Standard Guide for Composing Walkway Surface Investigation, Evaluation and Incident Report Forms for Slips, Stumbles, Trips, and Falls
4.1 This guide provides recommendations for recording walkway surface investigation, evaluation, and incident report data pertaining to slips, trips, stumbles, and falls. It is intended to aid individuals or entities in the development of their own special reporting system. It is recognized that a user may use this guide in its entirety or may extract only those segments providing the level of information recommended. Depending on the intended use, a report form may be designed to be used alone or as a supplement to or incorporated within another report form. This guide is not a final report form. It lists items that may be considered for inclusion into a questionnaire, document, or report.
4.2 Potential users include persons interested in the prevention and investigation of slip, trip, stumble, and fall phenomena, such as insurance company loss control specialists, industrial and commercial safety professionals, plant and facilities management personnel, forensic engineers, and research personnel concerned with factor correlation, statistics acquisition, loss control, and cost control.
4.3 This guide provides uniform language appropriate for creating a form for manually recording information regarding pedestrian walkway evaluations and slip, trip, and fall incidents.
4.4 Recommendations for Reporting—Information specific to site location and case identification is given in 6.2; information specific to walkway evaluation is given in 6.3; information specific to slip, trip, and fall incidents is given in 6.4.
1.1 This guide provides a listing of items that may be useful in recording and evaluating the conditions of a walkway surface, including ramps and stairs, that may involve a slip, stumble, or trip that may result in a fall.
1.2 This guide provides a listing of data that may be useful in investigating, evaluating, and reporting a slip, stumble, trip, slip and fall, stumble and fall, or trip and fall incident.
1.3 Nomenclature is provided to obtain uniform language for reports.
1.4 The values stated in inch-pound units are to be regarded as standard. The values given in parentheses are mathematical conversions to SI units that are provided for information only and are not considered standard.
1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.
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