High Chair Nomenclature Guidelines

OMB Control Number 3041-0029

Appendix 83

BACK
/

TRAY

SEAT

LEGS

Page 1 of 8

.

Appendix 83
.

HAZARD
HIGH CHAIRS

Escape:
Where child frees
selffrom
chair
by struggling,
standing
up, pushing
on tray,
and falls.

w

R
E

Where child
reac es for something
from
chair,
loses balance
and causes
chair to fall.

Restraint-Release:
Where child
playing
or "escaping"
breaks or
releases
restraint
system
and
falls.

In

Lift-Out:
Where child,
geti:ino
Out ot chair or being removed;
catches
body part in chair,
causing
injury.

Chair or Component
Where chair breaks
with child
in it.
lz

Page 2 of a

Fails:
or collapses

Appendix 83

Describe
supervisor/supervision,
attentive/distracted
during
number and ages of
accident;
children
being watched

Child
(more/normal/less)
active
than usual at time of accident
Child

was

Diaper

through

eating,

bored

clean/dirty

Child able to balance/walk/lift,
up from seated
position
and
how well
stand;
High chair was
length of use

child's

or

other;

Child's/adult's
past experience
with this seat restraint
and
ways lock/fastener
released/
misassembled
Victim's

clothing

(describe)

thigh dimensions
(PHOTOWaist,
GRAPH with scale or tape measure)

Page 3 of 8

Appendix

83

@UODELllMES
HIGH CHAIRS

Body

part

contacted/injured-q

Compared
with others
of same age/size and weight
were
sex, victim's
more/less
than normal/normal
Any instructions
read and
chair,

provided
understood

wi.th

TtiFTASK
PHOTOGRAPH or DIAGRAM 5he fottowing four part sequence. In each
part show the victim's and
auperaisor's body, Zimb and hand
positions; high chair tocation,.
tray POsitiOn;
seat restraint
detail. Describe ACTIONS:
INTENDED
BY VICTIM
IMMEDIATELY------_4
BEFORE THE ACCIDENT
(.what victim
and supervisor
were trying
to do)

AT THE MOMENT
THE TASK COULD
BE COMPLETED
AS INTENDED

.

Page 4 of

8

NOT--q

Appendix

83

/

AT THE MOMENT
VICTIM
OR SUPERVISOR TOOK A NEW, PERHAPS
CORRECTIVE
ACTION,
BUT BEFORE THE INJURY

I--

AT

b-

Was

THE

MOMENT

tray

or

OF INJURY

seat

messy

or

slippery

I--

Measure
(if possible)
and describe
hand manipulation
and
force,
direction
required
to release
tray/restraint
system

Lift-out
lifter
Why

child

previously

performed

-

by
-I-

being

-

lifted

DIAGRAM
injured
body part/product_
part relationship
in detail

3

I

Page 5 of

8

Appendix 83
aJMm!JlNE~

HIGH CHAIRS

‘L!
THE ENVIRONMENT
PHOTOGRAPH

or DIAGRAM
with dimenSims
or SCale:'room
size; nearby
objects/tables/counter
top/
furniture;
high chair location

Any interference
other children)
chair imbalance,

(dogs/cats/
possibly
causing
collapse

Any loud noises
(lawnmower/TV/-----Q
masking
sound of child's
music...)
playing/struggling/standing...
before accident

-4 )_

- -4
I-

If victim reaching for, something-_%
(toy,bottle)
possibly
causing
accident,
describe
object and
where placed

I--

Floor

-

material

l-~~-~~nglcan
Victim

at

and

supervisor

home

Page 6 of 8

condition

--i

=-[

see ,-d

-4 b--I-

Appendix

83

THE PRODUCT_
Seat restraint
type/fasteners*
material;
was it in use/secure; )+
any home-made
modifications/
known to user; ease of fastening/
adjustment/release;
which
part
broke (PHOTOGRAPH
or DIAGRAM)

-

Tray-release
mechanism;
ease of+
operation;
in place/secure;
anything
causing
sticking
(food...)
(PHOTOGRAPH
or DIAGRAM)

High

chair

-4

weight

Was chair collapsible/
noncollapsible
Product
part causing
failure;
seat restraint;
collapsed/
broken
joints.. .(PHOTOGRAPH
or
DIAGRAM)

I

Page

7 of

8

Appendix 83
Glun~ELoNE~

HIGH CHAIRS

Product
part causing
injury
(PHOTOGRAPH
or DIAGRAM)

Completely
describe
high chair:.-4
material/
age, new/used;
condition
of seat; tray; legs;
back; arms, center
of gravity
(PHOTOGRAPH
or DIAGRAM,
dimension)

Page 8 of 8

Y