HomeMy WebLinkAbout24-2293 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
CASE 24-2293 z
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 2 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#
COLLISION.. 03 — 01 — 2024 1845 17 �. S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
BLOCK
OAKESDALE AVE SE ST e✓
MILEPOST 1200 ❑
4a❑
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e SW 43RD ST
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:9702142469 30
6❑ LAST NAME TORDILLOS FIRSTNAME CORY MIDDLE R 1 1 2 31
INITIAL
STREET ❑1 650 MAIN ST CITY ALGONA ST WA ZIP 98001 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YEs No�/
8❑ LICENS DRIVER # STATE WA SEX'M I EL MMDDYY 09 — 21 — 1977 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELM
USEET 2 CLASS 1 NATURE OF INJURIES z❑
3
10[1Pi ATNES# CCC6944 sTAr WAv N# JTMZFREV9JJ193775
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR. 1 7
2❑ 33
1 VIN# VIN#
FROM r0
VEH.YEAR 2018 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 4 TOYT RAV4 4C DAMAGE YES NO YES[:] No
✓
REGISTERED OWNER INFO 1ALAMERICANSECURITY INC 9315 OLIVE BLVD SAINTLOUIS MO 63132 VEHICLE NO. 1
❑ ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO ALLIED WORLD NATIONAL 5202-0187.02 3 4
IN EFFECT &POLICY# 9TOP
VEHICIe 1 5 36
LEGALLY Yes❑NO❑ CITATION# CHARGE 10 BOTTOM
15❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN
16 a ✓ PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES 1/ NO D:2537096450
LAST NAME CARSON FIRST NAME PAUL MIDDLE A
INITIAL
17 STREET NEW ADDREs7 31631 107TH AVE SE CITY AUBURN ST' WA ZIP 98092 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL—T�RANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DIVER #
ON DUTY STATUS �A—TURE OF INJURIES] 13 AIRBAG RESTR EJECT HEL C SET 2 IN CUT6 CUT ON HEAD/HANDS,PAIN IN HEAD/SHOULDER ❑ 40
❑21❑ TArE 41
IN#LICENSE V 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4 Q 1 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY
INSURANCE❑ INSURANCE
#E CO
IN EFFECT &PO I 9TOP 5
VE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
N AAH GIRELLO 12607 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE55795
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2293
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.
NOAH GIRELLO 03-02-24 02:28 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
GREGORY BILLS 12495 31412024 12:58:39 AM
BADGE OR ID# 12607 OR]#' WA0171300 TIME POLICE DISPATCHED 6:48 PM TIME POLICE ARRIVED 6:54 PM
PART I PAGE IT]OF 4]
TIME
REPORT NO. EE55795 CASE# 24-2293 OF COLLISIONO3/01/24 18:45
NARRATIVE
24-2293
At about 1848 hours on 03/01/2024 1 was dispatched to a vehicle pedestrian accident with injuries at
the intersection of, Oakesdale Ave SW/ SW 43RD ST, in the city of Renton, King County,
Washington. Dispatch advised me that the reporting party hit a pedestrian with his car at the
intersection in front of the 711. Dispatch added that the pedestrian was conscious and breathing with
pain to his head and shoulder.
Vehicle: Silver 2018 Toyota Rav4 (LIC/CCC6944) (VIN/JTMZFREV9JJ193775).
Driver: Cory R Tordillos (DOB 09/21/1977) via WADL.
Pedestrian: Paul A Carson (DOB 04/29/1964) via WADL.
Upon my arrival, Renton Fire had moved the pedestrian, Paul and the vehicle out of the roadway.
Paul was upright, alert and talking normally with the fire department. Paul had a laceration to his
forehead and a laceration on each hand. In addition, Paul complained of head pain and severe
shoulder pain. The driver of the vehicle, Cory did not have any injuries or complaints of pain and
advised there was no damage to his vehicle.
The following is a summary of what Paul told me happened. Paul explained that he was on the NW
corner of the intersection, closest to the 711. Paul needed to use the crosswalk to go east bound on
SW 43rd ST. Paul said he had the walk sign and began to walk through the crosswalk. Paul was in
between the first and second lane when he was struck by the vehicle. Paul advised he did not see the
vehicle coming and was confident he had the walk sign.
The following is a summary of what the driver, Cory told me happened. Cory advised he was traveling
south bound on Oakesdale Ave SW in the far-right hand lane approaching the intersection of SW
43RD ST. Cory admitted to having the red light as he approached so he stopped before the
crosswalk. Cory advised he then accelerated into the intersection after stopping, attempting to make
a right-hand turn to go west bound on SW 43RD ST. When he accelerated, he struck Paul as he was
crossing, and Cory advised he never saw Paul in the crosswalk.
It should be noted that Paul was dressed in all black clothing and at the time of all it was dark out with
the only source of light being the streetlights. There were no witnesses to the accident and there were
no other involved parties. I did not observe any security cameras in the area other than the traffic
cameras.
Paul was in stable condition but was transported to Valley Medical Center with suspected minor
injuries. Photos of Paul's injuries were taken and uploaded via Axon capture. Both involved were
provided a business card and case number.
This incident was captured by my body worn video camera. This report is a summary of the events
that occurred and is not an exact sequencing of events. Statements have been summarized and
paraphrased.
This concludes my involvement with this case.
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true
and correct.
Electronically signed by N. GIRELLO #12607 on 03/01/2024 at 2300 Renton, WA
PAGE 3 OF 4
REPORT NO. EE55795 CASE# ' 24-2293 DATE AND TIME 03/01/24 18:45
OF COLLISION
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