This time around there was no patient in the ambulance. The crash is under investigation by a city accident review committee.
An ambulance on it's side and firefighters, police, and paramedics everywhere. A compact car, totaled. It was a scene that could only be called weird.
"To have an ambulance on it's side like this, yes" said Jason Kaneshiro, EMS District Chief.
"It's surprising to see a small car like that can tip over an ambulance like this" said James Fase, who heard the crash.
Witnesses say the car was going up Kalakaua Avenue, when it clipped the back end of the ambulance going through the intersection on Young Street.
"It was pretty loud. I had all my windows up. It was a pretty loud bang" said Fase.
"It was loud. It was pretty loud. I didn't hear no sirens on the ambulance, either" said Eva Gahuman, who also heard the crash
It's still not clear who had the green light. But officials say the ambulance was responding to a call in Manoa. Standard procedure is to have the lights and sirens on.
"Especially if they were on their way to a call, you would think they would have their sirens on, being that it is a busy day" said Gahuman.
On June 30th an ambulance taking a patient to the hospital was cut off and crashed into a fire hydrant on Ala Wai Boulevard.
"So we run a lot of calls in the metropolitan area, so we try to minimize the risk, take all safety precautions as necessary" said Kaneshiro.
There was no patient inside the ambulance, and no one was seriously hurt.
"Seemed like everbody at the accident seemed fine. It's just the cars look real messed up" said Fase.