Causes of Truck Crash Accidents Although the truck driver is usually the primary cause of a truck accident, there are other factors which could lead to an accident. Some of the most common causes are fatigue of the driver, Impaired driving, and a truck loaded with hazardous cargo. Manufacturers of such equipment may also be held responsible for any damages. In any event medical attention must be sought out as soon as possible. You should consult your primary care physician if you have any injuries. Record evidence of the crash and share infor