Causes of Truck Crash Accidents While the driver of the truck is usually at fault for an accident involving a truck however, there are other elements that could trigger an accident. The most frequent causes include fatigued drivers impaired driving, driver fatigue, and a truck loaded with hazardous cargo. Companies that make such equipment could also be held responsible for damages. In any case medical attention must be sought as quickly as possible. You should see your primary physician in case you have injuries. You should keep a record of