoa Parish, LA2414317.51
20Sumter County, FL2512217.24
21Cecil County, MD189017.15
22LaPorte County, IN198317.01
23Ellis County, TX3615816.97
24Bastrop County, TX1812416.95
25Linn County, OR2211816.86

While the first set of rankings highlights where the total impact of truck-related deaths is greatest, the next focuses on measuring counties where the highest percentage of fatal accidents involving large trucks is found.

Counties with the highest number of fatal truck crashes per capita indicate where these tragedies occur most frequently compared to the population. Those with the highest percentages reveal where truck crashes account for an unusually large share of all deadly accidents, even if their overall numbers are smaller, and regardless of their population size. The next set of rankings is important because they help identify where large trucks pose a disproportionate danger.

Large Counties With the Highest Percentage of Fatal Accidents That Are Large Truck-Related

CountyFatal Accidents Involving Large Trucks (2019–2023)Total Fatal Accidents (2019–2023)Percentage of Total Fatal Accidents Involving Large Trucks
1Bronx County, NY4321819.72%
2Williamson County, TX4222618.58%
3Lake County, IL4122718.06%
4Kings County, NY6134017.94%
5NY County, NY3017417.24%
6Utah County, UT2615516.77%
7Chester County, PA2414716.33%
8Johnson County, KS2012416.13%
9Lancaster County, PA4125616.02%
10Montgomery County, TX4629015.86%

Small Counties With the Highest Percentage of Fatal Accidents That Are Large Truck-Related

CountyFatal Accidents Involving Large Trucks
(2019–2023)
Total Fatal Accidents (2019–2023)Percentage of Total Fatal Accidents Involving Large Trucks
1Johnson County, IA123336.36%
2Centre County, PA185433.33%
3Midland County, TX6620132.84%
4Porter County, IN268032.50%
5Dallas County, IA123732.43%
6Weld County, CO7023130.30%
7Hunterdon County, NJ103528.57%
8Rockwall County, TX103627.78%
9Etowah County, AL238427.38%
10Gallatin County, MT124427.27%

Now, let’s take a look at the deadliest counties for large truck-related accidents in the state of Pennsylvania. The law firm of van der Veen, Hartshorn, Levin & Linheim specializes in representing victims of truck accidents in Philadelphia County, Montgomery County, Chester County, Delaware County, and throughout southeastern Pennsylvania.

The Deadliest Pennsylvania Counties for Large Truck-Related Fatalities

The 15 Pennsylvania Counties With the Most Fatal Accidents Involving Large Trucks, per Capita

Pennsylvania CountyFatal Accidents Involving Large Trucks (2019–2023)Total Fatal Accidents (2019–2023)Fatal Accidents Involving Large Trucks per 100k People
1Fulton County62241.29
2Union County102323.40
3Clearfield County186023.11
4Wyoming County61923.06
5Jefferson County102822.83
6Cameron County1522.63
7Clinton County83421.09
8Snyder County82520.18
9Somerset County135517.88
10Bedford County84016.87
11Huntingdon County73816.17
12Schuylkill County2310216.07
13Venango County83816.07
14Susquehanna County64315.76
15Forest County1515.09

The 15 Pennsylvania Counties With the Fewest Fatal Accidents Involving Large Trucks, per Capita

Pennsylvania CountyFatal Accidents Involving Large Trucks (2019–2023)Total Fatal Accidents (2019–2023)Fatal Accidents Involving Large Trucks per 100k People
1Sullivan County020.00
2Delaware County81311.39
3Philadelphia County246291.53
4Montgomery County152011.73
5Wayne County1431.95
6McKean County1282.51
7Bucks County172382.64
8Allegheny County363402.92
9Erie County81152.99
10Northampton County11873.45
11Cambria County5513.80
12Beaver County7574.23
13Perry County2314.34
14Chester County241474.40
15Armstrong County3434.63

Source

NHSTA’s Fatality and Injury Reporting System Tool (FIRST) https://cdan.dot.gov/query

Notable Case Results

Always Pursuing the Best Possible Outcome

$1 Million

Assault Injury

$10 Million

Tractor-Trailer Accident

See More Results

In the Media

Throughout the years, our firm and our individual attorneys have been recognized in both local and national media for our extensive legal knowledge, experience, and record of success. Our attorneys frequently appear in the media to provide insights and information on various legal matters, including high-profile cases.

    CNN
    FOX
    The NYT
    ABC News
    CBS

Pillar of Strength for Our Clients

  • Unrivaled Record of SuccessWe have won tens of millions of dollars for injured victims, and have achieved countless "not guilty" verdicts for clients faced with criminal charges.
  • No Challenge Too BigOur firm has handled some of the biggest cases in the country, including representing the President of the United States.
  • Personalized RepresentationWe understand that every case is unique. Therefore, we tailor our approach based on the facts of the case and the needs of our clients.
  • Uncompromising PassionOur competitive nature is one of our strongest qualities. You can be confident that no other firm will outwork our team.
  • Holistic ApproachNot only do we want to excel legally for the client, but we also want to make sure we are strengthening their mind, body and spirit.
  • Supporting the CommunityOur team engages in many community events and regularly donates time and resources to many charitable organizations in Philadelphia.

Talk to Our Experienced Team

Home to Philadelphia’s most accomplished attorneys, van der Veen, Hartshorn, Levin & Lindheim pairs diverse practice experience with a passion-driven, comprehensive law practice—all for the client’s benefit.

Contact Us