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HomeMy WebLinkAbout24-10791 iiTFiNII IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF27738oc� RA
COLLISION REPORT 1591971
CASE# 24-10791 2
INTERSTATE CITY STREET FIRE ❑RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY. 4200 3
COUNTY RD INVOLVED CODING
PRIVATE WAY TOTAL
2❑ TRIBAL UN TS#OF 04 SOTRUCK BJECT 11 8 28
RESERVATION 2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
DATE OF'. N E
coulsloN' 10 - 16 - 2024 1712 17 =.= S 8 W e IN OF M 1070 a
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑ NON INTERSECTION
N SOUTHPORT DR BLOCK NO. e 1400 .�
4a❑ MILE POST
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
6 186 00 FEET e✓ S 8 N e✓ I405
2 0 29
MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:4252827559 0 8 30
6❑ LAST NAME SCHILD FIRST NAME NICOLE MIDDLE E 1 2 31
INITIAL
STREET ❑ 13038 RENTON AVE S
NEW CITY, SEATTLE ST WA ZIP 981784949 2
7 CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED. 3
INTERLOCKYEs NO INTERLOCKYEs NO YES D NO
8❑ LICIENS# STATE WA SEX F MMDCSYY' 02 — 14 — 2007 1 2 32
9 ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 N USEET INJURY
CLASS 1 NAruRE of INJURIES 2
LICENSE, CHP9057 STATE WA VN# 2HKRM4H71FH648883 3
10 PI ATP tt
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# MW To
rRLR LR 7 3 33
1 3
FROM TO
2 P5 VIN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED By GOVT VEHICLE 9 9 34
13 4 2015 HOND CR-V SV DAMAGE YES�NO� YES NO
REGISTERED OWNER INFO KEITH SCHILD 13038 RENTON AVE S SEATTLEWA98178 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
3
14 LIABILITY INSURANCE INSURANCE CO CONNECTA103263501 4
IN EFFECT &POLICY# 4TOP _
b 36
Lr LNYes NO CITATION# 4A0612148 CHARGE INATTENTIVE DRIVING
15 gG
III MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT O2 VEHICLE CYCLE nWNFR YES,/ NO D:4258024056
16�
LAST NAME WINDSTRUP FIRST NAME DAVID MIDDLE p
INITIAL
STREET ❑ 37
17 '❑ 7705 S 116TH ST CITY SEATTLE ST, WA ZIP 981783840
NEW AbbRESS
18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED' ❑ 38
INTERLOCKYEs ND INTERLOCK YES N.Fj YEs NO
19� DRIVER'S STATE WA SEXM D.O.B. 06 03 1964 39
LICENSE# MMDDYY —
HELMET INJURY' NATURE OF INJURIES 40
LICENSE1
20❑ ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 7 ❑
USE CLASS POSSIBLE NECK PAIN
21 PLATE# 488ZLW rare WA vIN# YV4960BZ8A1075779 41
22❑ PLATE# STATE P ATE# STATE ❑ 42
23 TRLR r RLR 43
UIN#. 'IN#.
VEH.YEAR 2010 JAKE VQLV MODEL XC70 STYLE $(IV I VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 DAMAGE YES NO YES NO
REGISTERED OWNER INFO DAVID WINDSTRUP 7.S 116TH ST SEATTLE WA 98178 D:4258024068 VEHICLE NO,2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE INSURANCE CO SAFECO H2O74808
IN EFFECT &POLICY# 9TOP
v 1—
LecnLLY ,.I—I CITATION# CHARGE
25 a
tO BOTTOM`.LJ YES N
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159(R 11/181
POLIICFETRAFFICN CORRECTION REPORT NO. EF27738
COLLISION REPORT III III III III III 111
1591972 CASE# 24-10791
ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
'NAME
(LAST,FIRST MIDDLE INTTIAL)
ADDRESS&PHONE#
SEX' D.O.B. - [----------�
MMDDYYYY
PASSENGER F-1 WITNESS Ej UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES--�
POS. USE CLASS
'NAME
(LAST FIRS,MIDDLE INITIAL)
ADDRESS&PHONE#
S ' D.O
EX .B.MMDD -F L----------�
YYYY
EAT HELMETNJURY URE OF
PASSENGER ❑WITNESS UNIT# S AIRBAG RESTR. EJECT NAT INJURIESPOS. : USE CLASS ----�
'.NAME
(LAST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX D.O.B. - L----------�
MMDDYYYY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
❑ Q POS. USE CLASS �____ ----j
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.
MATTHEW NUGENT 10-17-24 04:01 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 10/23/2024 2:36:04 PM
BADGE OR ID# 11498 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 5:13 PM TIME POLICE ARRIVED 5:15 PM
PART B 3oDo-345-,ao(Rtrras) PAGE 27 OF 67
EAN
REPORT NO.` EF27738 CASE# 24-10791 OF COLLI COLLISION TIME 10/16/24 17:12
COLLI
NARRATIVE
24-10791
On 10/16/2024 at approximately 1712 hours, I was dispatched to a 4 vehicle non-injury blocking
vehicle collision that occurred just west of 1-405 on N. Southport Dr within the City Limits of Renton,
County of King, State of Washington.
Upon arrival, I observed 4 vehicles facing eastbound on N. Southport Dr blocking one lane of travel. 1
contacted the involved parties and confirmed no injuries had occurred requiring immediate medical
response at the time of report. There, I collected the involved parties driving documents and their
independent recollection of events leading up to the collision.
The driver of Unit#1 was the sole occupant in the vehicle. She said that while she was traveling
eastbound in the 1400 block of N. Southport Dr, she attempted to move from lane 3 of 4 to lane 4 of 4
and she didn't notice the car in front of her had slowed down. The driver of Unit#1 was unable to stop
her vehicle in time and subsequently collided with the rear of Unit#2 in front of her. Unit#1 suffered
moderate damage to the front of her vehicle.
The driver of Unit#2 was the sole occupant in the vehicle. He was stopped at a red light behind Unit
#3 waiting to continue eastbound in the 1400 block of N. Southport Dr. He was positioned in lane 4 of
4. While stopped, Unit#1 collided into the rear of his car, causing Unit #2 to move forward, colliding
with the rear of Unit#3. Unit#1 sustained minor rear end damage. Unit#2 sustained front end
damage and had fluid leaking from his vehicle. Unit#2 sustained more front-end damage because it
was pushed into Unit#3 from the impact of Unit#1 colliding with it.
The driver of Unit#3 was the sole occupant in the vehicle. She was stopped at a red light waiting to
continue eastbound in the 1400 block of N. Southport Dr. She was positioned as the first car in lane 4
of 4. Her vehicle sustained minor rear end damage when Unit#2 was pushed into her vehicle.
The driver of Unit#4 was the sole occupant in the vehicle. He was attempting to change lanes to
avoid the collision ahead while traveling eastbound in the 1400 block of N. Southport Dr. He ended up
not being able to merge due to an unrelated vehicle speeding up which caused him to collide into the
rear end of Unit#1.
Schild was not paying attention to traffic in front of her. Schild violated Renton Municipal Code (RMC)
10-12-25-Inattentive Driving which is defined as any person to drive a motor vehicle on any public
highway, street, alley, or road in an inattentive manner in the City of Renton. "Inattentive manner" in
this section means a lack of: 1) attentiveness required to safely operate the vehicle under the
prevailing conditions, including, but not limited to, the nature and condition of the roadway, the
weather conditions, the presence of pedestrians, the presence of other traffic, or by the driver
focusing or directing the driver's attention to something other than driving the motor vehicle; or 2)
attentiveness that would permit the driver of a motor vehicle to observe anything resting on, or
traveling on, or entering the roadway in time to take appropriate action as circumstances require.
(Ord. 4462, 7-25-94, eff. retroactive to 7-1-94; Ord. 5635, 11-14-11).
Based on the above statements, 1 determined that the Driver of Unit#1 (Schild) is the proximate
cause for the collision due to Inattentive Driving.
I issued Schild a citation via mail for Inattentive Driving. Schild qualified for the City of Renton Youth
Traffic Court (YTC) and was made aware of the details by providing her father with the YTC business
card.
PAGE 3 OF 6
EAN
REPORT NO.` EF27738 CASE# 24-10791 O OF COLLI COLLISION TIME 10/16/24 17:12
COLLI
NARRATIVE
All involved units were able to be driven away without further incident. An exchange of information
was provided to all involved parties.
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 R. Smith #12986 10/17/2024 4:05 PM Renton, King County, WA.
PAGE 4 OF 6
SUPPLEMENTAL REPORT No. EF27738
POLICE TRAFFIC
1 1 8 27
µ ^'� COLLISION REPORT CASE#+ 24-10791
1 COMMERCIAL MOTOR CARRIER INTERSTATE INTRASTATE
UNIT# USDOT ICC# VEHICLE TYPE CARGO BODY
TYPE
2 ❑ 1 1 8 28
CARRIER
NAME
3 CARRIER L
ADDRESS
CITY ST ZIP
4 NAME # PLAOARD. �
NAME IF
GWVR '. NO NUMBER
SOURCE' AXLES +
4a ❑ ADDITIONAL UNITS
'J ,µ MOTOR PEDAL- PROPERTY DAMAGE THRESHOLD MET PHONE
UNIT# 3 �✓ PEDESTRIAN ❑', YES NO
5 VEHICLE CYCLE OWNER ✓ D-4084381311
0 8 29
LAST NAME MCKENZIE FIRST NAME DANA MIDDLE' R
INITIAL
2 0 STREET 30
❑ NEW nnnRFs� 1700 ANACORTES AVE NE CITY RENTON ST WA ZIP 980593936
6 PRESENT MEDICAL TANSPORTED 1 1 2 31
CDL IGNITION RE(QUIREO IGNITION
INTERLOCK YES D NO INTERLOCK YES Na YES N
DRIVER'S STATE WA SEX F D.O,B 09
LICENSE MMDDVYv - 22 - 1989
7 ❑
ON DUTY STATUS: AIRBAG 2 RESTR. 4 EJECT g HELMET INJURY 1 NAruREofINJURIEs
USE :CLASS
8 ❑ 1 1 2 32
LICENSE BMX4214 TAT WA VIN{ 5N1AT2MV4FC829962
PLATE#
9 TRAILER TRAILER 2
PLATE#r STATE PLATE# STATE
10 ❑ TRLR TRLR
VIN.# VIN.# -------------
11 3 5 VEH.YEAR2015 MAKE NISS MODELROGUE STYLE SV VEHICLE TOWE E T ABLIN TOWED BY GOVT.VFHICI F FROM TO
DAMAGE YES NO ✓ YES NO ✓
REGISTERED OWNER INFODANA MCKENZIE 1700 ANACORTES AVE NE RENTON WA 98059 SHADE IN DAMAGED AREA 9 9 33
12 3 5 3
4 FROM TO
INSURANCE CO
LIABILITY INSURANCE PROGRESS/VE 924640229
IN EFFECT ✓ &POLICY# iGQO
7 3 34
13 vewcEe YES NO CITATION# CHARGE
✓ 7 t
DAMAGE THRESHOLD MET PHONE ❑ 35
14 UNIT# 4 MOTOR PEDAL- ❑ PEDESTRIAN ❑ PROPERTY ❑ YES No
VEHICLE CYCLE OWNER ✓ D:6302120000
2 ❑15 � LAST NAME MOOREHEAD FIRST NAME DANIEL MIDDLE. L 36
INITIAL
16 STREET ❑ 11423 87TH AVE S CITY SEATTLE ST WA ZIP 981783907
NEW ADDRESS"
GDL IGNITION RE(]UIN IGNITION PRESENT ME DICALTANSPORTED
17 INTERLOCK YES NO 3NTERLOCK YES NUJ YES NC
DRIVER'S STATE WA SEX M D,O.B 37
LICENSE# MMDDVYY' - 11 - 1987
18 ❑ ❑
C ',2 '.1 HELMET INJURY 1 NATURE OF INJURIES 38
ON DUTY❑ STATUS AIRBAG RESTR• 4 EJECT USE CLASS
19 ❑ LICENSE' ,. ❑
PLATE# CHN9410 TAT WA vIN# 1G1FZ6SO4P4161396 39
20 ❑ TRAILER I I TRAILER ❑ 40
PLATE# STATE PLATE# STATE
21 ❑ TRLR TRLR 41
VIN# VIN#i
42
22 VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED DUET SABLIN TOWED BY GOVT.VEHICLE
2023 CHEV BOLT HB DAMAGE YES NO T/ YES NO ✓
23 REGISTERED OWNER INFODANIEL MOOREHEAD 1142387TH AVE S SEATTLEWA98178 SHADE IN DAMAGED AREA 43
2 3 4
LIABILITY INSURANCE &POLICY#INSURANCE CO METROMILE420196461901 STOP
IN EFFECT
44
24 YES NO
vEHICEE ❑ ❑ CITATION# CHARGE 70 BOTLOM
I..EGALLY
STIWDING � 3 �
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW NUGENT 10-17-24 04:01 PM
25 INVESTIGATING OFFICER'S SIGNATURE OFFICER'S PHONE UNIT OR DIST DET DATED: PLACE SIGNED
26 BADGE OR ID# ! 11498 O#RI WA0171300 APJOHNSON 10%23/202 PAGE[5 OF�
3000-345-013(R 11/18)
REPORT NO. EF27738 CASE# 24-10791 DATE AND TIME 10/16/24 17:12
OF COLLISION
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