HomeMy WebLinkAbout25-3774 IT si " II IIIII III IIIII II IIII IIIII I . 27c REPORT NO EF87772OLCERA
COLLISION REPORT 1591971
CASE# 25-3774 2
INTERSTATE CITY STREET FIRE I
RESULTED STOLENSTATE ROUTE OTHER VEHICLE LOCAL-AGENCY 4100 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 TOTAL#OF OBJECT 1 s 28
TRIBAL UNITS 02 STRUCK
RESERVATION : 1 1
2
3� M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
eaCL s on' 04 - 29 - 2025 0531 17 =.= S 8 W e OF IN e 1070 s
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW 43RD ST BLOCK NO.
4a❑
MILE POST e
❑ DISTANCE OF(REFERENCE OR CROSS STREET)
5 MILES 1.1 FEET e S 8 W e SR 167
0 3 29
MOTOR PEDAL- DAMAG THRESHOLD MET PHONE
UNIT 01 VEHICLE
❑ CYCLE ❑ YES No �/ D:4253007056 30
5 LAST NAME ERANA FIRST NAME GIRMA MIDDLE D 1 1 2 31
INITIAL
STREET ] 10413 SE 174TH ST4454 CITY; RENTON ST I WA Zlp; 98055 2
NEW ADDRESS
7 CDL IGNITION REQUIRED IGNITION ENT MEDICAL TRANSPORTED 3
INTERLOCKYEs NOR] INTERLOCK Yet
Na�/ YES NL F,/
8❑ DCIENSE# STATE WA SE XI M MMDDYY' 02 — 14 — 1963 32
9 ON DUTY STATUS' AIRBAG 2 RESTR 4 EJECT 1 N USEE7 INJUR
CLASSY 14 1
NATURE of INJURIES 2
LICENSE, CFD2727 STATE WA VIN# KMHDH4AE6DU889683 3
10 Fl I as ATP rt
TRAILER STATE TRAILER STATE ROM To
11 3 5 PLATE# PLATE#
TRLR zRLR. 3 1 33
12 VIN#' VIN#
FROM TO
VEH.YEAR ZOI3 MAKE HYUN MODEL ELANTR STYLE SD VEHICLE TOWED[n TO ZBLIN TOWEDBY GOVT VEHICLE 3 7 34
13� DAMAGE YES II_II NO YESII_I) NO
REGISTERED OWNER INFO OWNEDBYDR/VER VEHICLE NO. 1
SHADE IN DAMAGED AREA 35
2 LIABILITY INSURANCE INSURANCE CO 2 3 4
14 PROGRESS/VE 964305131
IN EFFECT &POLICY# 4TOP
VEHICLE CHARGE 5 36
Lemur YES[:]NO[:] CITATION# i o 80TTOM
15❑ srANowc s 7 e
MOTOR PEDAL-:. pROpERTY DAM THR OLD MET PHONE
UNIT 02 ❑ ❑ PEDESTRIAN Q✓ D:2063307136
VEHICLE CYCLE OWNER YES NO
16�
LAST NAME FERNANDEZ CASTRO FIRST NAME ' FERNANDA + MIDDLE R
INITIAL
STREET ❑
17 ❑ 8525 S 115TH PL 4 CITY SEATTLE ST, WA ZIP 98178 q 37
NEW ADDRESS
18❑ IGNITION REQUIRED IGNI"(1GN PRESENT MEDICAL TRANSPORTED'. 38
CDL INTERLOCKYES ND [N7ERLOCK YES 0No YES NO
19 DRIVERS STATE WA SEX F D.O.a. 03 15 1992 � 39
LICENSE# MMDDYY —
4 HELMET I INJURY I NATURE OF INJURIES 3 40
20❑ ON DUTY STATUS 3 AIRBAG RESTR EJECT 6 ❑
USE CLASS 1 PAIN TO LEFT HIP/LEG AND HEAD
LICENSE
21 PLATE# TArE VIN# 41
22❑ [TILER TAILER
PLATE# STATE PLATE# STATE 42
23 TRLR RLR 43
UIN#. 'IN#
VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN
TOWED BY GOV HI 44
24 0 1 DAMAGE YES NO YES NO
REGISTERED OWNER INFO VEHICLE NO.2
SHADE IN DAMAGED AREA
2 3 4
LIABILITY INSURANCE❑ INSURANCE CO
IN EFFECT &POLICY# 9TOP
YEmcLE ❑ ,.I—I CITATION# CHARGE to BOTTOM
EEGAEEY YES NCO
25 a ' s
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
ST
FAJARILLO 12847 WA0171300
PART A PAGE 01 OF
3000-348-189(R 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EF87772
COLLISION REPORT III III III III III 111
1591972 CASE# 25-3774
E NA ADDITIONAL PERSONS INVOLVED(PASSENGERS AND/OR WITNESSES ONLY)
M
(LAST,FIRST,MIDDLE INITIAL) WALKER AMY
ADDRESS&PHONE#
UNKNOWN RENTON WA 2533948015 SEX i U MMDDDYBYYY — —
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NRE OF INJURIES
POS. USE CLASS i [ATU ----�
:NAME
(LAST FIRST MIDDLE INITIAL)
ADDRESS R PHONE#
SEX MMDDYYYY D.O.B. —
PASSENGER❑WITNESS UNIT# : SEAT AIRBAG RESTR. EJECT HELMET INJURY: NATURE CFINJURIES
POS. USE CLASS ----�
:NAME
(LOST,FIRST,MIDDLE INITIAL)
ADDRESS&PHONE#
SEX/ MMDDYY D.O.B.
YY
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
POS. I 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.
STEVEN FAJARILLO 04-29-25 07:41 AM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST.DET DATED PLAGE SIGNED
APPROVED BY DATE
D.SKELTON 9139 51212025 3:58:35 AM
BADGE OR ID# 12847 ORI# WA0171300 TIME POLICE DISPATCHED 5:31 AM TIME POLICE ARRIVED i 5:36 AM
PAST B 3 Do-3mx—attar(t 1Mff) PAGE 2�OF 4
REPORT NO. EF87772 CASE# 25-3774 OF DATE AND r�N + 04/29/25 05:31
O�COLLISION
NARRATIVE
25-3774
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 04-29-2025 1 was working as a police officer in the city of Renton. At approximately 0535 hours I
was dispatched to the report of a vehicle versus pedestrian at the intersection of SW 43rd St/SR 167,
City of Renton, County of King, WA. This incident was captured on my department issued Axon body
camera.
According to the notes in the call, a car versus pedestrian. The driver is putting the pedestrian in his
vehicle and eastbound on S 43rd St towards Valley Medical Center. Vehicle 1 was later identified as
a gray 2013 Hyundai Elantra (WA/CFD2727) registered to Girma D Erana (DOB:02-14-1963).
I arrived at Valley Medical Center and contacted the driver, Girma. I recognized him from his
Department of Licensing photograph. The following is an account of events according to Girma. He
was travelling west on S 43rd St and started turning northbound to SR 167 on a green light. He did
not see a pedestrian and collided with her at approximately 5 mph. He got out to see if she was okay,
helped her up, and drove her to Valley Medical Center. Girma said he did not see her in the
crosswalk.
The Hyundai had a dent on the hood where it impacted the pedestrian. There was no other damage
and the vehicle was drivable. I provided Girma with a case number.
Notably, the weather was raining and dark. The pedestrian was also wearing a black jacket.
contacted the pedestrian, Fernanda R Fernandez Castro (DOB: 03-15-1992). 1 recognized her from
her Department of Licensing photograph. Fernanda spoke with Officer Raygoza about the incident.
Please see his supplemental report for full details. 1 provided Fernanda with a case number. She also
completed a consent for medical release form.
Finally, I contacted a witness, Amy Walker. She caught the incident on her dash camera. 1 provided
her with an AXON community request link, and she uploaded the video. I viewed the video, and it
occurred just as Girma described. I noticed Fernanda collided with the front bumper, was lifted off her
feet and then landed on the ground.
Based on the facts regarding this case, Vehicle 1 failed to yield to the right of way of a pedestrian and
was the proximate cause of the collision.
There is no further information available at this time.
I certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing
is true and correct.
Electronically signed by S. Fajarillo #12847 on 04/29/2025 @ 0740 hours in Renton WA.
PAGE 3 OF 4
REPORT No•' E F87772 CASE# 25-3774 DATE AND TIME 04/29/25 05:31
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