Middletown, MO truck route planning & crash data
Plan safer truck routes in Middletown: commercial truck and garbage truck crashes in Middletown and Pike County, dangerous roads, seasonality and route safety data for fleets. Patterns use Pike County numbers.
Where fatal truck crashes happened
Risk scorecard
Key findings
Snapshot
Crashes by month
Garbage trucks vs all trucks
11 of 208 truck crashes since 2015.
Deadliest roads
No fatal large-truck crashes with a road name recorded here since 2015.
How Pike County compares with Missouri
Pike County against Missouri and the US, 2015–2025 (years with complete crash reporting). Per-resident rates make big and small places comparable.
Where Pike County stands out
Full comparison
| Measure (2015–2025) | Pike County | Missouri | United States | vs state |
|---|---|---|---|---|
| Crashes per 100k residents / yr | 98.2 | 85.9 | 49.7 | 1.1× the state |
| Deaths per 100 crashes | 4.1 | 2.7 | 3.4 | 1.5× the state |
| Injuries per crash | 0.30 | 0.44 | 0.49 | 32% below the state |
| Garbage-truck share | 5.7% | 2.2% | 2.3% | 2.6× the state |
| On snow, slush or ice | 13.4% | 7.2% | 6.2% | 1.9× the state |
| Morning rush (6–10 am) | 23.2% | 22.8% | 23.7% | same |
| In rain, sleet or snow | 17.5% | 10.7% | 13.8% | 1.6× the state |
| Winter months (Nov–Mar) | 41.2% | 40.7% | 41.9% | same |
| After dark | 22.2% | 24.7% | 24.8% | 10% below the state |
Pike County sits below Missouri on injuries per crash and after dark. It stands out for higher crashes per 100k residents / yr, deaths per 100 crashes and garbage-truck share.
What stands out in Pike County: 1 in 18 crashes involve a garbage truck (11 since 2015), vs 2.2% across Missouri.
Overview
Police reported 208 crashes involving commercial trucks in Pike County since 2015: 70 people were injured and 8 were killed.
In complete reporting years that works out to about one truck crash every 21 days.
Only 0 truck crashes were reported in Middletown since 2015; patterns below come from Pike County as a whole.
When crashes happen
June has the most truck crashes, 12.5% of the yearly total, while August has the fewest (4.3%).
Winter months (Nov–Mar) carry 41.2% of truck crashes, vs 40.7% for Missouri.
The busiest hour is 11 am–12 pm, with 10.1% of truck crashes.
Road surface: 13.4% of truck crashes were on snow, slush or ice (Missouri: 7.2%).
Where crashes happen
NHTSA lists no located fatal large-truck crashes within 10 miles of Middletown since 2015.
Garbage & waste trucks
11 crashes involved a garbage or refuse truck, a 5.3% share (Missouri: 2.2%).
Route planning tips for Middletown fleets
- Plan June schedules with more margin; it is the worst month for truck crashes in Pike County.
- With 13.4% of truck crashes on snow, slush or ice (above Missouri), plan winter equipment checks early.
- Check your own stops for crash hotspots and low bridges with the free Route Planner.
About the data
Crash counts come from the FMCSA crash file (police-reported crashes involving trucks over 10,000 lb); fatal-crash locations come from NHTSA FARS. Text on this page states only what these numbers show.
Truck crashes by year: all trucks vs garbage trucks
Seasonality: when trucks crash in Pike County
By hour of day
Most dangerous roads for trucks
No fatal crashes involving a large truck with a road name were recorded within 10 miles since 2015.
Roads named most in all truck crash reports
| Road | Truck crashes since 2015 (Pike County) |
|---|---|
| US-61 | 96 |
| US-54 | 41 |
| Rt Uu | 9 |
| Bu 61 | 7 |
| Mo 161 | 7 |
| Mo 79 | 6 |
| Rt Ww | 5 |
| Rt Y | 4 |
Middletown at a glance
| Population | 170 |
| Land area | 0.3 sq mi |
| Density | 530 per sq mi |
| Median household income (ZIP 63359) | $75,227 |
| Median home value (ZIP 63359) | $149,585 |
Waste facilities and haulers nearby
Historical data: truck crashes in Pike County since the 1990s
Combines the FMCSA crash file (all reported truck crashes, real coverage from about 1990) with NHTSA FARS (fatal crashes involving a large truck, 1982–2024).
| Decade | Truck crashes / yr | Change | Fatal crashes / yr (FARS) |
|---|---|---|---|
| 1990s | 27 | — | 1.5 |
| 2000s | 11 | -58% | 0.7 |
| 2010s | 15 | +35% | 0.7 |
| 2020s | 16 | +6% | 1.0 |
In the 1990s about 27 truck crashes a year were reported; in the 2020s, about 16. Reporting coverage also changed between these periods. NHTSA counts 0.0 fatal large-truck crashes a year in 2016–19 and 1.0 a year in 2020–24.
Nearby places
Questions fleets ask about Middletown
How many truck accidents are there in Middletown?
Pike County has had 208 reported truck crashes since 2015, injuring 70 people and killing 8.
When do most truck crashes happen in Middletown?
The worst month is June: 12.5% of truck crashes in Pike County happen then.
Are garbage truck crashes common in Middletown?
Since 2015, Pike County has reported 11 garbage-truck crashes, or 5.3% of its truck crashes.
How do truck crashes in Middletown compare with Missouri?
The yearly rate is 98.2 truck crashes per 100,000 residents in Pike County, vs 85.9 for Missouri.
What is the best way to plan truck routes in Middletown?
Use the free Route Planner: enter your stops to get a risk score, safer alternatives and the low bridges on your route.
2026 is a partial year. Updated October 2026.