HomeMy WebLinkAbout23-8786 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 23-8786 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AGENCI 4Y00 3
HIT 8 RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 2$
5
RESERVATION 1
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 08 - 01 - 2023 1947 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RENTON AVE S BLOCK NO. e✓ p ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e RAINIER AVE S
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2068412165 0 11
30
6� LAST NAME BAILEY FIRSTNAME CHRISTOPHER MIDDLE S 1 1 2 31
INITIAL
STREET ❑ 10204 47TH AVE SW CITY LAKEWOOD ST WA 21p 984993811 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET U E 2 1 CLASS NATURE OF INJURIES 2❑
3
LICENSE C0430C STATE GOV VN# 5FYH8Y000HC052212
10 9❑ Pr ATE 1e
TRAILER STATE TRAILER STATE
11 1 5 PLATE# PLATE# FROM TO
TRLR. TRLR 3 7 33
12 1 5 VIN#' VIN#
>; FROM TO
VEH.YEAR 2017 MAKE MODEL STYLE VEHICLE TOWED TO BLIN 3 7 TOWED BY GOVT.VEHICLE 34
13 4 NEW EXCELS BU DAMAGE YES NO YESZ NO
REGISTERED OWNER INFO KING DEPARTMENTOF TRANSPORT5004THAVE RM 620 SEATTLE WA 98104 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO METRO SELF INSURED N/A 3 4
IN EFFECT &POLICY# 9TOP
VE—L' CHARGE 1 5 36
LECALLv YES❑NO❑ CITATION# 1 o BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES NO ,/ D:4252279537
16 a
LAST NAME LITTLE FIRST NAME MICHAEL MIDDLE R
INITIAL
17 STREET❑ NEW ADOREss❑' 261 MAPLE AVE NW CITY RENTON ST WA ZIP 980575133 4❑ 37
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL t-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK Y�EsI I I NOF YES
t l NO�
19 DRIVER'S STATE WA SEX M D.C... 02 _ 17 1978 39
LICENSE# MMDDYY
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑ILICENSE 21❑ PLATE# 804YRC TATE 41
WA VIN# 1FMZU34XOWZC24437 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
VEH YEAR 1998 MAKE FORD MODEL EXPLORE STYLE UT VEHICLE TOWED TO BLIN TOWED BY GOV HI �44
L4❑ DAMAGE YESfj
NO,/ YES NO
REGISTERED OWNER INFO MICHAEL LITTLE 261 MAPLE AVE NW RENTON WA 98057 VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE INSU8 PORGY#E CO GEIC04112-08-49-51IN 1 9TOP 5
—e E ES❑ N J
,J� CITATION# CHARGE U
BOTTOM
LEGALLY Y
25 ' a
7MICAELA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 CASTAIN 7 12573 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED86645
COLLISION REPORT III III III III III 111
1591972 CASE# 23-8786
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.
MICAELA CASTAIN 08-01-23 10:10 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 8/6/2023 4:17.37 AM
BADGE OR ID# 12573 OR]# WA0171300 TIME POLICE DISPATCHED! 7:47 PM TIME POLICE ARRIVED',7:47 PM
PART I PAGE IT]OF
TIME
REPORT NO. ED86645 CASE# 23-8786 OF COLLISION08/01/23 19:47
NARRATIVE
Unit 1: 2017 Nfly Metro Bus (WA/C0430C); Christopher Bailey (DOB 04/05/1972)
Unit 2: 1998 Ford Explorer (WA/804YRC); Michael Little (DOB 02/17/1978)
On 08-01-2023 at approximately 1947 hours I was dispatched to a collision that occurred at the
intersection of Renton Ave S and Rainer Ave S, in the City of Renton, King County, WA.
Upon arrival, I contacted both parties and both confirmed there were no injuries. There were no
injuries to occupants on the Metro bus. Both parties had conflicting statements on how the collision
occurred.
The Nfly Metro bus was in lane 1, stopped at Hardie Ave SW, pointing westbound on Renton Ave S.
The Explorer was parked in front of the bus.
Little advised that he was traveling westbound through the intersection in lane 1. Once Little was on
the west side of the intersection traveling onto Renton Ave S, Bailey attempted to merge from lane 2
into lane 1. Little advised Bailey collided into Little while trying to merge into his lane. Bailey
continued after the collision and got in front of Little. Bailey stopped at the bus stop and continued to
travel westbound after the stop. Little drove and parked in front of Bailey at Hardie Ave SW, to
attempt to stop Bailey. There are small scratches on the driver side front bumper.
Bailey advised he was traveling westbound through the intersection in lane 2. Once Bailey was on the
west side of the intersection traveling onto Renton Ave S, he attempted to merge into lane 1. Bailey
advised that Little sped up to attempt to get in front of the bus. Bailey succeeding and changing lanes
and made his stop on Renton Ave S. Bailey was unaware that there was contact made to Little's
vehicle while changing lanes.
I provided both parties with an exchange of information sheet.
Based off the statements made by both parties, I was unable to determine proximate cause.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. Castain #12573 8/1/2023 Renton, King County, WA.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. ED86645
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 23-8786
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G
UNIT'# 1 USDOT ICC# ' VEHICLE TYPE 1 CARGO 6ODY 1
;TYPE
2 ❑ 1 28
CARRIER NLFY
NAME
3 CARRIER
ADDRESS 12200 E MARGINAL WAYS
CITY TUKWILA ST WA ZIP'', 98168
4 ❑ NAME # PLACARD: :❑
NAME IF NO NUMBER
SOURCE 1 AXLES 04 GI40000 +
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
NEW AnnRFrtP. CITY ST ZIP
6 �
CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No zERLOCK YES❑N0� 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 MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO
DAMAG EE 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 NEn+AnnRFs.�' CITY'. ST ZIP
CDL IGNITION REDUIREE7 IGNITION 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 TOWED 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
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MICAELA CASTAIN 08-01-23 10:10 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED
/26 � BADGE O#I'WA0171300 LD 6/2 PAGE FOFOI
3000-345-013(R 11118)
REPORT NO. ED86645 CASE# ' 23-8786 DATE AND TIME 08/01/23 19:47
OF COLLISION
Renton Ave S
_ A al
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,_5. 2..
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PAGE 5 OF 5