HomeMy WebLinkAbout2.1.25_Accident_Report_-Pantera Park.pdf
Parks and Recreation -- Accident/Incident Report (UPDATED 12.5.22)
DATE: ____2.1.25___ PROGRAM: _Field Attendant_________________
NAME: Muad Majed AGE (DOB): ___ ______
ADDRESS: PHONE:
WHERE ACCIDENT/INCIDENT OCCURRED: _______________________________________________________
TIME: ____9:40am________________ STAFF MEMBER PRESENT: Brad Montano_______________
BRIEFLY DESCRIBE WHAT HAPPENED: (BE CONCISE)
I was called to Pantera to advise regarding a car accident. When I arrived, I noticed a Nissan Altima partially up
a curb and into some bushes. Muad, the owner of the car, said he noticed his car missing last night and
reported it stolen this morning. Deputies then came to his house later in the morning to fill out a report.
Deputies then received a call saying that a “city worker” (likely Steve Tye) reported the Altima at Pantera, and
told Muad that he was free to retrieve it. As I was talking to him, a locksmith arrived, as Muad said that the car
thief had stolen the key. Phone calls were made to both Andee Williams and Ryan Wright, updating them on
the situation. A phone call to Deputy Murrilo verified Muad’s timeline. Photos were taken of Muad’s passport,
the car, and the curb/bushes both before and after the car’s removal. I noticed no damage to city property.
See emailed photos.
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DESCRIBE NATURE OF INJURIES: (WHAT TYPE & LOCATION ON BODY)
______________None_______________________________________________________________________
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ACTION TAKEN:
EMERGENCY CONTACT? ____________________ AMBULANCE/PARAMEDICS? __________________________
SHERIFF CALLED (List name of responding deputy)? Deputy Murillo________
CASE/TAG # ____________________
PARENTS CALLED? _______________ TIME PICKED UP? _______________
DATE PARTICIPANT RETURNED TO PROGRAM: _______________________
VIDEO FOOTAGE AVAILABLE: ______ CAMERA(S): ____________________TIME(S): ______________________
WITNESSES TO INCIDENT: (NAME, ADDRESS, AND PHONE NUMBER):
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Docusign Envelope ID: 5ABDFF4A-2F49-492C-9484-AE9852B3B55C
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FOLLOW UP COMMENTS OR ACTIONS: (REACTION/PARENT COMMENTS)
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STAFF MEMBER’S SIGNATURE: Brad Montano________________DATE:___2.1.25______
SUPERVISOR’S SIGNATURE: _____________________________________ DATE:_______________
SUPERVISOR/MANAGER COMMENTS:
I received a call from Ryan Wright around 9:40 a.m. about the incident on 2.01.2025 (he had received a call
from Steve Tye) at Pantera Park. I informed Brad Montano who was working as the field attendant that
morning and asked him to head over to Pantera Park and report back what was going on. Once arrived, Brad
called and informed me about the situation stated above. I then asked Brad to follow up with a call to the
sheriff’s department and make sure that Mr. Muad’s rendition of what happened could be confirmed. After
speaking with Brad after his conversation with the sheriff’s department, he did inform me that he spoke to
Deputy Murrillo who verified Mr. Muad’s incident was true. Lastly, I asked Brad to take photos of the car and
the surrounding City property and to write and incident report.
I did call Ryan Wright after and update him on the situation.
SUPERVISOR’S SIGNATURE: _____________________________________DATE:_______________
ADDITIONAL COMMENTS:
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SIGNATURE: ___________________________________________________DATE:_______________
SUPERINTENDENT COMMENTS:
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SIGNATURE: ___________________________________________________DATE:_______________
2/13/2025
Docusign Envelope ID: 5ABDFF4A-2F49-492C-9484-AE9852B3B55C
Reviewed and no comments.
2/13/2025
DIRECTOR COMMENTS:
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SIGNATURE: ___________________________________________________DATE:_______________
Docusign Envelope ID: 5ABDFF4A-2F49-492C-9484-AE9852B3B55C
Reviewed and no comments.
2/13/2025