Many of the most serious accidents (fatalities and disabling injuries) are associated with issues concerning the roadway. Some of the commonly tracked categories include:
Left the Roadway
Hit at Angle
Going Same Direction
Going Opposite Directions
These categories can apply to many different situations and not all accidents tallied in each category could be said to be associated with inadequacies of the roadway. Nevertheless, the overall scale of such circumstances in the total picture of fatal and disabling accidents, as well as the significance of the categories in relation to each other, is important.
Roadway Circumstances and Conditions Associated
with Fatal and Disabling Injury Collisions
Washington State: 2002

There is significant inconsistency from circumstance to circumstance in the division between urban and rural aspects of the problem. “Leaving the roadway” and “head-on collision” crashes are more likely to happen in rural areas than urban. The opposite is true for “hit at angle” or “rear-end” crashes. Accidents involving pedestrians and bicyclists are more likely in urban areas.