HomeMy WebLinkAbout24-1118 a ITFFi "POLCERA II IfI) 1 IlfII ('II (Illf If( fI I . 0 27c
COLLISION REP FIT 1591971
CASE 24-1118 2
INTERSTATE ❑ CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS 03 STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
cowsloN 01 - 1-- 2024 1754 17 ❑.= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 4TH STREET BLOCK NO. e✓ 4200 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET ❑ S ❑ W❑ WHITMAN CT NE
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
,/NO D:2068234224 0 11
30
6� LAST NAME DONG FIRSTNAME TINH MIDDLE H 1 1 2 31
INITIAL
STREET ❑ 15311 145TH AVE SE CITY RENTON ST WA Zlp 980588118 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
1/ I iNTERLOCKYEs NO NTERLOCKYEs NO Z/ YES R No�/
8❑ DRIVERS
E#
ON DUTY❑ STATUS' AIRBAG 6 RESTR 4 . EJECT 1 HELMETU E 2 CLASS INJURY6 [NATURE OF INJURI
C/O BACK PAINES z❑
❑10[1P1 ATE 14 CDV8246 sTAr WWAV N# 2T3YF4DV0BW076136 3
5 TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 1 33
12 3 5 VIN#' VIN#
>; FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T Y GOVT.VEHICLE 3 ] 34
13 2 2011 TOYT RAV4 SV DAMAGE vEs 0NO agW�MEYERS vEs❑ No
REGISTERED OWNER INFO TRUNG DON.15311145TH AVE SE RENTON WA 98058 D:2068234224 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3 4
14 LIABILI V INSURANCE INSURANCE CO STATE FARM 5273667-D25.47
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLY HIa.E 5 36
res�No D CITATION# 4A0071541 CHARGE FAIL YIELD LEFT TURN MOTOR )o sorrow
STANDING 8 7 6
MOTOR PEDAL- PROPERTY DAM THR OLD M PHONE
VEHICLE
UNIT a2 ❑ ❑ PEDESTRIAN
16 a CYCLE OWNER YES NO ET❑ ❑ �/ D:8313316232
LAST NAME SUTRA FIRST NAME YARAH MIDDLE
INITIAL
17❑ NEW STREETREs7 16314 SE 131 ST PL CITY RENTON ST WA ZIP 980596914 37
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL—TRANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK YEs❑NOF YES
F%]NO❑
19 DRIVERS
❑ ON DUTY STATUS AIRBAG,6 RESTR 4 EJECT 1 H EET 2 NJAU SY 5 COULD NOT TAKE FULL BREATH DUE TO INJ ❑F—NATURE OF INJURIES 40
❑21❑ PLATE# CHM6408 TArE 41
WA VIN# 2D4GP44LS6R659439 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ UIN#. IN#.
43
RLR
'
TOWED By GOV HI 44
VEH YEAR 2006 MAKE DODG MODEL CARAVAN STYLE VN —TEHICLE
TOWED✓ TOO BLIN GENE MEYERS YES No�/
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU&PORGY#E CO STATE FARM 538 7380-E14-47IN STOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N`L J
25 ' a
=UGENT
PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 11498 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE46396
COLLISION REPORT III III III III III 111
1591972 CASE# 24-1118
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.
MATTHEW NUGENT 01-31-24 10:56 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY E
DAT
C.JACOBS 1953 21112024 2:51:44 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED', 5:56 PM TIME POLICE ARRIVED',5:56 PM
PART I PAGE IT]OF 6�
REPORT NO. EE46396 CASE# 24-1118 OF COLLISION
01/30/24 17:54
OF CbLLI510N
NARRATIVE
24-1118
On 01/30/2024 at approximately 1756 hours, I was dispatched to an unknown-if-injury and blocking
vehicle collision at the intersection of NE 4th Street and Whitman CT NE, within the City Limits of
Renton, County of King, State of Washington.
I happened to be one block away from the collision scene at the time of call. Upon arrival, I observed
three vehicles involved with airbag deployment with one of the involved parties (Unit#2) lying on the
ground outside of her vehicle, complaining of pain. I requested the Renton Regional Fire Authority
(RRFA) respond for injuries. The driver of Unit#2 appeared to be in great pain, complaining of
shortness of breath, back pain, and general discomfort with not feeling like she was able to take a full
breath. RRFA later responded and evaluated all involved drivers. The driver of Unit#2 was later
transported via ambulance to Overlake Hospital for further evaluation.
The driver of Unit#1 said he was the sole occupant of his vehicle and was traveling eastbound on NE
4th ST approaching the intersection of Whitman CT NE in the left-turn lane (lane 3 of 3). The driver of
Unit#1 stated he was intending to make a northbound (left) turn from NE 4th Street onto Whitman CT
NE. The driver of Unit#1 said he saw the traffic signal was flashing yellow, and stated he believed he
had time and distance to complete the turn. The driver of Unit#1 proceeded out into the intersection
to make the left turn. While making the turn, both Unit#1 and Unit#2 collided in the intersection
causing significant damage to the front passenger side of Unit#1. The driver of Unit#1 later admitted
fault for the collision which was captured on Axon BodyCam recording.
The driver of Unit#2 stated that she was the sole occupant of her vehicle and was traveling
westbound on NE 4th Street approaching the intersection of Whitman CT NE in lane 2 of 3. The
Driver of Unit#2 stated that she was approaching the intersection with the intent to continue
westbound. The driver of Unit#2 stated that once she reached the intersection, which she alleged
was a solid green light, when Unit#1 turned out into the intersection and in front of Unit#2's direction
of travel. Unit#2 was unable to avoid the collision and collided with the front end of Unit#1 causing
significant damage to the front of Unit#2. As a result of the initial impact, Unit#2 was pushed into
Unit#3 causing additional damage to the front passenger side of Unit#2.
The driver of Unit#3 stated that he was the sole occupant of his vehicle and was also traveling
westbound on NE 4th Street approaching the intersection of Whitman CT NE but in lane 1 of 3. The
Driver of Unit#3 stated that he was approaching the intersection with the intent to continue
westbound. The driver of Unit#3 stated that once he reached the intersection, which he alleged was
a solid green light, when Unit#1 turned out into the intersection. Due to the initial impact between
Unit#1 and Unit#2, there was a secondary collision as Unit#2's was pushed into the front of Unit#3.
The driver of Unit#3 stated he was unable to avoid the collision. Unit#2 suffered moderate damage
to the front of Unit#3.
Based on the above statements, I determined that the driver of Unit#1 (Dong) did not grant the right
of way to Unit#2 traveling in the roadway which had the right of way and was already underway. The
driver of Unit#1 was turning left and traversing across traffic and must not do so until it is clear of
hazard/traffic. The driver of Unit#1 (Dong) violated RCW 46.61.185.1 by being the driver of a vehicle
intending to turn to the left within an intersection and shall yield the right-of-way to any vehicle
approaching from the opposite direction which is within the intersection or so close thereto as to
constitute an immediate hazard.
I cited Dong in-person for not granting the right of way during a left turn causing a collision.
All involved Units (Unit#143) had to be impounded due to extensive damage. An exchange of
PAGE 3 OF 6
REPORT NO. EE46396 CASE# 24-1118 OF COLLISION
01/30/24 17:54
OF CbLLI510N
NARRATIVE
information and case number were provided to all involved parties.
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. Nugent#11498 10:54 AM 1/31/2024 Renton, King County,
WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT No. EE46396
r`I POLICE TRAFFIC 1 1 8 27
COLLISION REPORT CASE# 24-1118
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE G
UNIT'# USL70r !CC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 28
CARRIER
NAME
3 CARRIER L
ADDRESS `
CITY ST' ZIP'
4 ❑ NAME # PLACARD: :❑
GINAME IF NO NUMBER
SOURCE AXLES +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# 3 VEHICLE tSJ CYCLE I_) PEDESTRIAN OWNER YEs NO
D:2066969407
] OF 1 29
LAST NAME NGUYEN FIRST NAME THANH MIDDLE' H r:j INITIAL
STREET 30
NEW AnDRFSP' 210 FIELD AVE NE CITY RENTON ST WA ZIP 980595281
6 ❑ 1 1 2 31
CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TANSPORTED
INTERLOCK YEs NO NTERLOCK YES❑N0� YEs N
DRIVER'S
LICENSE STATE I WA SEX M MMDDYYv', 09 - 10 - 1996
7
ON DUTYl STATUS AIRBAG' 2 RESTR. Q EJECT 1 HELMET 2 INJURY 1 NATURE OF INJURIES
USE CLASS
8 ❑ 1 32
LICENSE I CFG0426 [TAT WA VIN# 1FADP3F22EL235860
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 3 5 VEH.YEAR2014 MAKE FORD MODELFOCUS I STYLE 46 I VEHICLE TOWS E T SABLI T�'W,6y'ERS GnVT VFHIG P FROM TO
DAMAGE YES NO YES NO
REGISTERED OWNER INFO.THANH NGUYEN 210 FIELD AVE NERENTONWA98059 D:2066969407 SHADE IN DAMAGED AREA 3 7 33
12 z 3 4
FROM TO
LIABILITY INSURANCE INSURANCE CO NATIONAL GENERAL 2016713465 gl"OI'
IN EFFECT &POLICY#
VEHICLE 7080TTfJM m 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING } MOTOR
g 7 6
14 ❑ UNIT Tr MO1ORE O CYCLE OWNERRTY YESAGE NOHRESHOLD MET PHONE ❑ 35
PEDESTRIAN
15 LAST NAME FIRST NAME N!I IAL
MIDDLE ❑ 36
STRE
16 ET NEW ETnnR"� CITY ST ZIP
CDL IGNITION REOUIREE7 IGNITtGN PRESENT MEDICALTANSPORTED
NTERLOCK YES No INTERLOCK YEs NO YES NO ❑
17 4 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE CLASS
19 ❑ LICENSE TAT VIN# 39
PLATE#
20 ❑ TRAILER TRAILER El40
PLATE#< STATE PLATE If STATE
21 ❑ ❑ 41
TRLR TRLR
VIN# YIN#i
42
22 VEH.YEAR MAKE I MODEL STYLE I VEHICLE TO DUET SABLIN TOWED BY GOVT.VEHICLE
DAMAGE YES NO YES NO
23 REGISTERED OWNER INFO_ SHADE IN DAMAGED AREA 43
3 4 71
LIABILITY INSURANCE INSURANCE CO '
VINE
EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
LECALLv
STANDING 8 7 6
1 CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW NUGENT 01-31-24 10:56 AM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 ORID# 11498 O#I WA0171300 JACOBS 21112024 PAGE F OF 6
3000-345-013(R 11118)
REPORT NO. EE46396 CASE# ' 24-1118 DATE AND TIME 01/30/24 17:54
OF COLLISION
t ! �
e
t
PAGE 6 OF 6