Causes of Truck Crash Accidents Although the truck driver is usually at fault for the truck crash, there are other factors that could trigger an accident. Impaired driving, driver fatigue and trucks that carry dangerous cargo are some of the most frequently cited causes of truck crashes. Manufacturers of such equipment could also be held responsible for damages. In any case medical attention should be sought out as soon as you can, and you should see your primary care physician in case you have injuries. You should keep a log of the incident