HomeMy WebLinkAbout24-4997 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 1 27c
COLLISION REP FIT 1591971
❑ ❑ FIRE ❑ CASE# 24-4997 2 0 5
INTERSTATE CITY STREET RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
2
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES N E IN CITY# ❑
COLLISION'. 05 - 10 - 2024 1020 17 ❑.❑ S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION ❑✓
MAIN AVE S BLOCK NO. e✓ 400
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 300 00 FEET MILES e S B W e S 4TH ST
2 0 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2063568089 0 11
30
6� LAST NAME MEDHANIE FIRSTNAME ISAAK MIDDLE G 1 1 2 31
INITIAL
STREET ❑, 1029 42ND CT NE CITY AUBURN ST WA 7jp, 98002 2
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO INTERLOCKYEs NO YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 1 RESTR 4 EJECT 1 HELMETU E C ASSS 1 NATURE OF INJURIES 2❑
3
LICENSE C0397C STATE WA VIN# 5FYH8YU03GF050788
10 9❑ Pr ATF�
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM TO
TRLR. YRLR. 5 1 33
12 2 5 VIN#' VIN#
>; FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT.VEHICLE 5 1 34
13 2 2016 NEW XCELSI BU DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO KING CO DOT 12200 E MARGINAL WAY S TUKWILA WA 98168 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO KING CO DOT SELF INS 3 4
IN EFFECT &POLICY# 9TOP
VEHICLE CHARGE 5 36
LEGALLY
res❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑
16 a OWNER ❑ YES 1/ NO D:4257536036
LAST NAME WATKINS FIRST NAME RACHEL MIDDLE JA
INITIAL
17 STREET ❑', 6613 S 251ST ST APT DDD102 CITY' KENT ST WA ZIP 98032 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICALt—T�RANSPORTED 38
INTERLOCKYEB INOR INTERLOCK YES I I NOF YES t l NO�
19[ DIVE
I {NJURY NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 USE CLASS 1 ❑
21❑ LICENSE BBX7376 TATE WA vIN1t JH4CL96908C013418
❑ 41
PLATE#
42
22❑ PILER LATE# STATE pLATE# STATE
23❑ 43
TRLR RLR
UIN It 'IN#.
Gov HI
VEH YEAR 2008 MAKE /a CUR MODEL 7'SX STYLE 4D —FEHICLE
TOWED NO O✓ YES
NO 1/AMA E BLIN TOWED BY 44
24❑ fj
REGISTERED OWNER INFO OWNED SY DRIVER VEHICLE N0.2
SHADE DA GEbAREA
LIABILITY
INSURANCE INSU&POLICY#E CO USAA 01769 94 04CIN 1 9TOP 5
VEHICLE ❑ ,.I—I CITATION# CHARGE io BOTTOM
LEGALLY YES N`LJ
25 s � e
7.111CjEo-S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
HNSON 0505 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE77238
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4997
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.
CO.JOHNSON 05-10-24 12:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 511512024 2:38:52 PM
BADGE OR ID# 0505 OR]# WA0171300 TIME POLICE DISPATCHED; 40:28 AM TIME POLICE ARRIVED]10:36 AM
PART I PAGE IT]OF
REPORT NO. EE77238 CASE# 24-4997 OF COLLISION
05/10/24 10:20
OF CbLLI510N
NARRATIVE
On 05-10-2024 at about 1028 hours, I was dispatched to a collision in the vicinity of Main Ave S and
S 4th St in the City of Renton, County of King, Washington State. A bus and vehicle collided south of
the intersection and were blocking a lane. I arrived in the area at about 1036 hours and observed
both vehicles blocking lane #1 of northbound Main Ave S.
The driver of Unit 01 was identified by WA CDL and admitted to driving the listed vehicle. The driver
said he was wearing a seatbelt and not injured as a result of the collision. The driver said he was
northbound on Main Ave S in lane #1, checked lane #2 and the changed lanes into lane #2. The
driver said he did not know where Unit 02 came from and they were really fast. The driver of Unit 01
said there were two (2) unidentified passengers on the bus who departed the location prior to my
arrival.
The driver of Unit 02 was identified by WA DL and admitted to driving the listed vehicle. The driver
said she was wearing a seatbelt and not injured as a result of the collision. The driver said she was
northbound in lane #2 and the bus came into her lane and the vehicles collided. The driver said she
possibly had dash camera video of the collision. I later sent the driver an e-mail link to upload the
video to evidence.com.
I observed minor damage to the driver side rear corner of Unit 01 and moderate damage to the
passenger side of Unit 02. The damage was consistent with the information provided by both drivers.
Neither vehicle required a tow and both vehicles departed the location under their own power.
Unit 01 is a articulated Metro Transit bus consisting of a forward section with two (2) axles, a pivoting
joint and a rear section with a single axle for a total of three (3) axles for the vehicle.
On 05-14-2024, 1 reviewed the dash camera video uploaded by the driver of Unit 02. The video
begins to the southwest of the intersection of S Grady Way and Main Ave S. Unit 01 is in lane #1 and
approximately one (1) car length ahead of Unit 02 which is in lane #2. Both vehicles move onto Main
Ave S and maintain their respective lanes of travel. Other vehicles are observed ahead of Unit 02
and all vehicles appear to be traveling at approximately the same speeds relative to each other. In
the 400 block of Main Ave S, Unit 02 is to the west (left) of Unit 01, adjacent to the forward section of
Unit 01 approximately between the first and second axle. The forward section of Unit 01 begins to
move into lane #2 while Unit 01 occupies lane #2. Unit 02 decelerates as Unit 01 continues into lane
#2. The left rear corner of Unit 01 collides with the passenger side of Unit 02. Unit 01 returns to lane
#1 and comes to a stop. Unit 02 pulls in front of Unit 01 and stops.
Based on the information provided by both drivers, the damage to the vehicles and the video provided
by the driver of Unit 02, the proximate cause of the collision was an improper lane change by the
driver of Unit 01. RCW 46.61.140 indicates whenever any roadway has been divided into two or
more clearly marked lanes for traffic the following rules in addition to all others consistent herewith
shall apply: (1) A vehicle shall be driven as nearly as practicable entirely within a single lane and shall
not be moved from such lane until the driver has first ascertained that such movement can be made
with safety. The driver of Unit 01 failed to ascertain lane #2 was clear so the lane change could be
made safely. Were it not for the actions of the driver of Unit 01, the collision would not have occurred.
No citations or infractions issued. Report for information and insurance.
PAGE 3 OF 5
SUPPLEMENTAL REPORT NO. EE77238
r`) POLICE TRAFFIC 1 27
COLLISION REPORT CASE# 24-4997
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE ✓ G
UNIT'# 1 USDOT ICC# ' VEHICLE TYPE 1 CARGO 6ODY 1
;TYPE
2 ❑ 1 28
CARRIER KING CO DOT
NAME
3 CARRIER
ADDRESS 12200 E MARGINAL WAYS
CITY TUKWILA ST WA ZIP'', 98168
4 ❑ NAME # PLACARD: :❑
NAME IF NO NUMBER
SOURCE 1 AXLES 03 GI45500 +
4a ❑ ADDITIONAL UNITS
MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
5 ❑ UNIT# VEHICLE I_J CYCLE _) PEDESTRIAN � OWNER � YES NO
i MIDDLE'... 29
LAST NAME FIRST NAME INITIAL
STREET 30
NEW AnnRFrt CITY ST ZIP
6 �
CDL GNITIttN REQUIRED GNITION PRESENT MEDICAL TANSPORTED 1 31
INTERLOCK YES No zERLOCK YES❑N0� vES N
LLIICIENSE STATE I SEX M��DYRYY' 2
7 F-1
ON DUTYl STATUS AIRBAG' RESTR. EJECT HELMET INJURY NATURE OF INJURIES
USE CLASS
8 ❑ ' 1 32
LICENSE+ rar VIN.#
PLATE#
9 TRAILER TRAILER
PLATE# STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.#. VIN.#.
11 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWS T SABLIN TOWED BY anvi vEHIG P FROM TO
DAMAG EE YES NO YES NO
REGISTERED OWNER INFO. m 33
12 SHADE IN DAMAGED AREA
FROM TO
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# tGQ
VEHICLE 34
13 ❑ LEGALLY YES[:] NO❑ CITATION# CHARGE
STANDING S} 8 7 6
14 ❑ UNIT Tr Vd 1RE O CYDCLE OWNER
YES AGE NOHRESHOLD MET PHONE El
35
PEDESTRIAN
15 LAST NAME FIRST NAME MIDDLE': INITIAL36
STREETIAL
❑
16 NEn+AnnRFs.�' CITY'. ST SIP
CDL IGNITION REDUIREE7 IGNITION PRESENT MEDICALTANSPORTED
INTERLOCK YES No INTERLOCK YEs NO YEs NO El
17 37
LICENSE# STATE SEX MMDDDYBYY
18 ❑ ON DUTY� STATUS AIRBAG RESTR. ; EJECT HELMET INJURY NATURE of INJURIES 38
USE (CLASS
19 ❑ vIN# 39
LICENSE
PLATE# rnr
20 ❑ TRAILER TRAILER ❑ 40
PLATE# STATE PLATE# STATE
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 '
VE EFFECT &POLICY# i 970P - 4 E:l
44
24 VEHICLE YES❑ NO❑ CITATION# CHARGE iq 60TiOM
C=DLv
STANDING 8 7 6
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
CO,JOHNSON 05-10-24 12:02 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
APPROVED BY DATE
26 OR ID# 0505 O#I',WA0171300 JOHNSON 511512024 PAGE F OF
3000-345-013(R 11118)
REPORT NO. EE77238 CASE# ' 24-4997 DATE AND TIME 05/10/24 10:20
OF COLLISION
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PAGE 5 OF 5