HomeMy WebLinkAbout24-2967 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE# 24-2967 2 6 0
INTERSTATE CITY STREET ✓ RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AOENC 4200 3❑HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#TRIBAL OF OZ OBJECT 1 1 8 28
UNITS
RESERVATION I I
STRUCK
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
cawsloN 03 - 19 - 2024 0725 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
NE 4TH ST BLOCK NO. e✓ 5300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e JERICHO AVE NE
0 1 29
UNIT MOTOR
Z PEDAL-
CYCLE ❑ YESAGE NHORE✓LD MET PHONE 0 4 30
6� LAST NAME WATSON FIRSTNAME KAREN MIDDLE M 1 2 31
INITIAL
STREET ❑✓ 5107 NE 8TH CT CITY RENTON ST WA ZIP 98059 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs No YES R NO
8❑ LRIIVERS STATE WA SEX'F MM DAY' 12 1- 29 - 1954 2 32
CENSE 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMETU E 2 CLASS 1 NATURE OF INJURIES 2❑
3
10❑ PI ATE BXV2018 sTATe WAVrN#' 5FNYF48509B046922
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM TO
TRLR. TRLR 7 3 33
12 3 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 ] 34
13 8 2009 HOND PILOT SV DAMAGE YES NO ✓ YES[:] NO✓
REGISTERED OWNER INFO KAREN WA TSON 5101 NE 8TH CT RENTON WA 98059 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO ENCOMPASS INDEMNITY2020172338 3 4
IN EFFECT &POLICY# STOP
veHICLe CHARGE 5 36
LEGALLv Ye6❑NO❑ CITATION# 10 BOTTOM
15❑ STAMOTIND'ING 6
UNIT VE IOOR CYCLE ❑ PEDESTRIAN ❑ OWNFRPROPERTY ❑ DYES✓ NO OLDMET PHONE
16 a
LAST NAME ANDERSON FIRST NAME CHRISTINA MIDDLE Ij
INITIAL
17 STREET I❑ 4304 SE 1ST PL CITY' RENTON ST WA ZIP 98059 37
NEW ADOREss❑'
18❑ CDL IGNITION REQUIRED IGNITION PR-E-1SENT MEDICAL-T�RANSPORTED � 38
INTERLOCKYES�NO� INTERLOCK yEs It I NOF YES
t l NOF,/
19 DRIVER'S STATE WA SEX F D.C.B. 03 _ 21 1987 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❑ PLA E# BZR1527 TATE 41
WA VIN 1 STDGZRBHXMS548666 1
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ UIN#. 43
TRLR RLR
'IN#.
Go HI
VEH D
YEAR 2029 MAKE TOYT MODEL HIGHLAN STYLE SV AMAGE TOWED✓ NOO BLIN AAA rowed By YES v HI ✓ 44
24❑ REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSU&PORGY#E CO NATIONAL GENERAL 2019905366 I STOP 5
IN EFFECT
—e E ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 7JUS
NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26KAUPPILA 12883 WA0171300
PAGE 01 OF
PART A
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE61618
COLLISION REPORT III III III III III 111
1591972 CASE# 24-2967
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) SMITH ADRIAN B
(IAST FIRST,
ADDRESS&PHONE#
13310 196TH AVE SE RENTON WA 98059 SEX MSEAT I I INJURY
MMDOYyry 06 - 27 - 2006
PASSENGER WITNESS❑ UNIT# POS. 3 AIRBAG 2 RESTR. 4 EJECT ? 1 H U SE 2 CLASS 1 NATURE OF INJURIES
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# Id I
DOB
E MMDDYVYV
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. USE
CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS&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.
JUSTIN KAUPPILA 03-22-24 10:52 AM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
P.KORDEL 9676 1 312212024 5:57:02 PM
BADGE OR ID# 1Y883 OR]# WA0171300 TIME POLICE DISPATCHED! 7:89 AM TIME POLICE ARRIVED',8:10 AM
PART I PAGE IT]OF 4�
REPORT NO. EE61618 CASE# 24-2967 OF COLLISION
03/19/24 07:25
OF CbLLI510N
NARRATIVE
24-2967
Unless otherwise noted, the following occurred within the city limits of Renton, county of King, state of
Washington.
On 03/19/2024, 1 was working as a uniformed police officer for the city of Renton. At approximately
0759 hours, I was dispatched to a non-injury and non-blocking motor vehicle collision located at NE
4th St and Jericho Ave NE. My involvement in the incident was captured on my department-issued
Axon body-worn camera.
While enroute to the location, dispatched relayed that two motor vehicles were involved in the
collision.
When I arrived on scene, I spoke with the owner of unit 1, a black Honda Pilot who relayed the
following:
They were traveling eastbound on NE 4th St to take their grandchild to Liberty High School. They
were attempting to retrieve their sunglasses from the center console, as the sun was impairing their
vision. While retrieving them, they noticed the traffic light on NE 4th St at Jericho Ave NE was red.
Unable to stop in time, the driver traveled through the intersection, striking unit 2. They then pulled off
the roadway and into the neighborhood north of the aforementioned intersection.
I contacted the driver of unit 2, who relayed the following:
They were heading northbound on Jericho Ave NE. At the intersection of Jericho Ave NE and NE 4th
St, they consciously recognized the traffic signal had turned green, and attempted to turn westbound
onto NE 4th St. Unit 1 then struck unit 2. The driver then pulled off into the neighborhood north of the
aforementioned intersection.
The driver of unit 2 had contacted AAA to get a tow truck for their vehicle prior to police contact.
The driver of unit 1 and unit 2 had completed an exchange of information prior to police contact.
It should be noted that while creating a SECTOR diagram for the collision, I encountered multiple
error messages when attempting to place arrows to show the direction of travel for both units.
I certify (declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer J. Kauppila at 1044 hours on 03/22/2024.
PAGE 3 OF 4
REPORT NO. EE61618 CASE# 24-2967 DATE AND TIME 03/19/24 07:25
OF COLLISION
y
PAGE 4 OF 4