HomeMy WebLinkAbout24-9872 ITFF' "POLCERA II I !�� I III I III I IIII III II I . $ 27c
COLLISION REP FIT 1591971
SASE 24-9872 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIC;I F ❑ LOCAL AOENC 4Y00 3
HIT 8 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#
COLLISION'. O9 - 1-— 2024 1553 17 ❑-= S 8 IN e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
RENTON AVE EXT
BLOCK NO. e✓ --- ----� ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e TAYLOR AVE NW
0 1 29
MOTOR PEDAL- DAM THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El YEs NO ,/ D:4253516542 0 4 30
6� LAST NAME SMITH FIRSTNAME GORDON MIDDLE E 1 1 2 31
INITIAL
STREET ❑ 8257 118TH AVE SE CITY NEWCASTLE ST WA ZIP 980561722 z
'NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
:NTERLOCKYEs NO INTERLOCK YES NO YES No
8❑ DRIVERS
# STATE WA SEX'M I ELMIDI Y' 12 — 10 — 1966 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 H USE CLASS 2 CLASS 1 NATURE OF INJURIES 2❑
3
10[1P1 ATNES# C31045J sTAr WAV N# 1 D7HU18N05S340523
F_ 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 3 $ 34
13 2 200$ DODG RAM DAMAGE YES NO YES[:] No✓
REGISTERED OWNER INFO GORDONSMITH 8217118THAVE SE NEWCASTLE WA 98056 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE❑ INSURANCE CO eq�T3 4
IN EFFECT &POLICY# 9TOP
VEwcLE CHARGE 5 36
LEGALLY Yes❑NO❑ CITATION# 10 BOTTOM
15❑ NDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE ❑ ❑ PROPOWNEERTY
[:][LAM ES 1/ NO PHONE
2062459070
16 a
LAST NAME TRAN FIRST NAME SAMUEL MIDDLE A
INITIAL
17❑ STREET ❑', 8029 S 121ST ST CITY SEATTLE ST WA ZIP 981784449 37
NEW ADDRESS ❑
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 WA SEX M M .C.B. 08 _ 09 _ 1981 0 39
HELMET {NJURY 7 NATURE OF INJURIES 40
20❑ ON DUTY STATUS AIRBAG,6 RESTR 2 EJECT 1 USE 2 CLASS HEAD INJURY
21❑ LICENSE BWN5141 TAre I WA 1HGCP26398A123101
❑ 41
PLATE#
42
22❑ PILER LATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
VEH YEAR 2008 MAKE HOND MODEL ACCORD STYLE VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO SAMUEL TRAN 8029 S 121STST SEATTLE WA 98178 VEHICLE NO.2
SHADE DAGELLAREA
LIABILITY
INSURANCE INSU8 POLICY#E CO TRAVELERSIN 1—11LE LEG ❑ ,J� CITATION# CHARGE
25 GQ
ALLY YES N`L J
s 7 6
7CA
NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
J
26LAN 12007 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF22195
COLLISION REPORT III III III III III 111
1591972 CASE# 24-9872
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME MIDDLE INITIAL) MCARTHUR ROBERT
(LAST FIRST,
ADDRESS&PHONE#
SEATTLE 4252264737 SEX' M MMDDYYYY -❑
PASSENGER WITNESS UNIT# SEAT AIRBAG' RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D O B
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.MMDD -❑
YYYY.
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.
C.CATALAN 09-26-24 10:08 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
C.JACOBS 1953 1 101712024 12:43:15 PM
BADGE OR ID# 1Y007 ORI# WA0171300 TIME POLICE DISPATCHED', 3:53 PM TIME POLICE ARRIVED',4:04 PM
PART I PAGE IT]OF 4�
REPORT NO. EF22195 CASE# 24-9872 OF COLLISION
09/20/24 15:53
OF CbLLI510N
NARRATIVE
On September 26, 2024, at approximately 1553 hours, I was dispatched to an injury and blocking
vehicle collision at the intersection of Taylor Ave NW and Renton Ave Ext, within the City Limits of
Renton, County of King, State of Washington.
Upon my arrival Renton Regional Fire Authority (RRFA) had already respond as a precaution due to
airbag deployment.
Upon my arrival, 1 confirmed that the passenger of Unit 2 was complaining of neck pain. RRFA had
already responded and evaluated the involved parties prior to my arrival. While on scene, I was able
to collect each involved party's information and independent summary of the events leading up to the
collision.
The driver of Unit 1 said he was traveling eastbound on Renton Ave Ext and was approaching the
signal-controlled intersecting roadway of Renton Ave Ext. The driver of Unit 1 stated that he was
intending to continue straight at the intersection to proceed onto Airport Way. The driver of Unit 1
stated that he failed to see the traffic light at the intersection. The driver of Unit 1 stated that as he
drove through the intersection, Unit 2 suddenly appeared in front of him, so he was unable to bring
his vehicle to a complete stop. Both Unit 1 and Unit 2 collided in the roadway causing minor damage
to the front bumper of Unit 1.
The driver of Unit 2 said he was the sole occupant of his vehicle and was stopped in the westbound
turn lane at the intersection of Renton Ave Ext and Taylor Ave NW. The driver of Unit 2 stated he was
intending to make a left turn at the controlled intersection. Once the green arrow flashed, he
proceeded forward. The driver of Unit 2 stated that upon reaching the intersecting driveway, Unit 1
failed to yield to his vehicle at the intersection. The driver of Unit 1 was unable to avoid the collision
and subsequently collided into Unit 1 causing significant damage to the right passenger side of Unit
2.
A witness stopped behind unit 2 collaborated his story and provided me with something similar. The
witness stated that unit 2 had received a green arrow. As unit 2 proceeded through the intersection,
unit 1 ran the controlled intersection and struck the passenger side of unit 2.
Based on the above statements, 1 determined that the Driver of Unit 1 is the proximate cause for the
cause of collision as the driver did not grant the right of way to traffic already in the roadway and
underway. The driver violated RCW 46.61.190(2) as every driver of a vehicle approaching an
intersecting roadway shall stop where the driver has a view of approaching traffic on the intersecting
roadway before entering the roadway, and after having stopped shall yield the right-of-way to any
vehicle in the intersection or approaching on another roadway so closely as to constitute an
immediate hazard during the time when such driver is moving across or within the intersection or
junction of roadways.
Both Unit 1 and Unit 2 had to be privately towed due to extensive damage. An exchange of
information was provided to all involved parties.
PAGE 3 OF 4
REPORT NO. EF22195 CASE# ' 24-9872 DATE AND TIME 09/20/24 15:53
OF COLLISION
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PAGE 4 OF 4
