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pdfINCIDENT INVESTIGATION ASSIGNMENT INSTRUCTIONS
Chain Saws
DOCUMENT NUMBER:
DATE OF INCIDENT:
CATID: TLNN15 2020
FOLLOW-UP REQUESTED
HAZARD ANALYSIS
TYPE FOLLOW-UP
TELEPHONE
SECT 15
ON-SITE
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 chain saw related incident discussed in the attached
document. Determine brand, model, and if possible, cubic inch displacement of the engine.
Also attempt to determine if the chain is a low kick back chain and if the saw is equipped with
any safety devices. Determine how and what the victim was cutting, document with photograph.
If available, obtain a copy of the owner's manual. In case of fatality, obtain the medical and/or
official reports.
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: Appendix 2 – Chain Saws
Task Number:
Assigned to:
CPSC FORM 324A
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 |