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HomeMy WebLinkAbout24-11602 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 5 27c
COLLISION REP FIT 1591971
SASE 24-11602 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 3 4 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE OF M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
COLLISION'. 11 — 08 — 2024 1224 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
108TH AVE SE BLOCK NO. e✓ 18207 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5 .❑ FEET e S ❑ W e SE 182ND
❑ �
0 3 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
NO F,/ I D:2063715290 30
6 LAST NAME TESFAI FIRSTNAME FREWEINI MIDDLE G 1 1 2 31
INITIAL
STREET ❑ 21009 99TH AVE S CITY KENT ST WA ZIP 98031 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION : PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET
2 CLASS 1 NATURE OF INJURIES z❑
3
10 9❑ P1 aT�S� CB W5029 sTArI WAvIN# 5TDDZRFH8HS416122
TRAILER STATE TRAILER STATE
11 0 0 PLATE# PLATE# ROM ro
TRLR. TRLR 7 5 33
12❑ vIN#' VIN#
:: FROM TO
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN TOWED BY GOVT.VEHICLE 5 1 34
13❑$ 2017 TOYT HIGHLA SV DAMAGE YES NO YES[:] ✓No
REGISTERED OWNER INFO FRE.TESFAI 2100999TH AVE S KENT WA 98031 D:2063715290 VEHICLE NO. 1 ❑
SHADE IN DAMAGED AREA 35
14 LIABILITY INSURANCE INSURANCE CO NIA 3
IN EFFECT &POLICY# 9TOP
vewcLe CHARGE 1 5 35
LECALLv Yes❑NO❑ CITATION# 10 BOTTOM
15❑ STANDING 8 7 6
MOTOR PEDAL PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
�U-N�T VEHICLE ❑ CYCLE ❑ ❑ : OWNER ❑ YES NO ,/ D:2062495784
16 a
LAST NAME YOUNG FIRST NAME NOAH MIDDLE R
INITIAL
17 NEW STREETR 7' 10412 SE 196TH ST CITY' RENTON ST WA ZIP 98055 4❑ 37
18� CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL TRANSPORTED 38
INTERLOCKYES�NOR INTERLOCK YEs I I NOF YEs t l NO❑
19 DRIVEW # STATE SEX M M .C.B. 07 26 _ 2001 39
20 ON DUTY STATUS 1 AIRBAG RESTR EJECT 1 HELMET 5 INJURY 7 NATURE OF INJURIES ❑ 40
USE CLASS RIGHT LEG PAIN
❑21❑ LICENSE TArE 41
VIN# 1
PLATE#
42
22❑ PLATE# STATE PLATE# STATE
23❑ 43
TRLR RLR
UIN#. 'IN#.
VEH YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY Gov HI 44
L4❑ 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 9TOP 5
vE""LE ❑ ,J� CITATION# CHARGE i o BOTTOM
LEGALLY YES N J
25 s 6
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26 4 5 JEREMYENGEL 13006 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF36891
COLLISION REPORT III III III III III 111
1591972 CASE# 24-11602
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
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.
JEREMY ENGEL 11-08-24 02:40 PM
NVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
G.BARFIELD 6476 1111812024 3:20:20 PM
BADGE OR ID# 13006 ORI#" WA0171300 TIME POLICE DISPATCHED 12:25 PM TIME POLICE ARRIVED',12:29 pM
PART I PAGE IT]OF 4�
REPORT NO. EF36891 CASE# 24-11602 OF COLLISION
11/08/24 12:24
OF CbLLI510N
NARRATIVE
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.
While on patrol on 11/08/2024 at approximately 1225 hours I was dispatched to an Accident with
Unknown Injuries at 18207 108th Ave SE, City of Renton, County of King, Washington. Dispatch
advised a vehicle had collided with a cyclist near the King of Kings Church.
I drove to the location with my emergency lights and sirens. When I arrived at the location, I contacted
the driver of Unit#1, Freweini G. Tesfai (02/04/1995), and the cyclist, Noah R. Young (07/26/2001). 1
identified both by their WADLs. Young stated that he had an injury to his right leg from the collision. I
started Renton Regional Fire Authority as a precaution for Young's injury. I then gathered each
party's independent recollection of the incident.
Tesfai (Unit#1) explained to me that she had been picking up her children from pre-school at the
King of Kings Church. She was leaving the church traveling east and attempting to turn south onto
108th Ave SE and did not see Young on his bicycle riding North bound on 108th Ave SE. Tesfai
pulled out into lane 1 of 2 causing Young to collide with the rear passenger side of her vehicle.
Young stated he was riding northbound on 108th Ave SE on the west sidewalk and was approaching
the King of Kings Church when he saw Unit#1 pulling out. He stated that he was close to the
entrance of King of Kings Church and thought that Unit#1 was stopping and as he approached Unit
#1 pulled out causing him to collide with the rear passenger side of the vehicle.
I spoke with Gia T. Nyboe (11/13/1995) who witnessed the incident and gave me her recollection of
the incident. She stated that she observed Unit#1 waiting at the entrance of King of Kings Church to
turn south onto 108th Ave SE. She stated that she saw Unit#1 start to turn south when she saw
Young riding his bike northbound on the west sidewalk of 108th Ave SE and collide with the rear
passenger side of the vehicle.
I photographed a scratch on the rear passenger side of Unit#1 where Young had collided with the
vehicle. I photographed Young's bicycle that did not have any visible damage, but the front wheel was
slightly bent. I provided both parties with my business card and the case number.
Based on the above statements, 1 determined Unit#1, Tesfai, to be the proximate cause of the
collision as she was distracted and did not grant the right of way to Young who was proceeding on his
bicycle causing a collision between the two. Tesfai should have been paying closer attention to the
roadway and sidewalk before turning.
Tesfai was able to drive away from the scene without further incident and Young was able to walk
away from the scene without further incident.
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. Engel #13006 11/8/2024 2:22 PM Renton, King County, WA.
**** AUTO-POPULATED SECTION ****
THE FOLLOWING ARE DESCRIPTIONS ENTERED FOR ITEMS SELECTED AS "OTHER":
Pedalcyclist YOUNG
Roadway Type: SIDEWALK
**** END OF AUTO-POPULATED SECTION ****
PAGE 3 OF 4
REPORT NO. EF36891 CASE# ' 24-11602 DATE AND TIME 11/08/24 12:24
OF COLLISION
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PAGE 4 OF 4