HomeMy WebLinkAbout24-7409 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 2 27c COLLISION REP FIT 1591971 SASE 24aaos 2 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 1 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# cawsloN 07 - 1-- 2024 1725 17 ❑-= S 8 IN e 1070 3 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑ SW 7TH ST BLOCK NO. e✓ 1000 ❑ 4a❑ MILEPOST DISTANCE OF(REFERENCE OR CROSS STREET) 5❑ �.❑ FEET e S ❑ W e POWELL AVE SW 0 4 29 MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE El NO ✓ I D:8082762869 30 6 LAST NAME FLETCHER FIRSTNAME CURTIS MIDDLE B 1 1 2 31 INITIAL STREET ❑✓ 833 SW SUNSET BLVD#M58 CITY RENTON ST WA ZIP 98057 z NEW ADDRESS 7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK YES No✓ I INTERLOCK YES NO✓ YES R NO 8❑ LICENSE# STATE WA SEX'M I ELMMDDYY 11 — 16 — 1994 32 9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS 2 CLASS 1 NATURE OF INJURIES z❑ 3 10 9❑ P1 aT�S� C86658N sTArI WAvIN# 1 FTFW1 EFODFA07755 TRAILER STATE TRAILER STATE11 3 5 PLATE# PLATE# FROM To TRLR. TRLR 3 5 33 12❑ VIN#j VIN# FROM TO VEH.YEAR 2013 MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 7 3 34 13 4 FORD F150 PK DAMAGE YES NO ✓ YYES[:] NO✓ REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE INSURANCE CO USAA 03581 72 85G 3 4 IN EFFECT &POLICY# STOP VEHICLE CHARGE 1 5 36 LEGALLY YES❑NO❑ CITATION# 10 BOTTOM 15❑ STAIN.D'ING 7 6 UNIT 02 VE ICCLE ❑ CYCLE PEDESTRIAN ❑ OWNERMOTO PEDAL RTY ❑ DYES✓ NO OLD MET PHONE 16 a LAST NAME MCINTOSH FIRST NAME ADRON MIDDLE D INITIAL 17❑ NEW STREETR 16221 S 7 E 173RD PL CITY RENTON ST WA ZIP 98058 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 LICENSE# STATE SEX M M .C.B. O6 _ O6 _ 1974 39 20 ON DUTY STATUS 1 AIRBAG RESTR EJECT 2 WEB SET 7 INJURY6 [NATURE OF INJURIES CLASS ABRASION R/ELBOWAND BACK ALONG SPINE ❑ 40 ❑21❑ TArE LICENSE vIN1 41 1 PLATE# 42 22❑ PLATE# STATE PLATE# STATE 23❑ 43 TRLR RLR VIN#. IN#. VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY Gov HI 44 24❑ 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 STOP 5 'E""LE ❑ ,J� CITATION# CHARGE i o BOTTOM LEGALLY YES N J 25 s e =ORAJEWSKI PRINT) OFFICER PHONE BADGE OR ID# AGENCY 26 5 0 12399 WA0171300 PART A PAGE 01 OF 3000-345-159 OR 11/181 STATE OF POLICETRAFFICN CORRECTION REPORT NO. EF00750 COLLISION REPORT III III III III III 111 1591972 CASE# 24-7409 ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY) NAME MIDDLE INITIAL) KAESTNER MADELENE F (LAST FIRST, ADDRESS&PHONE# D O.B. 833 SW SUNSET BLVD#M58 RENTON WA 98057 4253086185 SEXi F MMDOYyry 02 - 20 - 1997 PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES ❑✓ ❑ 1 POS. 7 2 4 1 USE 1 2 CLASS 11 NAME (LAST,FIRST,MIDDLE INITIAL) FLETCHER CHELSIE N ADDRESS&PHONE# DOB 3626 LWR HONOAPIILANI RD F315 LAHAINA H/96761 8087279890 SEX IF MMDDYvvv 01 _ 29 _ 1990 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER WITNESS❑ UNIT# 1 PGS 9 AIRBAG 2 RESTR. 4 EJECT 1 USE 1 2 CLASS 1 NAME (LAST FIRST,MIDDLE INITIAL) FLETCHER SHELLIE D AooREss PHONE# 91 IKAIKA PL LAHAINA H/96761 8082763037 SEX F D•O•B. 09 13_ _ 1964 MMDDYYYY PASSENGER WITNESS UNIT# ! 1 SEAT 3 AIRBAG 2 RESTR. 4 EJECT 1 HELMET 2 NJURY 1 NATURE OF INJURIES ❑ POS. USE GLASS 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. RAYMOND GORAJEWSKI 07-16-24 11:09 AM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1 713112024 8:10:57 AM BADGE OR ID# 1Y399 ORI# WA0171300 TIME POLICE DISPATCHED! 5:29 PM TIME POLICE ARRIVED i 5:31 PM PART I PAGE 2�OF❑ REPORT NO. EF00750 CASE# 24-7409 OF COLLISION 07/15/24 17:25 OF CbLLI510N NARRATIVE ASSIGNMENT/ARRIVAL On 07/16/2024 at approximately 1729 hours, I was dispatched to an injury collision of a vehicle with a bicyclist at the intersection of Powell Avenue SW and SW 7th Street in the city of Renton, King County, Washington. I arrived at approximately 1731 hours. BICYCLIST: MCINTOSH, ADRON D. Upon arrival I observed the bicyclist laying in the planter near the sidewalk/roadway edge of SW 7th Street just east of Powell Avenue SW. I identified the bicyclist as Adron D. McIntosh (DOB: 06/06/1974) by his valid Washington Driver License. I established McIntosh as the bicyclist by the involved driver's admission. McIntosh was being treated by the Renton Fire Authority. McIntosh didn't speak the entire time I was with him, but he was conscious (he was blinking and moving his face). I saw an abrasion to McIntosh's right elbow and an abrasion along the length of his spine from his shoulders to his lower back. I did not observe any other injury. I was unable to examine McIntosh for other injury because he was being immobilized by medical personnel for spinal injury precautions. I saw a white bicycle helmet with a DOT sticker on the back laying near McIntosh. The outer foam near the back was damaged. I was unable to tell if the damage was pre-existing or caused from the collision. BICYCLE McIntosh's bicycle was laying in the planter near him. It had been moved from its point of rest. The rear tire was bent out of shape. The bicycle was a silver, "Juiced" model "Cross Current X" electric- assisted bicycle (Serial #LB112020060647). The Renton Fire Authority took the bicycle to store for McIntosh. I had no way to transport the bicycle in my patrol vehicle. VEHICLE 1: FORD F-150 I located the involved vehicle, a black Ford F-150 (WA/ C86658N), in the east parking lot of 700 Powell Avenue SW. Vehicle 1 had been moved from its point of rest prior to my arrival. There were no mechanical defects claimed or observed. I saw what looked like a rub mark from a tire near Vehicle 1's front, passenger bumper. The height of the rub mark was consistent with that of McIntosh's bicycle tire. DRIVER 1: FLETCHER, CURTIS B. I contacted Curtis B. Fletcher (DOB: 11/16/1994) standing near McIntosh when I arrived. I identified Curtis by his valid Washington Driver License. Curtis was not injured from the collision. I established Curtis as the driver of Vehicle 1 by his admission. PASSENGERS I contacted several passengers that were in Vehicle 1 at the time of the collision. Madelene F. Kaestner (DOB: 02/20/1997) was the left, rear passenger, Shellie D. Fletcher (DOB: 09/13/1964) was the right, front passenger, and Chelsie N. Fletcher (DOB: 01/29/1990), was the right, rear passenger. No passenger was injured from the collision. STATEMENT: DRIVER 1 1 spoke with Curtis about the collision. The following is a summary of our conversation: Curtis drove Vehicle 1 west on SW 7th Street toward Powell Avenue SW at approximately 25 to 30 miles per hour. Curtis intended to turn left (south) onto Powell Avenue SW from SW 7th Street. Curtis activated Vehicle 1's left turn indicator, slowed for the turn, and checked for on-coming vehicles. Curtis didn't see any hazard to make the turn, so he turned Vehicle 1 left (south) toward Powell PAGE 3 OF 5 REPORT NO. EF00750 CASE# 24-7409 OF COLLISION 07/15/24 17:25 OF CbLLI510N NARRATIVE Avenue SW. As he was turning, Curtis suddenly saw McIntosh riding his bicycle in the unmarked crosswalk, crossing Powell Avenue SW from west to east along the south sidewalk of SW 7th Street. Curtis didn't have time to stop, and Vehicle 1's front bumper collided with the bicycle's rear tire. McIntosh was ejected from the bicycle and "rolled" across the pavement. This concluded my conversation with Curtis. PHOTOGRAPHS I took photographs of McIntosh's injury, Vehicle 1, and the bicycle with my department issued cell phone. I uploaded the photographs to Axon's Evidence.com. DISPOSITION This concluded my involvement in 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 Officer R. Gorajewski, #12399, on 07/16/2024 at 0913 hours in Renton, Washington. PAGE 4 OF 5 REPORT NO. EF00750 CASE# ' 24-7409 DATE AND TIME 07/15/24 17:25 OF COLLISION SW 7th Street .0 Ncvt to cafe Powell Ave SW PAGE 5 OF 5