HomeMy WebLinkAbout23-14118 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
CASE 23-14118 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 RESERVATION STRUCK
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# ❑
cawsloN 12 - 08 - 2023 1746 17 ❑.❑ N E IN S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
SW GRADY WAY BLOCK NO. e✓ 1100
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES S❑ 100 00 FEET e ❑ E e OAKSDALEAVESW
0 7 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YES NO �/ D:2064898644 0 7 30
6❑ LAST NAME ERHART FIRSTNAME LUAIVA MIDDLE B 1 1 2 31
INITIAL
STREET ❑✓ 1012 S 99TH ST APT 1 CITY SEATTLE ST WA Zjp, 98108 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO�/ YES R No�/
8❑ LDRIVER # STATE WA SEX'M MID
LOB 08 1— 16 — 1999 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 9 EJECT 1 H USEET ICNLJAURY 1 NATURE OF INJURIES z❑
3
10 1❑ PI aTFS�t CBT8717 sTAr� WA VIN# 3LNHM28FX8R646459
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# ROM ro
TRLR. TRLR 3 9 33
12 2 5 VIN#j VIN#
FROM TO
VEH.YEAR 2008 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 3 9 34
13 4 LING MKZ 4D DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑
SHADE IN DAMAGED AREA ❑ 35
14 LIABILITY INSURANCE INSURANCE CO COUNTRY FINANCIAL PA4028088 3 4
IN EFFECT &POLICY# STOP
VEHICLE CHARGE 1 5 36
LEGALLY YES Z NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ CYCLE ❑ ❑ OWNER ❑ YES 1/ NO D:4255246590
16 a
LAST NAME MOHAMMED FIRST NAME NAJEH MIDDLE I J
INITIAL
17❑ STREET ❑', 2309 S 278TH CT CITY FEDERAL WAY ST WA ZIP 980036945 37
NEW ADDRESS ❑
18� CDL ., IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—TRANSPORTED 38
INTERLOCKYES�NO� INTERLOCK YEs I I NOF YES
t l NOF,/
19[ DRIVER'S STATE WA SEX M D.C.B. 07 01 1968 39
LICENSE# MMDDYY
HELMET I INJURY 1 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 9 EJECT 1 USE CLASS ❑
21❑ LICENSE I C5366C TAre WA VIN1 15GGD2713J3190320
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2018 MAKE GILL MODEL G27p STYLE B(/ VEHICLE TOWED TO BLIN TOWED BY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO KING DEPARTMENT OF TRANSPORT 5004TH AVE RM 620 SEATTLEWA98104 VEHICLE NO.2
SHADE IN DAGED AREA
2 4
LIABILITY INSURANCE INSU&PORGY#E CO KING COUNTY METRO KING COUNTY METRO 1G
STOP 5
IN EFFECT
BOTTOM
LEGALLY YES[Z Nu
25❑ s e
7SHA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY26 CROW 12618 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE31628
COLLISION REPORT III III III III III 111
1591972 CASE# 23-14118
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) TIA/JOAWOAN
(LAST FIRST,
ADDRESS&PHONE# D O.B. '
1012 S 99TH ST APT 1 SEATTLE WA 98108 2062319230 SEXi F MMDovyvv 03 - 20 - 1996
PASSENGER WITNESS UNIT# 1 POS ', 3 AIRBAG 2 RESTR. 9 EJECT ? 1 HELMET NJURY NATURE OF INJURIES
USE CLASS '1
NAME
(LAST,FIRST,MIDDLE INITIAL) DIXON LAMARIOUS L
ADDRESS&PHONE# D O B
14700 SE PETROVITSKY RD APT N104 RENTON WA 98058 2532469730 SEX' M MMDDYVvv 12 _ 02 _ 2005
SEAT HELMET INJURY NATURE OF INJURIES
PASSENGER WITNESS UNIT# 3 POS 3 AIRBAG 2 RESTR, 9 EJECT 1 USE CLASS 1
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.Q.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.
SHAWN CROW 12-09-23 02:36 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
P.KORDEL 9676 12/18/2023 10:05:31 AM
BADGE OR ID# 12618 OR]# WA0171300 TIME POLICE DISPATCHED 5:50 PM TIME POLICE ARRIVED 5:52 PM
PART I PAGE IT]OF 5�
REPORT NO. EE31628 CASE# 23-14118 OF COLLISION
12/08/23 17:46
OF CbLLI510N
NARRATIVE
On 12/09/2023 at about 1750 hours I was working uniform marked patrol as 1 R15 when I was
dispatched to a blocking, non-injury motor vehicle collision involving a King County Metro bus on SW
Grady Way just east of Oaksdale Ave SW within the city limits of Renton, King County, Washington.
When I arrived I saw the metro bus (Unit 2) was stopped in the left (south) turn lane on SW Grady
Way. A section of metal panel from the right side of the bus was stuck to the front bumper of a
vehicle (Unit 3) stopped behind the bus. Another vehicle (Unit 1) had move to the nearby parking lot
at the Shell gas station (1120 SW Grady Way) after being struck by Unit 3. There were no apparent
injuries and all vehicles were able to be driven from the scene. A King County Metro Supervisor
arrived on scene.
Luaiva Erhart was the driver of Unit 1. Najeh J. Mohammed was the driver for Unit 2. Adrianna Butts
was the driver of Unit 3. Three passengers were seated inside the metro bus at the time of the
collision, but no one was injured or saw the collision.
Unit 2 was stopped behind traffic while in the left (southbound) turn lane near the intersection at SW
Grady Wy/Oaksdale Ave SW. While stopped Najeh saw Unit 3 collide into the right side of the
occupied metro bus. Luaiva was stopped for traffic while driving Unit 1 in the westbound lane
centered between the left turn lane and outer curb lane. Luaiva felt Unit 3 collide into the rear driver
side of his car. Adrianna said she was in the outer curb lane headed westbound on SW Grady Way
when she attempted to merge toward the left turn lane. Adrianna did not see Unit 2, and said the bus
was in her "blind spot" as she merged into the lanes on her left. The front bumper of Unit 3 struck the
right side of Unit 2. The metal panel on the right side of the bus attached to the front bumper of Unit 3
and resulted in the metal panel being torn from the side of Unit 2.
The actions of Adrianna appeared to contribute to the collision, and she did not have insurance for
the vehicle she recently purchased earlier this month. I completed an infraction (3A0829637) against
Adrianna for Improper Lane Usage (RCW 46.61.140) and Operating a Motor Vehicle Without
Insurance (RCW 46.30.020). The infraction was sent to the court for mailing.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EE31628
r`) POLICE TRAFFIC 1 1 0 27
COLLISION REPORT CASE# 23-14118
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USDOT ICC# VEHICLE TYPE CARGO BODY
;TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST ZIP—1 I '
4 ❑ NAME # PLACARD: :❑
GI PLACARD IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YES NO
D:4259023185
2 0 29
LAST NAME BUTTS FIRST NAME ADRIANNA MIDDLE'.. F
INITIAL
STREET 30
❑ NEW AnnRF.g 17803 118TH AVE SE CITY RENTON ST WA ZIP 98058
6 CDL IGNITIttN REQUIRED IGNITION PRESENT MEDICAL TANSPORTED 1 1 2 31
INTERLOCK YEs NO zERLOCK YES❑N0� vES N
DRIVER'S
LICENSE STATE I WA SEX F MMDDYYv 11 - 15 - 1999
7
ON DUTY� STATUS AIRBAG' 2 RESTR. g EJECT 1 HELMET I INJURY 1 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE I CKS8006 [TAT WA VIN# JHMES26715S000146
PLATE#
9 9] TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 2 5 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS E T SABLIN TOWED BY anvi vEH1C E FROM TO
2005 HOND CIVIC 4D DAMAGE YES NO YES NO
REGISTERED OWNER INFOADRIANNA BUTTS 17803118TH AVE SE RENTONWA98058 D:4259023185 3 $ 33
12 � SHADE IN DAMAGED AREA
3 4 FROM TO
LIABILITY INSURANCE[] INSURANCE CO R"i"Olx
V EFFECT a POLICY# m 34
o�orTUM_
13 LY LEGALLY YES❑ NO❑ CITATION# 3A0829637,3AO829637 CHARGE IMPROPER LANE USAGE,OP MOT
L
STANDINGE 8 7 6
MOTOREl PEDAL- PROPERTY DAMAGETHRESHOLD MET PHONE ❑ 35
14 ❑ UNIT# VEHICLE CYCLE PEDESTRIAN OWNER YES NO
15 LAST NAME FIRST NAME ID 36
AL
❑
16 ❑ STREET CITY ST ZIP
NEW AnnRFS.9
CDL IGNITION REdUiRED IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY —� II
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of 1NJURIEs 38
USE (CLASS
19 ❑ 39
LICENSE rnr VIN#
PLATE#
20 ❑ TRAILER' STATE TRAILER STATE ❑ 40
PLATE#< PLATE#
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 '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 LEwcLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LeG E
STANDING & 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
SHAWN CROW 12-09-23 02:36 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 OI BADGE 12618 O#II,WA0171300 APPROVED BY
12118/202 PAGE F41 OF F
3000-345-013(R 11118)
REPORT NO. EE31628 CASE# ' 23-14118 DATE AND TIME 12/08/23 17:46
OF COLLISION
SW Grady 'Wy
PI=Point of Impact
'Not drawn to scale
a„
PAGE 5 OF 5