Causes of Truck Crash Accidents When a truck crash happens the driver could be at fault, however, there are other elements that could cause an accident. The most frequent causes are fatigue of the driver or impaired driving, as well as the fact that a truck is loaded with hazardous cargo. Companies that manufacture such equipment could also be held accountable for damages. In any case medical attention should be sought as quickly as possible, and you must see your primary healthcare doctor if you suffer injuries. Keep a record of the incident