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Fatal Crash Report

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Crash #2015530206 Crash #2015530206
Fatalities 1
State WASHINGTON
County KING
City
Date June 28, 2015
Time 2:33 a.m.
Location(47.4455278, -122.1541778) - Fatality Map - Google Maps
Street Name 1 CR-SE PETROVITSKY RD
Street Name 2 140TH AVE SE
WeatherClear
Number of Vehicles 2
Number of Vehicles in Transport 2
Number of Parked Vehicles 0
Number of Persons in Motor Vehicles 6
Number of Persons in Motor Vehicles in Transport 6
Number of Persons in Parked Vehicles 0
Number of Nonmotorists 0
Route Signing County
Rural / Urban Urban
Functional System Other Principal Arterial
Road Owner County Highway Agency
National Highway System Not in the National Highway System
Special Jurisdiction No Special Jurisdiction (Includes National Forests Since 2008)
Milepoint 21
First Harmful Event Motor Vehicle In-Transport
Manner of Collision Angle
At Intersection No
Relation to Junction Intersection
Type of Intersection Four-Way Intersection
Relation to Road On Roadway
Work Zone None
Light Condition Dark - Lighted
Atmospheric Condition Clear
School Bus Related False
Rail Grade Crossing ID 0000000
EMS Notified Minute 98
EMS Arrived Minute 98
Arrived at Hospital Minute 98
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Persons

Person #1 in Vehicle #1 Person #1 in Vehicle #1
Age 30 year(s) old
SexFemale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeverityFatal Injury (K)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Combination
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Given
Alcohol Test TypeBlood Test
Alcohol Test Result0.0
Police Reported Drug InvolvementNot Reported
Drug TestedTest Given
Transported To Medical Facility ByNot Reported
Died En RouteNot Applicable
Month of DeathJuly
Day of Death2
Year of Death2015
Hour of Death11
Minute of Death50
Lag Hours105
Lag Minutes17
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNo
HispanicNon-Hispanic
Race White
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Person #2 in Vehicle #1 Person #2 in Vehicle #1
Age 43 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityPossible Injury (C)
Seating PositionFront Seat, Right Side
Restraint System UseNone Used/Not Applicable
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Combination
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
Transported To Medical Facility ByNot Reported
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #1 in Vehicle #2 Person #1 in Vehicle #2
Age 36 year(s) old
SexFemale
Person TypeDriver of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionFront Seat, Left Side (Driver's Side)
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNo (Alcohol Not Involved)
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
Transported To Medical Facility ByNot Reported
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #2 in Vehicle #2 Person #2 in Vehicle #2
Age 35 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeveritySuspected Minor Injury (B)
Seating PositionFront Seat, Right Side
Restraint System UseShoulder and Lap Belt Used
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedDeployed - Front
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
Transported To Medical Facility ByNot Reported
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #3 in Vehicle #2 Person #3 in Vehicle #2
Age 4 year(s) old
SexMale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityPossible Injury (C)
Seating PositionThird Seat, Left Side
Restraint System UseChild Restraint - Type Unknown
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNonmotorist
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Person #4 in Vehicle #2 Person #4 in Vehicle #2
Age 1 year(s) old
SexFemale
Person TypePassenger of a Motor Vehicle In-Transport
Injury SeverityNo Apparent Injury (O)
Seating PositionSecond Seat, Right Side
Restraint System UseChild Restraint - Type Unknown
Restraint System MisuseNo Indication of Misuse
Helmet UseNot Applicable
Helmet MisuseNone Used/Not Applicable
Airbag DeployedNonmotorist
EjectionNot Ejected
Ejection PathEjection Path Not Applicable
ExtricationNot Extricated/Not Applicable
Police Reported Alcohol InvolvementNot Reported
Alcohol Test GivenTest Not Given
Alcohol Test TypeNot Tested for Alcohol
Alcohol Test ResultNone Given
Police Reported Drug InvolvementNot Reported
Drug TestedTest Not Given
Transported To Medical Facility ByNot Transported for Treatment
Died En RouteNot Applicable
Non Motorist LocationOccupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006)
At WorkNot Aplicable
HispanicNot a Fatality (Not Applicable)
Race Not a Fatality (Not Applicable)
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Moving Vehicles

Vehicle #1 Vehicle #1
Fatalities 1
Number of Occupants 2
Hit and Run No Hit and Run
NCSA Make Cadillac
Body Type 4-Door Sedan/Hardtop
NCSA Model 18
Registration State Washington
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 1G6DM5775801
Model Year 2008
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 00000000000
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 40
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point Left-Front Side
Extent of Damage Not Reported
Vehicle Towed Not Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Washington
Driver Zip Code 98058
Non CDL License Type Full Driver License
Non CDL License Status Suspended
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle No Valid License for This Class Vehicle
Compliance with LIcense Restrictions No Restrictions or Not Applicable
Driver Height 62
Driver Weight 135
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 2
Month of Oldest Violation December
Year of Oldest Violation 2012
Month of Newest Violation February
Year of Newest Violation 2014
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Five Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Traffic Control Signal (on Colors) Not Known if Pedestrian Signal
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Going Straight
Critical Precrash Event THIS VEHICLE TRAVELING Crossing Over (Passing Through) Intersection
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY V: INTERSECTING PATHS (VEHICLE DAMAGE) - CONFIGURATION L: STRAIGHT PATHS - Struck on the Left
Driver Related Factor Failure to Obey Actual Traffic Signs, Traffic Control Devices or Traffic Officers, Failure to Observe Safety Zone Traffic Laws
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 2 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
Driver Distracted Inattention (Inattentive), Details Unknown
Driver Impaired None/Apparently Normal
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Vehicle #2 Vehicle #2
Fatalities 0
Number of Occupants 4
Hit and Run No Hit and Run
NCSA Make Dodge
Body Type Minivan
NCSA Model 442
Registration State Washington
Registered Vehicle Owner Driver (in This Crash) Not Registered Owner (Other Private Owner)
VIN 2D4GP24R25R2
Model Year 2005
VPIC Make ID None
VPIC Model ID None
VPIC Body Class Unknown
Body Class Unknown
Lower Weight Rating Not Reported
Upper Weight Rating Not Reported
Vehicle Trailing No Trailers
Jackknife Not an Articulated Vehicle
Motor Carrier ID 00000000000
Vehicle Configuration Not Applicable
Cargo Body Type Not Applicable
Bus Use Not a Bus
Special Vehicle Use No Special Use Noted
Emergency Vehicle Use Not Applicable
Speed Limit 40
Travel Speed Unknown
Underride / Override No Underride or Override
Rollover No Rollover
Rollover Location No Rollover
Initial Contact Point 12 O'Clock
Extent of Damage Not Reported
Vehicle Towed Towed
Most Harmful Event Motor Vehicle In-Transport
Fire Occurence False
Driver Drinking No Drinking
Driver Present Driver Present
Drivers License State Washington
Driver Zip Code 98294
Non CDL License Type Full Driver License
Non CDL License Status Valid
CDL License Status No Commercial Driver's License (CDL)
CDL Endorsements No Endorsements Required for This Vehicle
License Compliance With Class of Vehicle Valid License for This Class Vehicle
Compliance with LIcense Restrictions Restrictions, Compliance Unknown
Driver Height 67
Driver Weight 127
Previous Recorded Crashes 0
Previous BAC Suspensions (Underage) None
Previous BAC Suspensions None
Previous Other Suspensions None
Previous DWI 0
Previous Speeding Convictions 0
Previous Other Moving Violations 0
Month of Oldest Violation No Record
Year of Oldest Violation 0
Month of Newest Violation No Record
Year of Newest Violation 0
Speeding Related No
Trafficway Description Two-Way, Not Divided
Total Lanes in Roadway Six Lanes
Roadway Alignment Straight
Roadway Grade Level
Roadway Surface Type Blacktop, Bituminous, or Asphalt
Roadway Surface Condition Dry
Traffic Control Device Traffic Control Signal (on Colors) Not Known if Pedestrian Signal
Traffic Control Device Functioning Device Functioning Properly
Pre Event Movement Going Straight
Critical Precrash Event OTHER MOTOR VEHICLE ENCROACHING INTO LANE From Crossing Street, Across Path
Attempted Avoidance Maneuver Unknown/Not Reported
Precrash Stability Tracking
Pre-impact Location Stayed in Original Travel Lane
Crash Type CATEGORY V: INTERSECTING PATHS (VEHICLE DAMAGE) - CONFIGURATION L: STRAIGHT PATHS - Striking From the Left
Visibility Obstructions No Obstruction Noted
Moving Violations None
Driver Maneuvered to Avoid Not Reported
Vehicle Factors None Noted
Damaged Areas 1 O'Clock
Damaged Areas 2 O'Clock
Damaged Areas 10 O'Clock
Damaged Areas 11 O'Clock
Damaged Areas 12 O'Clock
Driver Distracted Not Distracted
Driver Impaired None/Apparently Normal
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Crash Events

Event #1 Event #1
VehicleVehicle #2
Area Of Impact12 O'Clock
Sequence of EventsMotor Vehicle In-Transport
Vehicle Vehicle #1
Area Of ImpactLeft-Front Side
Event #2 Event #2
VehicleVehicle #1
Area Of ImpactNon-Harmful Event
Sequence of EventsRan off Road - Right
Event #3 Event #3
VehicleVehicle #1
Area Of Impact12 O'Clock
Sequence of EventsBuilding

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