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Home My WebLink About24-7295 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 3 27c COLLISION REP FIT 1591971 CASE 24-7295 z INTERSTATE ❑ CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3 HIT&RUN CODING COUNTY RD PRIVATE WAY INVOLVED 2❑ TOTAL#OF OBJECT 1 ❑28 TRIBAL UNITS 01 STRUCK OVER EMBANKMENT RESERVATION z 3❑ DArE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# CtLLISION' 07 - 1-- 2024 1827 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ S PUGET DR BLOCK NO. e --- ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ ❑ FEET e S ❑ W e TALBOT RD S 0 1 29 MOTUNIT U1 VEHIOR Z PEDAL-CLE CYCLE ElYESA,G/ENHORESHOLDMET PHONE 30 6� LAST NAME LE FIRSTNAME LAI MIDDLE V 1 2 31 INITIAL STREET ❑, 13008 38TH LN S CITY TUKWILA ST WA 2jp, 98168 z= NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 iNTERLOCKYEs NOZINTERLOCKYEs NO�/ YES �/ NO 8❑ LRIIVER # ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES z❑ USE CLASS MEDICAL,CPR PERFORMED ON SCENE 3 10❑ LI ATNFS# D2307C STATE WA VIN#' 5FYB8YJ03MB075607 IT STATE TRAILER STATE 11 3 5 PLATE# I PLATE# I I FROM TO TRLR. TRLR 7 3 33 12❑ VIN#j VIN# FROM 34 13❑ VEH.YEAR 2O21 MAKE O7H MODEL NFlY STYLE BU VEHICLE TOWEDNOO pLSSBLIN TQ yEq.BLRs yOS❑ENO DAMAGE ILJI tSA1Vi�6 REGISTERED OWNER INFO KING COUNTY TRANSPORTA TIO 12200 E MARGINAL WAY S TUKWILA WA 98168 D:2065533000 VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14❑ LIABILI INSURANCE INSURANCE CO KING COUNTY RISK MANAGEMENT N/A 4 IN EFFECT &POLICY# 9TOP VEHICLE CHARGE 5 36 LEGALLY YES❑NO❑ CITATION# BOTTOM 15❑ STAIN.D'ING 6 UNIT VE IOOR El CYCLE PEDAL- ❑ PEDESTRIAN ❑ OWNER ❑ DYES H OLD MET PHONE 16❑ LAST NAME FIRST NAME MIDDLE INITIAL 17❑ STREET ❑ CITY ST ZIP 4❑ 37 NEW ADDRESS ' 18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED ❑ 38 INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑ 19 LLIICENS # STATE SEX MMDDYY —❑_ 39 ----- NATURE OF INJURIE 20❑ ON DUTY STATUS' AIRBAG RESTR EJECT HELMET S 40 USE CLASS ❑ ❑21❑ LICENSE TATE IN# 41 V 1 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR UIN#. 'IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 L4❑ DAMAGE YES NO YES NO REGISTERED OWNER INFO VEHICLE NO.2 SHADE IN DAMAGED AREA 2 3 4 INAEFFIECTTY NSURANCE❑ &POINSULICY#E CO IGQ VEHICLE ❑ C[:] CITATION# CHARGE LEGALLY YES N`LJ 25 s � e 7B- S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 MIN FLICK 12825 WA0171300 PART A PAGE 01 of C7 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE96879 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7295 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) CARTER DOMINIQUEA (LAST FIRST, ADDRESS&PHONE# D O.B. TUKWILA SEX M MMDDYYYY 08 - 21 - 2011 {� SEAT HELMET NJURY NATURE OF INJURIES PASSENGER L�WITNESS ',UNIT# 1 Pm6 AIRBAG 1 RESTR. 1 EJECT 1 USE 2 CLASS 15 1 TOURNIQUETTE NAME (LAST,FIRST,MIDDLE INITIAL) MITCHELL DARRIAN W ADDRESS&PHONE# D O B 2020 GRANT AVE S APT E201 RENTON WA 98055 SEX' M MMDDvvvv 08 _ 20 _ 1965 SEAT HELMET INJURY OULDER ANNATURE OF INJURIES PASSENGER �WITNESSR UNIT# 1 POS. 9 AIRBAG'1 RESTR. 1 EJECT 1 USE 2 CLASS 6 SHD BACK PAIN NAME (LAST FIRST,MIDDLE INITIAL) NEANG GEORGEEO R AooREss&PHONE# RENTON M I. 02 22 _ 2011 SEX. MDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 6 AIRBAG 1 RESTR. 1 EJECT 1 HELMET 2 NJURY 6 NATURE OF INJURIES POS. USE GLASS MINOR CUT NARRATIVE' Please see subsequent narrative pages I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. BENJAMIN FLICK 07-12-24 09:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 1 711712024 7:42:32 PM BADGE OR ID# 12825 OR]# WA0171300 TIME POLICE DISPATCHED; 6:29 Pry] TIME POLICE ARRIVED 6:31 PM PART I PAGE IT]OF 7� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE96879 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7295 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) LANDLOIS-HERNDON OLIVER E (LAST FIRST, ADDRESS&PHONE# RENTON 2062935029 SEX M MMDOYyvv 12 - 25 - 2010 {� SEAT HELMET INJURY NATURE OF INJURIES PASSENGER ZWITNESS UNIT# 1 POS 4 AIRBAG 1 RESTR. 1 EJECT 1 USE 2 CLASS 6 BLEEDING MODTH NAME (LAST,FIRST,MIDDLE INITIAL) BAILEY TYLER J ADDRESS&PHONE# D O B RENTON SEX M MMoouvvv 03 _ 11 _ 2011 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER Z WITNESS o UNIT# 1 POS. 4 AIRBAG'1 RESTR. 1 EJECT 1 USE 2 CLASS 6 KNEE ABRAS/ON NAME (LAST FIRST,MIDDLE INITIAL) HUANG XANXIONG AooREss&PHONE# 1500 S 18TH ST APT P101 RENTON WA 98055 M 10 21 _ 1965 SEX. D.O.B. _ MMDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 1 9 AIRBAG 1 RESTR. 1 EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES ❑ POS. USE CLASS NARRATIVE' Please see subsequent narrative pages I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. BENJAMIN FLICK 07-12-24 09:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 1 711712024 7:42:32 PM BADGE OR ID# 12825 OR]# WA0171300 TIME POLICE DISPATCHED; 6:29 Pry] TIME POLICE ARRIVED 6:31 PM PART I PAGE 3�OF 7� STATE OF POLICETRAFFICN CORRECTION REPORT NO. EE96879 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7295 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) ROBERSON KEYATTA (LAST FIRST, ADDRESS&PHONE# D O.B. 12210 SE PETROVITSKY RD B310 RENTON WA 98058 2066122488 SEX F MMDDYyYv 09 - 19 - 1991 PASSENGER WITNESS UNIT# SEAT AIRBAG I RESTR. EJECT POS. HELMET INJURY NATURE OF INJURIES �, POS. USE CLASS NAME (LAST,FIRST,MIDDLE INITIAL) ADDRESS&PHONE# D O B SEX: MMDDYYYV PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES POS. USE CLASS NAME (LAST FIR57 MIDDLE INITIAL) AppRESS&PHONE# SEX D.O.B. MMDDYYYY. - PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES ❑ ❑ POS. USE CLASS ----� NARRATIVE' Please see subsequent narrative pages I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. BENJAMIN FLICK 07-12-24 09:08 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE J.TRADER 4553 1 711712024 7:42:32 PM BADGE OR ID# 12825 OR]# WA0171300 TIME POLICE DISPATCHED; 6:29 Pry] TIME POLICE ARRIVED 6:31 PM PART I PAGE 4�OF 7� REPORT NO. EE96879 CASE# 24-7295 OF COLLISION 07/12/24 18:27 OF CbLLI510N NARRATIVE On 07-12-2024 at approximately 1829 hours I was dispatched to a collision in the city of Renton, King County, Washington. The collision location was at the intersection of S Puget DR and Talbot RD S. Upon arrival I observed a King County Metro Bus had driven and crashed into a ravine on the south side of S Puget Dr, just east of the intersection of Talbot RD S. Based on what a witness and passengers stated (see listed witness and passengers on previous Sector pages), the metro bus driver had had the bus facing southbound in the furthest west lane that proceeds straight on Talbot RD S. Then, rather that going straight, the driver veered of course to the east and drove into the ravine on the southeast corner of the intersection. The driver was unconscious with no pulse upon police arrival. CPR was started and a shock was delivered via Automated External Defibrillator. No obvious injuries were observed on the driver. It appeared as though the driver had suffered a medical event and cardiac arrest while driving, which was the proximate cause of the collision. The driver on which CPR was performed was transported via South County Medic One to a hospital. See previous pages of the Sector report for information on passengers and their injuries. I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. Electronically signed by B. Flick 12825 on 07-12-2024 in Renton, WA. PAGE 5 OF 7 SUPPLEMENTAL REPORT NO. EE96879 r`) POLICE TRAFFIC 1 27 COLLISION REPORT CASE# 24-7295 1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G UNIT'# 1 USDOT ICC# ' VEHICLE TYPE 1 CARGO 6ODY 1 ;TYPE 2 ❑ 1 28 CARRIER KING COUNTY METRO NAME 3 CARRIER ADDRESS 12200 E MARGINAL WAYS CITY TUKWILA ST WA ZIP'', 98168 4 ❑ NAME # PLACARD: :❑ NAME IF NO NUMBER SOURCE 1 AXLES 02 GI36000 + 4a ❑ ADDITIONAL UNITS MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE 5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO i MIDDLE'... 29 LAST NAME FIRST NAME INITIAL STREET 30 NFW AnnRFrtP. CITY ST ZIP 6 g CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 31 INTERLOCK YES No zERLOCK YES E]NO� vES N LLIICIENSE STATE I SEX M��DYRYY' 2 7 F-1 ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES USE CLASS 8 ❑ ' 1 32 LICENSE+ rar VIN.# PLATE# 9 TRAILER TRAILER PLATE# STATE PLATE# STATE 10 ❑ TRLR TRLR VIN.#. VIN.#. 11 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TOWS E T SABLIN TOWED BY anvi vEHIG P FROM TO DAMAGE YES NO YES NO REGISTERED OWNER INFO. m 33 12 SHADE IN DAMAGED AREA FROM TO LIABILITY INSURANCE❑ INSURANCE CO IN EFFECT &POLICY# tGQ VEHICLE 34 13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE STANDING S} 8 7 6 14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER YES AGE NOHRESHOLD MET PHONE El 35 PEDESTRIAN 15 LAST NAME FIRST NAME MIDDLE': INITIAL36 STREETIAL ❑ 16 NFln+AnnRFs.� CITY'. ST SIP CDL IGNITION REQUIRED IGNITtGN PRESENT MEDICALTANSPORTED INTERLOCK YES No INTERLOCK YEs NO YEs NO El 17 37 LICENSE# STATE SEX MMDDDYBYY 18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38 USE (CLASS 19 ❑ vIN# 39 LICENSE PLATE# rnr 20 ❑ TRAILER TRAILER ❑ 40 PLATE# STATE PLATE# STATE 21 ❑ TRLR TRLR 41 VIN# YIN#i 42 22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE DAMAGE YES NO YES NO 23 REGISTERED OWNER INFO SHADE IN DAMAGED 3 4 4 AREA F 43 z LIABILITY INSURANCE INSURANCE CO ' VE EFFECT &POLICY# i 970P - 4 E:l 44 24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM C=DLv STANDING 8 7 6 1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. BENJAMIN FLICK 07-12-24 09:08 PM 25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED 26 � OR ID# 12825 O#I',WA0171300 AP TRADER 7/117/2024 PAGE�OF 7 3000-345-013(R 11118) REPORT NO. EE96879 CASE# ' 24-7295 DATE AND TIME 07/12/24 18:27 OF COLLISION t k �SS PAGE 7 OF 7