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HomeMy WebLinkAboutTPD 24-1477 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
INTERSTATE CITY STREET El
CASE TPD 24-1477 z
❑STATE ROUTE OTHER LOCAL AOENC RPD:24_2689 3
CODING
COUNTY RD PRIVATE WAY
2❑ TOTAL#OF OBJECT 1 8 28
TRIBAL UNITS 02 STRUCK ❑
RESERVATION 1 z
3 M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
Cats11 - 2024 2250 17 ❑.❑ S 8 W H OF e 1320 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
S.150TH ST BLOCK NO. e✓ 3650 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ 1.❑ FEET e S ❑ W e TUKW/LA INTERN BLVD
1 9 29
U '� MOTOR Z PEDAL- El AGE THRESHOLD MET PHONE
01 VEHICLE CYCLE. YES NO F,/ I D:2066931918 0 11
30
6 LAST NAME WARSAME FIRSTNAME MOHAMED MIDDLE H 1 2 31
INITIAL
STREET ❑ 21800 PACIFIC HWY S APT B401 CITY DES MOINES ST WA ZIP', 981987787 z
NEW ADDRESS
]❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
�/ I iNTERLOCKYEs NO NTERLOCKYEs NO,/ YES R No,/
8❑ LRIENSE# STATE I WA SEX 1'M M LOB 01 — 01 — 1988 1 2 32
9 ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET USE 2 1 INJURY 1 CLASS NATURE OF INJURIES z❑
3
10 9❑ PI ATF SE 14 BHA2562 STATE WA VIN# JTDKN3DU3E0386381
TRAILER STATE TRAILER STATE
11 2 5 PLATE# PLATE# FROM ro
TRLR. YRLR. 9 3 33
12 2 5 VIN# VIN#
FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE ] $ 34
13 4 2014 TOYT PRIUS HB DAMAGE YES NO YES[:] No
./
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
❑ Y
SHADE IN DAMAGED AREA ❑ 35
❑ ❑ INSURANCE CO 2 3 4
14 IN EFFECT
INSURANCE �/ AMERICAN FAMILY BX11578695
IN EFFECT &POLICY# 9TOP
VEHCLe CHARGE 1060TTOM 5 36
LEGALLY YES❑NO❑ CITATION# 4AO014463 UNSAFE STARTING FROM PARKED 1
15❑ STANDING 6
MOTOR PEDAL- : PROPERTY DAM THR OLD MET PHONE
UNIT U2 ❑✓ ❑ PEDESTRIAN ❑ ❑ HO 3055871245
VEHICLE CYCLE : OWNER YES NO �/
16�
LAST NAME MCADORY FIRST NAME RYAN MIDDLE J
INITIAL
17❑ STREET �' 14000 INTERURBAN AVE S CITY TUKWILA ST' WA ZIP 98168 4 37
NEW ADDRESS ❑
18� CDL IGNITION REQUIRED IGNITION PtR—E—S1ENT MEDICAL TRANSPORTED 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NOF,/
19 LDI IVEW # STATE WA SEX M M MD.O.(Y 02 _ 23 _ 1988 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAU EY 1 NATURE OF INJURIES ❑ 40
❑ 41
21❑ PLATE# 61493D TATE WA VIN1i 1FM5KSAROHGD93766 1
42
22❑ ILER TILER
PLATE# STATE PLATE# STATE
23❑ VIN#. 43
TRLR RLR
'IN#.
UT' VEHICLETOWED TO BLIN TOWEDBY GOV HI 44
L4❑ VEH YEAR 2017 MAKE FORD MODEL EXPLORE STYLE DAMAGE YES NO YES NO
REGISTERED OWNER INFO CITY OF TUKWILA FLEET SERVICE 14000 INTERURBAN AVE S TUKWILAWA98168 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY INSURANCE INSURANCECO WASHINGTON CITIES INSURANCE AUTHORITY UNTIL CANCELED
IN EFFECT &POLICY# IGQI
vewcLE, YES NC� CITATION# NONE CHARGE NONE
LecALLY `LJ
25 s a
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# JAGENCY
26
J.CHRISTIANSEN 10437 WA0171300
PART A PAGE 01 OF C7
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE58242
COLLISION REPORT III III III III III 111
1591972 CASE# TPD 24-1477 RPD:24-2689
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX MMD D.OB.
DYYYY
PASSENGER WITNESED UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. : USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D.OB.
SEX MMDDYYYY
PASSENGER❑ WITNESO UNIT# SEAT AIRBAG RESTR. EJECT HELMET 'INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE# D.O.B.
SEX I MMDDYYYY
PASSENGERD WITNES UNIT# SEAT ' AIRBAG RESTR. EJECT HELMET INJURY
USE CLASS NATURE OF INJURIES
POS.
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 03-12-24 12:39 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY I DATE
J.TRADER 4553 311212024 12:44:50 AM
BADGE OR ID# 10437 OR]# WA0171300 TIME POLICE DISPATCHED 1 11:05 PM TIME POLICE ARRIVED 1:17 PM
PART PAGE 27OF
REPORT NO. EE58242 CASE# TPD 24-1477 / RPD 24-2689 OFCOLLISIONE 03/11/24 22:50
NARRATIVE
TUKWILA PD CASE#: 24-1477
RENTON PD CASE#: 24-2689
*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 03.11.2024, at approximately 2306 hours, I was dispatched for an outside agency assist to
Tukwila Police Department, in reference to an officer involved collision near the intersection of S.
150th ST and Tukwila International Blvd, in the City of Tukwila, 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 #304, 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 3r13.
Prior to my arrival, dispatch advised a Tukwila Police Vehicle #1766 was involved in a collision with a
gray/silver in color Toyota Prius bearing WA/BHA2562 (VIN: JTDKN3DU3E0386381; UNIT 01), and
there was minimal damage to both vehicles. Tukwila Police Department has a policy not to
investigate collisions involving Tukwila Police Officers; as a result, Tukwila PD requested I respond to
the location to conduct the investigation and complete the collision report.
I arrived on scene at approximately 2317 hours, and met with Officer JC Thomas, who is the acting
sergeant. Officer Thomas advised Tukwila PD Unit#1766, bearing WA Exempt Plate: 61493D (UNIT
02) had been involved in a collision. Unit#1766 is a 2017 black/white Ford Explorer and was driven
by Officer R. McAdory. Officer McAdory was traveling eastbound on S. 150th ST, approaching the
intersection with Tukwila International Blvd, when Unit 01, which was parked on the south side of S.
150th ST, facing eastbound, moved from a parked position into the roadway and struck the patrol
vehicle on the passenger front bumper/pushbar area. Unit 01 had minimal damage to the front
driver's side '/ panel and was driven by WARSAME, MOHAMED HASSAN (DOB: 01.01.1988;
). Warsame returned clear and valid through WACIC/NCIC/DOL.
Unit 01's driver, WARSAME, MOHAMED HASSAN (DOB: 01.01.1988), is the causing vehicle in this
collision, in violation of RCW 46.61.300: Unsafe starting from parked position. I issued SECTOR
Citation #: 4AO014463 for the above listed violation. The citation will be forwarded to Warsame via
the mail.
RCW 46.61.300
Starting parked vehicle.
No person shall start a vehicle which is stopped, standing or parked unless and until such movement
can be made with reasonable safety.
No injuries were reported.
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 March 12, 2024, at approximately 0035
hours, in Renton, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Location Character: CITY STREET
Motor Vehicle Unit 1
PAGE 3 OF 5
E AND
REPORT NO.' EE58242 CASE# TPD 24-1477 / RPD 24-2689 OF COLLISION 03/11/24 22:50
OF COLLISION
NARRATIVE
Action Code: STARTING FROM PARKED POSITION
**** END OF AUTO-POPULATED SECTION ****
PAGE 4 OF 5
REPORT NO. EE58242 CASE# TPD 24-1477 / RPD 24-2689 DATE AND TIME 03/11/24 22:50
OF COLLISION
1
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03.11.2024
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PAGE 5 OF 5