HomeMy WebLinkAbout24-4512 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c
COLLISION REP FIT 1591971
CASE 24-4512 z
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHICI F ❑ LOCAL AGENCI 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2� 1 1 8 28
TOTAL#OF OBJECT
TRIBAL UNITS 02 STRUCK' PERSON IN CROSSWALK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY#
COLLISION.. 04 - 1-- 2024 1804 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S.2ND STREET BLOCK NO. e✓ 0000 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W e MAIN AVE S 0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO D:2062298772 30
6� LAST NAME WILSON FIRSTNAME BARRY MIDDLE C 1 1 2 31
INITIAL
STREET ❑ 5226 188TH ST SW APT C CITY LYNNWOOD ST WA 21p 980374512 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10❑ Pi aT�S� BLR3661 sTArI WAvIN# KM8J3CA24HU335260
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. TRLR. 3 5 33
12❑ VIN#j VIN#
FROM TO
❑ VEH.YEAR 2017 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34
13 4 HYUN TUCSO UT DAMAGE YES NO YES[:] NO✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑ 35
14 LIABILI INSURANCE INSURANCE CO STATE FARM 134 8951-D16.47C 3 4
IN EFFECT &POLICY# 9TOP
15
vEGAEHA"LE 5 36
LLLY YES�No D CITATION# 4A0014501 CHARGE FAIL YIELD TO PEDESTRIAN I o eorrom
❑ STANDING 8 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT 02 VEHICLE ❑ YE
CYCLE ❑ ❑ OWNER ❑ S 1/ NO D:2067775318
16 a
LAST NAME BOLLIGER FIRST NAME DANIEL MIDDLE M
INITIAL
17❑ STREET Is❑' 4539 11TH AVE S CITY' SEATTLE ST WA ZIP 981081804 4❑ 37
NEW ADOREs
18❑ CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL t—T�RANSPORTED � 38
INTERLOCKYES�NOR INTERLOCK YYEEsI I I No� YES t l NO❑
19 LICENSE STATE WA SEX M M D.C.B. 10 _ 04 1996 39
20 ON DUTY STATUS 3 AIRBAG RESTR EJECT H SET 2 NJAURSY 6 [NATURE OF INJURIES
BRUISING TO UCHEEKBONE;PAIN IN HIPS ❑ 40
❑ 41
21❑ TArE 1i LICENSE vIN 1
PLATE#
42
22❑ PIR TRAILER LATE# STATE PLATE# STATE
TRLR
23❑ VIN#. 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
INAEFFITY ECTNSURANCE❑ &POINSULICY#E CO I 9TOP 5
VEHICLE ❑ C[:] CITATION# CHARGE i o BOTTOM
LEGALLY YES N
25 s e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
J.CHRISTIANSEN 10437 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE71548
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4512
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) KOD/S-FISHER STEPHANIE C
(LAST FIRST,
ADDRESS&PHONE# D O.B.
2619 JONES AVE NE RENTON WA 98056 2065793135 SEX F MMDDYyYv 04 - 13 - 1976
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ ✓ POS. USE ;CLASS :
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# DOB
SEX MMDDYYYY
PASSENGER ❑WITNESS❑ UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY 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.
J.CHRISTIANSEN 04-25-24 09:18 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
J.TRADER 4553 1 4/25/2024 10:57:10 PM
BADGE OR ID# 10437 OR]# WA0171300 TIME POLICE DISPATCHED! 6:05 PM TIME POLICE ARRIVED',6:07 PM
PART I PAGE IT]OF 5�
REPORT NO. EE71548 CASE# 24-4512 OF COLLISION
04/25/24 18:04
OF CbLLI510N
NARRATIVE
RPD CASE#: 24-4512
RECORDED ON AXON
*This incident was captured on my body worn video camera. This report is a summary of events that
occurred and is not an exact sequencing of events. Statements have been paraphrased and
summarized. *
On 04.25.2024, at approximately 1805 hours, I was dispatched to assist with a vehicle collision vs a
pedestrian, with unknown injuries, at the intersection of S.2nd ST and Main Ave S.., in the City of
Renton, WA, the County of King.
I was assigned to uniformed marked patrol in the City of Renton, WA, the County of King. I was
operating a fully marked Renton Police Tahoe #204, equipped with "POLICE" markings, overhead
exterior lights, and audible siren. I was wearing my department-issued uniform, including a fully
equipped duty belt, exterior ballistic vest with "POLICE" stenciled on the front and back and Renton
Police badge affixed to the left breast. I was also wearing my department-issued jumpsuit with
"POLICE" patches on both shoulders and across the rear shoulders. It would be immediately obvious
to any reasonable person I was a police officer. I was assigned as 3r16.
At the time of this incident, it was raining lightly, the roadways were wet, and it was daylight with no
streetlights illuminated. The temperature was approximately 50 degrees.
Prior to my arrival, dispatch updated the notes in the call with the following:
'PEDESTRIAN CONSC UP AND WALKING, VEH STILL AT LOCH PULLED INTO SIDE PARKING
SPACES..NB.'
'PEDESTRIAN THAT WAS HIT IS RP'S CO WORKER...IS CURRENLTY IFO DUBTWON
BREWERY SITTING AT TABLE ...PEDESTRIAN WAS LIMPING TO TABLE.SCRAPE ON ARM
Renton Fire Authority was dispatched and were on scene prior to my arrival.
I arrived on scene at approximately 1807 hours and observed a dark blue in color Hyundai Tucson
bearing WA/ BLR3661 (later identified as Unit 01) stopped in the right lane of traffic, facing
southbound on Main Ave S. Unit 02's driver, and sole occupant, identified by his WADL as WILSON,
BARRY CRAIG (DOB: 06.13.1947) was still on scene and awaiting police contact. I spoke with
Wilson, who was shaking, and he stated he was stopped for a solid red traffic signal light on S. 2nd
ST, facing westbound, at the intersection with Main Ave S. When the signal light changed to green,
Wilson turned left, southbound, onto Main Ave S., and struck the pedestrian, later identified, while he
was in the marked crosswalk.
I observed the involved vehicle, and there was a small dent in the center of the hood that appeared to
be fresh damage.
An independent witness was on scene, and she was identified as KODIS-FISHER, Stephanie C.
(DOB: 04.13.1976; 2065793135). Kodis-Fisher stated she was inside the DubTown bar, located at S.
2nd ST and Main Ave S., and had a visual of Main Ave S. Kodis-Fisher observed the pedestrian
walking west to eastbound, in the marked crosswalk, when he was struck by Unit 01. The pedestrian
flew onto the hood, struck his face/head on the windshield, and then slid off of the vehicle onto the
pavement. Kodis-Fisher did not see Unit 01 brake or stop for the pedestrian in the crosswalk.
The involved pedestrian was identified by his WADL as BOLLIGER, DANIEL MAXIMILLIAN (DOB:
10.04.1996). Bollinger was evaluated by RFA and did not require medical transport but had obvious
redness and bruising to his left cheekbone and complained of pain to his right hip/thigh area as well
as his left hip/thigh area and stated he was starting to 'hurt more' as time passed.
Bollinger said he was leaving the DubTown bar and was walking from west to east in the marked
crosswalk when he was struck by Unit 01. Bollinger said he heard the signal tone saying "walk, walk
walk" and believes his signal light was green.
WILSON, BARRY CRAIG (DOB: 06.13.1947) was advised he would be cited for striking a pedestrian
in a crosswalk. At a later time, I issued citation 4AO014501 for violation of RCW 46.61.235.1. This
citation will be mailed via the courts.
I advised Bollinger he should probably be evaluated by a medical professional due to the nature of
the collision.
PAGE 3 OF 5
REPORT NO. EE71548 CASE# 24-4512 OF COLLISION
04/25/24 18:04
OF CbLLI510N
NARRATIVE
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 J. Christiansen #10437, on April 25, 2024, at approximately 1939
hours, in Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EE71548 CASE# ' 24-4512 DATE AND TIME 04/25/24 18:04
OF COLLISION
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