Play Pen Nomenclature Guidelines

OMB Control Number 3041-0029

Appendix

/

TOP

84

RAIL

TEETH I NC;/
PLAY BEADS

WOODEN

TYPE

LSCK I !lr,
LEG BRA

MESH

TYPE
Page

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Appendix

84

playpen
removed.

0
0

B

Child chews
or parts of
and chokes on piece

Product failure: Part of
playpen breaks, wears out or is
constructed
in such a way to
cause hazard.

Cuton
sharp edge:
Child
playing normally or trying
cuts self on

n

I

Interference: Vlctlm is pushed
or pulled into playpen or
person closing Playpen is
unaware that child will be
trapped by closure.

Page 2 of 9

Appendix 84

THE.YiCTIM
Describe
supervision/supervisor;---(
in room at time of accident;
attentive/distracted
during
accident;
number
and ages of
children
being. watched

Any instructions/warnings
playpen
received/understood;
and when received
Familiar
with this playpen;
often/length
of time used

c

with
how
how,-(

Playpen
was child's
or other;-------(
length of use each time
Any teeth/how
(DIAGRAM)

many;

which

ones-(

Page 3 of 9

Appendix 84

AT THE MOMENT THE ACTION
COULDNOT BE COMPLETED
AS INTENDED

b-

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

t

AT ,THE MOMENT
L

)_

Length
before

of time
accident

OF

INJURY------------_-B

victim

in playpen--(

Size of piece chewed
off Ilength
from covering.-4
width x height);
or padding

Page 4 of 9

x

-

Appkndix 84

Child teething/usually
things
in mouth

puts

I---

Any prior playpen
chewing
noticed/any
playpen
bits, other
hard objects
found in excrement

k

Had child
before

been

1

Child

through

was

hurt

on

this

playing,

partbored-

c(
-4

THE TASK
PHOTOGRAPH or DIAGRAM the following
four-part
sequence.
In each
part
show the victim’s
and
supervisor’s
body,
Limb and hand
positions,
playpen
location
and
surroundings..
With very
young
chitdren
entire
sequence
might
not be known.
Describe
ACTIONS:
INTENDED
BY VICTIM
OR SUPERVISORIMMEDIATELY
BEFORE THE ACCIDENT
(what victim
and supervisor
were
trying
to do)

b-4 H H

c

Page 5 of 9

AQQelldiX 84
@!JODELllNE8

PLAYPENS

How was chewed
piece, noticed--l
(victim
screamed,
choked...);
how was it removed;
was it
swallowed

Did victim/other
child remove-i
safeguards
put on by parents

b-4

Was victim
playpen/how

-_I

tryin
Tia%l

to
ey

escape
learn

What steps were taken to
child escaping
playpen
Describe
direction
required
fastening

prevent-

hand mainpulation,
and. amount
of force
to release
playpen
device

How 'expected'
interference

by victim

was

DIAGRAM
injured
body part/productpart relationship
in detail

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4
-4 b-4

i

-4 b-4H

Appendix 84

Any loud noises
(lawnmower/TV/
masking
sound of child's
music...)
playing/crying...before
accident

b-f

Victim
at
care...

i

home/other's

home/day-

4 I-

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

Lighting/could
victim

supervisor

see

-

c

-

-

I

THE PROUJCT
Covering?
piping/padding
material
and texture,
type, thickness
measure
if possible,
and describe;
any teething
beads

Playpen

new/used;

age

H bT'

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Appendix 84

Completely
describe
playpen;
framework
dimensions
and material;
sides and bottom
tubing section;
material
and closure
method
(PHOTOGRAPH or DIAGRAM)

Overall
chewed

dimensions

of

Were accident-involved
parts loose or slippery

part
product-

PHOTOGRAPH
or DIAGRAM
and describe
playpen
closure
details;
how easy
for child and adult to open; how
easy to foFE
open

I---

H

Appendix 84

Product
part causing
injury
(PHOTOGRAPH
or DIAG.RAM)

If mesh

,

sides;

Normal
hole size
rips (measure)

in mesh/size

Netting
held securely;
did
seams in netting
discourage
from enlarging

of-

knots/holes

Any prior tears or patches;
were----(
these at weak points
(rivet
holes, corners... 1; were tears
repaired,
sewn, taped over
(describe)

Paze 9 of 9