TYSN09 ATV fatalities-NEISS

TYSN09 ATV fatalities-NEISS.pdf

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

TYSN09 ATV fatalities-NEISS

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INCIDENT INVESTIGATION ASSIGNMENT INSTRUCTIONS
All Terrain Vehicle (ATV) Fatalities -NEISS
DOCUMENT NUMBER:
DATE OF INCIDENT:

CATID: TYSN09 2020

FOLLOW-UP REQUESTED

HAZARD ANALYSIS

COMPLIANCE

PRIMARY CONTACT: John Topping, EPHA, 301-504-7329, [email protected]
PRIMARY COMPLIANCE CONTACT: Blake Rose, CDI, 301-504-7613, [email protected]
BACK-UP COMPLIANCE CONTACT: Daniel Dunlap, CRI, 301-504-7733, [email protected]
ASSIGNMENT MESSAGE:
Conduct an in-depth investigation of the ATV fatality reported in the attached document using the ATV Investigation
Guideline of Appendix 91. If you have any special concerns about this investigation, please do not hesitate to call
your headquarters contact.
A narrative write-up for this IDI is not required (including both ATV and UTV incidents), provided the DRS is
completed. If both an ATV and a UTV are involved in the incident being investigated, then both the ATVD and
UTVD DRS should be completed. An on-site investigation is not required for either ATVs or UTV incidents.
If the vehicle involved is a Utility Vehicle [UTV] or Recreational Off-highway Vehicle [ROV] (e.g., the vehicle
has a steering wheel, seatbelt or other restraint, , roll bar, cargo bed, foot pedals, or bench or bucket seats or
side-by-side seating, excluding dune buggies and golf carts), use the Utility Vehicle Guidelines provided at the
end of Appendix 91. UTVs are also known as “side-by-side ATVs” indicating that the seating is side-by-side
instead of straddle.
Below is a list of vehicle make and models where the vehicle is not an ATV and the UTV investigation guidelines should be used. Please note
this is not a comprehensive list of all makes and models of UTVs, but a list to help facilitate the identification of common UTVs.
Make
Model
Make
Model
Arctic Cat
Prowler/Wildcat
Kimball
Hauler
Bad Boy (BB) Buggies
Classic/LT/Stretch/XT/XTV
Koyker
Raptor
Big Muddy
BM500/BM700
Kubota
RTV
Bobcat
(various)
Kymco
UXV
Bombardier/Can-AM
Commander/Maverick
Land Pride
Treker
Carter Brothers
Matrix
Polaris
Ranger/RZR (Razor)/ACE
Club Car
XRT (various)
Pug Back
Forty
Cub Cadet
Volunteer
Snapper Turf
Grounds Cruiser
Diamo
Sport/Discovery/Crew
Suzuki
QUV
Big Red (the UTV Big Red, not the 3wheel ATV also called a Big
Honda
Red)/Pioneer
Tomcar
TM5
John Deere
Gator (various)
Toro
Twister
Rhino/Viking/Wolverine (not the
Kawasaki
Teryx/Mule
Yamaha
4-wheel ATV by the same name)

For Distribution on the completed IDI, please include the following:
for ATVs
for UTVs and ROVs
John Topping, Blake Rose, and Daniel Dunlap

John Topping and Blake Rose

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Area below will be completed in Data Systems _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Person(s) to Contact:
Guidelines:
Task Number:
Assigned to:

CPSC FORM 324A

Appendix 91 – All Terrain Vehicles/Utility Vehicles
Date:
Processed by: lew


File Typeapplication/pdf
File TitleACCIDENT INVESTIGATION REQUEST FORM
AuthorPreferred Customer
File Modified2019-10-30
File Created2019-10-30

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