HomeMy WebLinkAbout23-10256 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
CASE 23-10256 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AGENCI 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 28
0 5
RESERVATION
TRIBAL UNITS 02 STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 09 - 1-- 2023 1445 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
MAIN AVE S BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ VV e S.3RD ST
0 1 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2062266464 0 4 30
6� LAST NAME MCKINNEY FIRSTNAME AURORA MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 619 MORRIS AVE S CITY RENTON ST WA Zlp 98057 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ PI aT�Sft ACA1811 sTArI WA vIN#' JHMGE8H42AS016839
TRAILER STATE TRAILED STATE
11 2 5 PLATE# PLATE# FROM TO
FTRL-R TPILF1 1 5 33
12 2 5 VIN#j VIN#'
FROM TO
VEH.YEAR 2010 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 1 34
13 4 HOND FIT HB DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
4 INSURANCE CO 4
14 IN EFFECT INSURANCE ALLSTATE 807125004
IN EFFECT &POLICY# 9TOP
VEwcLE CHARGE 10 BOTTOM 5 36
LEGALLY res❑NO❑ CITATION# 4
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4252769500
16 a
LAST NAME JACKSON FIRST NAME KRAIG IN DOLE A
IN MIDDLE
17❑ STREET ❑', 211 MILLAVES CITY' RENTON ST WA ZIP 98057 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YEs t l NOF,/
19[—] LICENSE# STATE WA SEX M M .C... O6 _ 22 _ 1981 El 39
WELMET {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE 2 CLASS 1 ❑
21❑ LICENSE I C0412C TArE GOV vlNf 4EN6AAA83H1000954
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2017 MAKE SPEC MODEL 11 STYLE F7' VEHICLE TOWED TO BLIN TOWEDeY GOV HI 44
L4❑ DAMAGE YES NO,/ YES NO
REGISTERED OWNER INFO FIRE AUTHORITY RENTON REGIONAL 18002108TH AVE SE RENTON WA 98055 D:4252769500 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU POLICY#E CO SELF INSURED N/AIN 0( STOP 5
"'LE ❑ ,.I— CITATION# CHARGE i o BOTTOM
LEGALLY YES N`LJ
25 ' a
=WARD
AME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26 11528 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED96074
COLLISION REPORT III III III III III 111
1591972 CASE# 23-10256
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R 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.
S.WOODWARD 09-05-23 05:17 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
S.WOODWARD 11528 9/5/2023 5:18:29 PM
BADGE OR ID# 11528 OR]4f WA0171300 TIME POLICE DISPATCHED 3:16 PM TIME POLICE ARRIVED',3:16 PM
PART I PAGE IT]OF 4�
REPORT NO. ED96074 CASE# 23-10256 OF COLLISION
09/05/23 14:45
OF CbLLI510N
NARRATIVE
All addresses listed herein, unless otherwise noted, are within the limits of the city of Renton King
County WA. This report is a summation of events that occurred and is not an exact sequence of
events.
On 09-05-23, at approx. 1451 hrs, while I was on the scene of an active fire which was located at a
building on the northeast corner of S. 3rd St/Main Ave S., I was notified of a collision that had
occurred a few minutes before.
An involved party, later photo identified through her WADL as Aurora E. McKinney (04-13-78), called
in to report she had been in a collision with a firetruck. The firetruck was going to the above-
mentioned fire. She continued on and parked down the street to wait for police.
After the fire was out, I contacted the driver of the firetruck on scene, photo identified through his
WADL as Kraig A. J. Jackson (06-22-81). He identified his firetruck as an engine from Fire Station 11,
bearing WALP C0412C, a 2017 Emon Firetruck. I observed damage on the front bumper, with a light
hanging down and several others ajar. Jackson was not injured. He gave me the following statement:
He was driving east on S. 3rd St, in the #2 lane. He had his emergency lights activated but not his
siren. The light was red for east bound traffic. He came up beside a King County Metro bus that was
in the #1 lane. The bus was blocking the view of south bound traffic so he slowed and began nosing
out into the intersection. As soon as he got out into view, an oncoming car came through the
intersection and struck the front of the firetruck. He continued on to fight the fire after the collision.
After finishing with Jackson and taking photos of the firetruck, I responded to the area of Wells Ave
S./Houser Way S. to contact McKinney. She was out of the car talking with several other people by
that point. No medical attention was requested. She provided the necessary paperwork to me and
gave me the following statement:
McKinney was southbound in her car, a black 2010 Honda Fit with WALP ACA1811, on Main Ave S.
in the far-right lane closest to the buildings. She had a solid green light at S. 3rd Ave/Main Ave S. As
she approached the intersection, she saw a King County Metro bus nosing out into the crosswalk, at
a slight angle. She slowed, unsure of what the bus was doing, but continued through the intersection.
As she came by and past the bus, a fire truck was coming out at the same time. It had its emergency
lights on but no siren. She saw it too late and was unable to stop in time to avoid it. The passenger
side of her car was struck by the front bumper of the firetruck, causing moderate damage to the car.
She continued on after the collision away from the fire to wait for police, calling 911 to report the
accident.
I took photos of her car, later uploaded with the others to evidence.com. I provided my business card
with the case number to both drivers.
I did not issue any citations to either driver. Aurora McKinney was listed as Driver 1 solely and totally
on the basis of her name being alphabetically first.
This report is for insurance purposes only. Nothing further.
PAGE 3 OF 4
REPORT NO. ED96074 CASE# ' 23-10256 DATE AND TIME 09/05/23 14:45
OF COLLISION
S.3rd 5t.
------------------------
<puu
Houser Way
i
Main Ave.S
PAGE 4 OF 4