HomeMy WebLinkAbout23-8818 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 23-8818 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENC 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cowsloN 08 - 1-- 2023 1552 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ �.❑ FEET e S ❑ W e POWELL AVE SW
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2063351098 30
6� LAST NAME SINGH FIRSTNAME PRITPAL MIDDLE 1 1 2 31
INITIAL
STREET ❑ 9421 S 202ND ST CITY KENT ST WA 2jp, 980311421 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R No
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USEET 2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ P1 ATNES# BDG9255 sTAr WAv N# JTDKN3DU1E0375265
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. A'RLR 1 7 33
12❑ VIN#j VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 $ 34
13❑2 2014 TOYT PRIUS DAMAGE YES NO ✓ YES[:] NO✓
REGISTERED OWNER INFO YELLOW CAB#872 9421 S 202ND ST KENT WA 98031 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILI INSURANCE INSURANCE CO PROGRESSIVE 01757449.5 3 4
IN EFFECT &POLICY# 9TOP
15❑ vewCLE 5 36
LEGALLY YES�No D CITATION# 3A0402378 CHARGE FAIL TO YIELD VULNERABLE USER 1 o eorrom
STANDING 8 7 6
MOTOR PEDAL-:. PROPERTY DAM THR OLD MET PHONE
✓ PEDESTRIAN
UNIT VEHICLE CYCLE ❑ OWNER YES NO ,/ DD 2068515795
16 a
LAST NAME SORONIO FIRST NAME JOSEPH MIDDLE R
INITIAL
17❑ STREET ❑', 8518 S 116TH ST CITY' SEATTLE ST WA ZIP 981783933 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PR—E-1SENT MEDICAL TRANSPORTED ❑ 38
INTERLOCKYES�NOR INTERLOCK vEs It I NOF YES t t— l No❑
19 DRIVE # SEX M MD.C.B. 03 _ 11 1968 39
20 ON DUTY STATUS 0 AIRBAG RESTR EJECT 3 H EET 6 CLAUSRSY 6 KNEES,HANDS,AND SHOULDER INJURY ❑ 40
❑21❑ LICENSE TArE vIN1 41
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 1GQ
VEHICLE ❑ C[:] CITATION# CHARGE
LEGALLY YES N`LJ
25 s � e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26 4 9 K.LANE 10008 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. ED85957
COLLISION REPORT III III III III III 111
1591972 CASE# 23-8818
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TRAINOR PAUL W
(LAST FIRST,
ADDRESS&PHONE#
23520 NE UNION HILL RD REDMOND WA 980537902 4258024709 SEX M MMDDYyry 12 - 17 - 1953
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ❑✓ POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
SEX: MMDDYVYV
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIRST MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.MMDD -❑
YYYY.
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Unit 1 was stopped on southbound Powell AVE SW at a red light waiting to turn right onto westbound
SW Grady Way. Unit 2 (a person riding a small stand-up electric scooter with a bicycle helmet) was
traveling eastbound on SW Grady Way on the sidewalk approaching a crosswalk over Powell AVE
SW. Driver 1 stated they had the red light and were looking to the east to find a break in traffic. Unit
2 stated they were approaching the crosswalk and had the Green/white signal indicating they could
cross the intersection in the crosswalk eastbound. Witness states they observed Driver 1 looking to
the east and unaware of the presence of Unit 2. As Unit 2 entered the crosswalk traveling eastbound,
Unit 1 began its right turn (westbound) and pulled into Unit 2. Rider 2 was thrown from the scooter to
the ground. Rider 2 sustained injury to his knees, hands, and shoulder. AID responded and
transported Rider 2 to VMC for medical treatment. Unit 1 sustained minor damage.
Driver 1 was cited for failure to yield to a vulnerable user by not yielding to Unit 2, a vulnerable user
as he was a rider on an electric stand-up scooter who had the right of way crossing in the crosswalk,
and pulling into Unit 2 in the crosswalk which was the proximate cause of the collision.
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
K.LANE 08-02-23 04:57 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 8/3/2023 4:43:40 PM
BADGE OR ID# 10008 OR]# WA0171300 TIME POLICE DISPATCHED 3:53 PM TIME POLICE ARRIVED;3:57 PM
PART I PAGE 2�OF❑
REPORT NO. EU85957 CASE# 23-8818 DATE AND TIME 08/02/2315:52