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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 C ,_5. 2.. .. CD PAGE 5 OF 5