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pdfINCIDENT INVESTIGATION ASSIGNMENT INSTRUCTIONS
Table Saws
DOCUMENT NUMBER:
DATE OF INCIDENT:
CATID: TLNN01 2020
FOLLOW-UP REQUESTED
HAZARD ANALYSIS
TYPE FOLLOW-UP
TELEPHONE
SECT 15
ON-SITE
PRIMARY CONTACT: Yongling Tu, EPHA, 301-504-7841, [email protected]
BACK-UP CONTACT: Caroleene Paul, ESME, 301-987-2225, [email protected]
ASSIGNMENT MESSAGE:
Collect official documents associated with the incident. Collect any court documents, if available.
Determine the following:
(1) What was the accident scenario?
(2) How the product was being used?
(3) The manufacturer, model, and model year of the table saw?
(4) What type of table saw was involved? Approximate size and weight? Stationary or portable table saw?
Cabinet, contractor, bench, or jobsite table saw?
(5) What was the type of wood being cut, and what type of cut was being attempted?
(6) Did kickback of the wood occur?
(7) Was there a blade guard in use?
(8) What type of blade guard was came with the saw? What is the guard’s current disposition (thrown out,
available for use, broken, etc.). Was the blade guard in use at the time of the incident? If the modular blade
guard system was not in use, was it available for use at the time of the injury? CPSC staff is interested in
how modular blade guard systems are used. Also of interest is information about any resulting injuries.
(9) If still available, take pictures of the table saw. Please take pictures of blade guard and any other safety
devices in use.
(10) Determine how, where, and in what direction the victim’s hand, arm, or body part contacted the blade.
The newer type of blade guard is called a modular blade guard system. A modular blade guard system on a table saw
consists of a pair of independently hinged, plastic side barriers that attach to a metal or plastic top barrier. The
modular blade guard is different from traditional blade guards that are single piece hood guard designs.
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 76 – Table/Bench, Saws
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 |