RedactedNarrative: Operator1 was operating his vessel (#1) northwest on Shoal Creek with passenger Subject1 and Operator1 both stated they had left the Lock 6 Boat Ramp and were traveling toward a point to fish near Marina Mar on plane.  
  
  Operator2 and his passenger had launched their vessel (#2) from the boat ramp at Shoal Creek and were heading on plane southeast toward the mouth of Shoal Creek.  Operator2 stated that he saw Operator1''s vessel and was blinded by his white light mounted in the front.  He tried to move toward his right as navigation rules require, but Operator1 was moving toward his left traveling in the opposite direction, which caused him to be traveling toward Vessel #2 on a collision occurred.  Operator2 swerved sharply to his left just before contact was made to avoid the collision, but the vessels still made contact.  The impact caused damage to the starboard side, with the most severe damage near the operator station of Vessel #1.  Vessel #2 had damage to the forward section of the starboard side near the location of the registration numbers displayed on the vessel.  There was also evidence of contact was made with the lower unit of the outboard motor and the propeller of Vessel #2.  
  
  Operator2 circled back to Vessel #1 after the collision and offered aid until Killen Volunteer Fire Department arrived at the scene.  Operator1 was transported to the Shoal Creek Boat Ramp and was evaluated by Shoals Ambulance Service Personnel.  He was then flown to Huntsville Hospital to receive treatment.  Operator1 was showing signs of confusion and possible impairment, and there were 4 unopened bud light 12-ounce beer cans onboard his vessel in a built-in cooler.  Operator1 received trauma to his head in the collision, and that may have been the cause of the impairment.  Subject1 stated that neither he nor Operator1 had consumed alcoholic beverages that day.  
  
  To assist in determining the cause of the impairment, a search warrant was obtained from the Madison County Magistrate to collect blood and urine collected by Huntsville Hospital.  The blood and urine were collected on September 30, 2019 and taken to Alabama Department of Forensic Sciences Hoover Laboratory for analysis that same day.  The ADFS toxicology report for Operator1 is included as an attachment to this report.  No other injuries were reported.  Operator1 was released from Huntsville Hospital on 10/29/2019 and was interviewed on 10/30/2019 at his residence.  He had no memory of the events just prior to the collision, or the events after the collision at the time he was interviewed.  He stated that he had not consumed any alcoholic beverages prior to the collision on 09/28/2019.
  