ASTM F1694-1996(2004) Standard Guide for Composing Walkway Surface Evaluation and Incident Report Forms for Slips Stumbles Trips and Falls《组合人行道路面打滑、绊跌、断裂及下沉事故报告格式和路面评价用标准导则》.pdf
《ASTM F1694-1996(2004) Standard Guide for Composing Walkway Surface Evaluation and Incident Report Forms for Slips Stumbles Trips and Falls《组合人行道路面打滑、绊跌、断裂及下沉事故报告格式和路面评价用标准导则》.pdf》由会员分享,可在线阅读,更多相关《ASTM F1694-1996(2004) Standard Guide for Composing Walkway Surface Evaluation and Incident Report Forms for Slips Stumbles Trips and Falls《组合人行道路面打滑、绊跌、断裂及下沉事故报告格式和路面评价用标准导则》.pdf(19页珍藏版)》请在麦多课文档分享上搜索。
1、Designation: F 1694 96 (Reapproved 2004)Standard Guide forComposing Walkway Surface Evaluation and IncidentReport Forms for Slips, Stumbles, Trips, and Falls1This standard is issued under the fixed designation F 1694; the number immediately following the designation indicates the year oforiginal ado
2、ption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon (e) indicates an editorial change since the last revision or reapproval.1. Scope1.1 This guide provides a listing of items that may be usefulin recording
3、and evaluating the conditions of a walkwaysurface, 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 usefulin evaluating a slip, stumble, trip, slip and fall, stumble andfall, or trip and fall incident
4、.1.3 Nomenclature is provided to obtain uniform languagefor reports.1.4 Field lengths and codes are provided, in the appendixes,and are appropriate for recording data in a computerizeddatabase and for obtaining uniformity between databases.1.5 This standard does not purport to address all of thesafe
5、ty concerns, if any, associated with its use. It is theresponsibility of the user of this standard to establish appro-priate safety and health practices and determine the applica-bility of regulatory limitations prior to use.2. Referenced Documents2.1 ASTM Standards:2F 1646 Terminology Relating to S
6、afety and Traction forFootwear3. Terminology3.1 See Terminology F 1646 for the following term used inthis guide:3.1.1 SIC4. Significance and Use4.1 This guide provides recommendations for recordingwalkway surface evaluation and incident report data pertainingto slips, trips, stumbles, and falls. It
7、is intended to aidindividuals or entities in the development of their own specialreporting system. It is recognized that a user may use this guidein its entirety or may extract only those segments providing thelevel of information required. Depending on the intended use,a report form may be designed
8、 to be used alone or as asupplement to or incorporated within another report form. Thisguide is not a final report form. It lists items consideredappropriate for inclusion into a questionnaire, document, orreport.4.2 Potential users include persons interested in the preven-tion and investigation of
9、slip, trip, stumble, and fall phenom-ena, such as insurance company loss control specialists,industrial and commercial safety professionals, plant andfacilities management personnel, forensic engineers, and re-search personnel concerned with factor correlation, statisticsacquisition, loss control, a
10、nd cost control. Data on recordmaintenance may be of special interest in the preparation ofdocuments for firms seeking ISO 9000 certification.4.3 This guide provides a systematic approach to creating areport form suitable for entry into a computerized database.Uniform data recording provides ready c
11、omparison of databetween databases or evaluation within one database.4.4 This guide provides uniform language appropriate forcreating a form for manually recording information regardingpedestrian walkway evaluations and slip, trip, and fall inci-dents.4.5 Requirements for ReportingInformation specif
12、ic tosite location and case identification is given in 6.2; informationspecific to walkway evaluation is given in 6.3; informationspecific to slip, trip, and fall incidents is given in 6.4.5. Procedure5.1 Preparing Report Form(s)Use the requirements of6.1-6.3 to prepare a floor evaluation report. Us
13、e all of therequirements of Section 6, including 6.4, to prepare slip andfall, stumble and fall, and trip and fall incident reports andreports of near falls.1This guide is under the jurisdiction of ASTM Committee F13 on Pedestrian/Walkway Safety and Footwear and is the direct responsibility of Subco
14、mmitteeF13.50 on Walkway Surfaces.Current edition approved June 1, 2004. Published June 2004. Originallyapproved in 1996. Last previous edition approved in 1996 as F 1694 96.2For referenced ASTM standards, visit the ASTM website, www.astm.org, orcontact ASTM Customer Service at serviceastm.org. For
15、Annual Book of ASTMStandards volume information, refer to the standards Document Summary page onthe ASTM website.1Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.6. Report6.1 Form of ReportThe report may be narrative or coded.The form
16、 may be written or computerized, or the original datamay be written and then computerized.6.1.1 Field LengthItems for which the computer entry ofdata may be desirable are listed in Appendix X2, along with arecommended field length.6.1.2 This guide offers a multitude of possible answers forsome requi
17、rements, as for footwear bottom materials andwalkway surface materials. A form may be composed with asimply stated question on the form. Possible responses may belisted adjacent to the question, in a supplement, in instructionsthat the entity issues regarding the form, or on the reverse sideof the f
18、orm. The responses suggested in this guide may besupplemented by responses or products unique to the entityrequiring the report.6.2 Case Identity:6.2.1 Date of ReportEnter indicates the mmddyy, wheremm indicates the month, 01 through 12; dd indicates the day ofthe month, 01 through 31; and yy indica
19、tes the last two digitsof the year.6.2.2 Case Number or IdentifierUse a private alpha-numeric designation, as desired, for identifying a single case.6.2.3 Report TypeWalkway evaluation only or incident.An incident report will include a walkway evaluation.6.2.4 Owner LocationReport the company name,
20、mailingaddress, city, state, mail zip code, and country.6.2.4.1 Contact Person at Owner Location Record thelast name, first name, and middle initial; and telephone number,including area code; telephone extension; and facsimile ma-chine number.6.2.4.2 Corporate IdentifierUse a designation, as desired
21、.Examples are World Headquarters, XYZ Manufacturing Divi-sion, Plant number, Organizational Unit, etc.6.2.4.3 Accounting Code or Expense CodeUse a designa-tion, as desired. Examples are estimated cost, actual cost,medical cost, compensation cost, and other contributing costs.6.2.5 Site LocationRecor
22、d the site name, physical ad-dress, city, state, zip code, country and specific location on theproperty, and SIC number.6.2.5.1 Interior or OutdoorsRecord as interior or out-doors.6.2.5.2 Contact Person at Site LocationRecord the lastname, first name, and middle initial; telephone number, includ-ing
23、 area code; telephone extension; and facsimile machinenumber.6.2.5.3 Date of Examination of WalkwayEnter mmddyy,where mm indicates the month, 01 through 12; dd indicates theday of the month; and yy indicates the last two digits of theyear.6.2.6 Person Preparing ReportRecord the last name, firstname,
24、 and middle initial; company name; mailing address firstfield, mailing address second field, city, state, mail zip code,and country; and telephone number, telephone extension, andfacsimile machine number.6.3 Walkway Evaluation:6.3.1 Slip Resistance MeasurementThe investigator deter-mines which measu
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