BUNN41 candles and accessories

BUNN41 candles and accessories.pdf

National Electronic Injury Surveillance System (NEISS) and Follow-up Activities for Product Related Injuries

BUNN41 candles and accessories

OMB: 3041-0029

Document [pdf]
Download: pdf | pdf
INCIDENT INVESTIGATION ASSIGNMENT INSTRUCTIONS
Candles or Candle Accessories
DOCUMENT NUMBER:
DATE OF INCIDENT:

CATID: BUNN41 2020

FOLLOW-UP REQUESTED

HAZARD ANALYSIS

SECT 15

PRIMARY CONTACT: David Miller, EPHA, 301-504-7323, [email protected]
BACK-UP CONTACT: Scott Ayers, ESFS, 301-987-2030, [email protected]

ASSIGNMENT MESSAGE:
1. If the incident involved a candle trim ring, candle burner, potpourri burner, or some other candle accessory
besides a typical holder or container, contact the victim to determine whether any part of the incident candle and/or
accessory is still available. If so, conduct an on-site investigation and try to collect the candle and accessory, or any
remaining parts of the candle and/or accessory. If not, try to collect an identical candle and/or accessory.
If the incident did not involve a candle ring or some other unusual candle accessory, conduct a telephone interview.
2. Please investigate the attached incident in accordance with the guideline “Candle Fires and Fire Hazards.” Focus
attention on (1) any unusual behavior exhibited by the candle, (2) victim interaction with candle, and (3) use
characteristics, especially as regards to candle accessories.
Verify incident scenario. Provide complete product identification including: manufacturer, brand, number of
wicks, date manufactured, place of purchase, date of purchase, model/serial numbers, cost, etc. (There is an
increase in candles with multiple wicks and incidents with multiple wick candles. ASTM is trying to figure out if
multiple wicks effect the possibility of an incident.)
Please use Guideline 121 for Candles as well as Guideline 129 for Smoke Alarms, Sprinklers, and Fire
Extinguishers.

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 121 – Candle Fires and Fire Hazards
Appendix 129 – Smoke Alarms, Sprinklers, and Fire Extinguishers
Date:
Processed by: lew


File Typeapplication/pdf
File TitleACCIDENT INVESTIGATION REQUEST FORM
File Modified2019-12-05
File Created2019-12-05

© 2024 OMB.report | Privacy Policy