No preview available
HomeMy WebLinkAbout24-10829 j ITFC II IIIII III IIIII II IIII IIIII I . 27I OOLCERAF EF27717 COLLISION REPRT 1591971 CASE# 24-10829 2 INTERSTATE CITY STREET FIRE ❑ RESULTED 1 STOLEN STATE ROUTE ❑ OTHER ❑ VEHICLE ❑ LOCAL AGENCY 4100 3[--� COUNTY RD ❑ NVOLVED CODING PRIVATE WAY 2❑ TRIBAL TOTAL 1 UNITS#OF 02 SO BJECT TRUCK 1 8 28 RESERVATION 2 3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY# DATE OF'. N E coulsloN' 10 - 17 - 2024 1440 17 =.= S 8 W e IN OF M 1070 a 4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION �✓ NON INTERSECTION ❑ SE PETROV/TSKY RD BLOCK NO. e 11700 .� 4a❑ MILE POST ❑ DISTANCE OF(REFERENCE OR CROSS STREET) 5 �. FEET H S 8 W e 117TH AVE SE OF 4 29 MOTtlR PEDAL- DAM AG THRESHOLD MET PHONE UNIT 01 VEHICLE ❑ CYCLE ❑ YEs Vl No D:8174898503 0 1 30 6 LAST NAME JILANI FIRST NAME SHEILA MIDDLE M 1 1 2 31 INITIAL STREET ❑ 2100 S 260TH ST APT D101 CITY DES MOINES ST WA ZIP 98198 2 NEW ADDRESS 7 CDL IGNITION REQUIRE IGNITION PRESENT MEDICAL TRANSPORTED 3 INTERLOCK Yes NOD] INTERLOCKYES NO YES NO 8� LICIENS# STATE WA SEX F MMo YY' 03 - O6 - 1972 1 2 32 9 ON DUTY STATUS AIRBAG 6 RESTR 4 EJECT, 1 HELMET INJURY 7 of INJURIES 2 USE ;CLASS C/O M MINOR PAIN.EVAL'D BY RRFA LICENSE CND0096 STATE WA VN# KM8JM12B37U588150 3 10[9� PI ATF#' 11[—j— TRAILER STATE TRAILER ,STATE ROM TO 11 3 5 PLATE# PLATE# TRLR TRLR 7 1 33 12 3 5 VIN# vN# FROM TO VERYEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN �tpyEWI GOVT VEHICLE 34 13 8 2019 HYUN TUCSO $V DAMAGE YES TO "'"J R$ 3 7 YES❑ NO REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1 ❑ SHADE IN DAMAGED AREA 35 14 LIABILITY INSURANCE� INSURANCE CO PROGRESSIVE 984486381 IN EFFECT &POLICY# ®TOP VEHICLE ❑NO❑ CITATION# 4A0612153 CHARGE FAIL YIELD LEFT TURN MOTOR ooTrom ❑ 36 Yes 15❑ owc MOTCYR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE UNIT VEHICLE ❑ CYCLE' ❑ ❑ nWNFR D:2064965924 16� LAST NAME VONG FIRST NAME CAN MIDDLE' INITIAL 17 F1 STREET ❑❑ 14742 SE 185TH PL CITY RENTON ST, WA ZIP 37 980589327 NEW ADDRESS 18❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDIGALTRANSPORTED 38 INTERLOCKYE No INTERLOCK YES 0No YEs No' 19[ DRIVER'S STATE WA SEXM D.O.B. 03 19 1952 39 LICENSE# D.02.Y HELMET INJURY NATURE OF INJURIES 4Q 20❑ ON DUTY STATUS' AIRBAG 3 RESTR 4 EJECT 1 7 ❑ USE CLASS C/O MINOR PAIN.EVAL-D BY RRFA 21 LICENSLATE E BST3477 rarE WA vIN# JTMNIRFV8KD521943 41 22❑ PLATE# STATE PAAILER TE# STATE ❑ 42 23 TRLR kRLR 43 UIN#. 'IN#. TOWED BY GOV HI 44 VEH.YEAR 2019 MAKE TOYT MODEL RAV4 STYLE $V IVE DAMIAGE TOWED No BLIN BANKERS YES NO 24 REGISTERED OWNER INFO OWNED BY DRIVER VEHICLE NO.2 SHADEDAMAGEDAREA 3 4 LIABILITY INSURANCE INSURANCECO AMERICAN FAMILY 41055-19124.56 IN EFFECT &POLICY#`HineLEGAlL,v ❑ N`LJ,.I—I CITATION# CHARGEUR 25 YES OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY J 26 MATTHEW NUGENT 11498 WA0171300 PAGE 01 OF PART A 3000-345-159(R 11/18) POLIICFETRAFFICN CORRECTION REPORT NO. EF27717 COLLISION REPORT III III III III III 111 1591972 CASE# 24-10829 ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY) NAME BUI PHI N (LAST,FIRST MIDDLE INITIAL) ADDRESS&PHONE# 14742 SE 185TH PL RENTON WA 980589327 2064965924 SEX' F MMooYYYv 11 - 09 - 1961 SEAT HELMET I INJURY NATURE OF INJURIES PASSENGER F,-/1 WITNESS Ej UNIT# 2 1 POS. 3 AIRBAG 3 RESTR. 4 EJECT 1 USE CLASS 7 C/O MINOR PAIN.EVAL'D BYRRFA 'NAME LAsr F RST,MIDDLE INITIAL) TRAN HANG ADDRESS&PHONE# D(�B '. 14742 SE 185TH PL RENTON WA 98058 2064965924 SEX' F MMoovvYv 03 _ 30 _ 2007 SEAT HELMET INJURY NATURE OF INJURIES PASSENGER �WITNESS UNIT# i 2 POS. 9 AIRBAG 3 RESTR. 4 EJECT 1 USE CLASS 1 NAME MIDDLE INITIAL) SMITH DENISE M ',(LAST,FIRST, AODREss a PHONE# 19411 133RD AVE SE RENTON WA 98058 2533159100 SEX F I D.O.B. 09 _ 14 _ 1963 MMDDYYYY PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES ❑ Q', 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. MATTHEW NUGENT 10-21-24 05:21 PM INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLACE SIGNED APPROVED BY DATE CO.JOHNSON 0505 1012312024 2:16:50 PM BADGE OR ID# 11498 ORI# ( WA0171300 TIME POLICE DISPATCHED'; 2:41 PM TIME POLICE ARRIVED 2:48 PM PART B 3oDo-345-,aR(RI1Y1s) PAGE 27 OF 47 REPORT NO.` EF27717 CASE# 24-10829 O COLLI COLLISION TIME OF 10/17/24 14:40 COLLI NARRATIVE 24-10829 On 10/17/2024 at approximately 1441 hours, 1 was dispatched to a rollover vehicle collision with reports of injury at the intersection of SE Petrovitsky Road and 117th Ave SE, within the City Limits of Renton, County of King, State of Washington. Upon my arrival, I observed heavy mechanism to the involved vehicles with airbag deployment as well as both of the involved parties complaining of pain. The Renton Regional Fire Authority (RRFA) responded to the scene for evaluation. While on scene, I collected each of the involved party's driving information and their independent recollection of the events leading up to the collision. The driver of Unit#1 stated that she was the sole occupant of her vehicle and that prior to the collision she was traveling eastbound in about the 11700 block of SE Petrovitsky Road approaching the uncontrolled intersection of 117th Ave SE in the center-turn lane. The driver of Unit#1 had pulled into the center-turn lane and slowed to yield to traffic for an upcoming left-turn at the intersection. The driver of Unit#1 stated she intended to turn northbound onto 117th Ave SE. The driver of Unit#1 stated she did not see Unit#2 traveling in the westbound lanes of SE Petrovitsky Road which Unit#1 needed to traverse across. The driver of Unit#1 proceeded to make the left turn across the westbound lanes of travel. While Unit#1 was turning, she noticed Unit#2 approach the same intersection. The driver of Unit#1 stated that both vehicles collided in the intersection causing Unit#1 to rollover resulting in significant damage to Unit#1. The driver of Unit#1 was treated at the scene and released. The driver of Unit#2 said he and his two adult passengers were traveling westbound in about the 11700 block of SE Petrovitsky Road approaching the uncontrolled intersection of 117th Ave SE in lane 2 of 2. The driver of Unit#2 stated he was intending to continue west. The driver of Unit#2 stated as he continued going straight ahead through the intersection, the driver of Unit#2 saw Unit#1 turn in front of his vehicle. The driver of Unit#2 stated he was unable to avoid the collision and both vehicles collided causing significant damage to the front of Unit#2. The occupants of Unit#2 were treated at the scene and released. A witness, identified as DENISE M JILANI, confirmed the above accounts. Based on the above statements, 1 determined that the Driver of Unit#1 (Jilani) is the proximate cause for the collision due to not granting the right of way during a left turn causing a collision. The driver of Unit#1 violated RCW 46.61.185(1) by being the driver of a vehicle intending to turn to the left within an intersection and not yielding the right-of-way to any vehicle approaching from the opposite direction which is within the intersection or so close thereto as to constitute an immediate hazard. The driver of Unit#1 (Jilani) did not grant the right of way to Unit#2 traveling in the roadway which had the right of way and was already underway. Due to Unit#1 having to traverse across oncoming traffic, the driver of Unit#1 must wait until the intersection is clear of hazard prior to proceeding. Both involved vehicles had to be towed due to extensive damage cause. 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 M. NUGENT #11498 10/21/2024 17:18 hours Renton, King County, WA. PAGE 3 OF 4 REPORT NO. EF27717 CASE# 24-10829 DATE AND TIME i 10/17/24 14:40 OF COLLISION t a t.. � r 3� t. s � t r 4 s rti sir l7�{t41, • �� tS;� l E F tu< t s Ytl ���� fr.�'��s•� � tS �KJ 4, � it. 5, t i Ss� 4 rvu r PAGE 4 OF 4