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pdfINCIDENT INVESTIGATION ASSIGNMENT INSTRUCTIONS
Toys – Integrated Product Team Assignment
DOCUMENT NUMBER:
DATE OF INCIDENT:
CATID: TYNN02 2020
FOLLOW-UP REQUESTED
HAZARD ANALYSIS
SECT 15
PRIMARY CONTACT: Susan Bathalon, EXHR, 301-987-2282, SBathalon@cpsc.gov
BACK-UP CONTACT: Ben Mordecai, LSM, 301-987-2506, BMordecai@cpsc.gov
ASSIGNMENT MESSAGE:
For fatalities involving toys, include Yongling Tu, EPHA, in the distribution of the completed IDI.
Information on deaths and serious injuries associated with toys is always of interest to the
Commission. Findings from investigations continue to be used for various projects, as well as
public awareness campaigns during the holiday season. All deaths and serious injuries to children
associated with these products should be investigated.
Determine product description, brand name, model; photograph product if possible. Determine age
of product, manufacturer, and place of purchase. If choking hazards were involved, please obtain
the dimensions and materials of the object involved.
Determine sequence/scenario of events, treatment administered and patient disposition. If more
than one person was involved, explain how others were involved. Collect all official documentation
(paramedics, police, and coroner reports, medical record, and death certificates).
Determine if product failure or faulty product design was a factor.
Please include all primary and all backup contacts in the distribution of the completed IDI.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Area below will be completed in Data Systems _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Person(s) to Contact:
Guidelines:
Task Number:
Assigned to:
CPSC FORM 324A
Appendix 27 – Toys
Appendix 35 – Structural Entrapment
Appendix 48 – Small Parts
Date:
Processed by: lew
File Type | application/pdf |
File Title | ACCIDENT INVESTIGATION REQUEST FORM |
Author | Preferred Customer |
File Modified | 2019-09-13 |
File Created | 2019-09-13 |