TLNN01 automatic doors

INCIDENT INVESTIGATION ASSIGNMENT INSTRUCTIONS
Automatic Doors
DOCUMENT NUMBER:
DATE OF INCIDENT:

CATID: TLNN01 2020

FOLLOW-UP REQUESTED

HAZARD ANALYSIS

COMPLIANCE

PRIMARY CONTACT: John Topping, EPHA, 301-504-7329, [email protected]
BACK-UP CONTACT: Caroleene Paul, ESME, 301-987-2225, [email protected]

ASSIGNMENT MESSAGE:

Conduct an on-site investigation of the attached automatic door related incident. Confirm that
the door is a sliding or swinging automatic/electric door. Determine the following:
1) Where the accident occurred - e.g., department store, grocery store, office building,
apartment building, condo, hospital, or someplace else?
2) How did the incident occur?
3) Describe and/or photograph any product labeling.
4) List safety devices associated with the automatic door.
5) Indicate if the automatic door complies with any voluntary standards. Check for labels
certifying compliance with any voluntary standards.
6) Collect medical and official records associated with this incident in case of fatality.
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

Date:
Processed by: lew