ASTM_F_1694_-_14.pdf

Designation:F169414Standard Guide forComposing Walkway Surface Investigation,Evaluation andIncident Report Forms for Slips,Stumbles,Trips,and Falls1This standard is issued under the fixed designation F1694;the number immediately following the designation indicates the year oforiginal adoption or,in the case of revision,the year of last revision.A number in parentheses indicates the year of last reapproval.Asuperscript epsilon()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 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 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 languagefor reports.1.4 The values stated in inch-pound units are to be regardedas standard.The values given in parentheses are mathematicalconversions to SI units that are provided for information onlyand are not considered standard.1.5 This standard does not purport to address all of thesafety 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:2F1646 Terminology Relating to Safety and Traction forFootwearF2048 Practice for Reporting Slip Resistance Test Results3.Terminology3.1 Definitions:3.1.1 The standard terms listed in Section 6 shall be used.3.1.2 The standard terms listed in Terminology F1646 shallbe used when there is no term(s)provided in this guide.4.Significance and Use4.1 This guide provides recommendations for recordingwalkway surface investigation,evaluation,and incident reportdata pertaining to slips,trips,stumbles,and falls.It is intendedto aid individuals or entities in the development of their ownspecial reporting system.It is recognized that a user may usethis guide in its entirety or may extract only those segmentsproviding the level of information recommended.Dependingon the intended use,a report form may be designed to be usedalone or as a supplement to or incorporated within anotherreport form.This guide is not a final report form.It lists itemsthat may be considered for inclusion into a questionnaire,document,or report.4.2 Potential users include persons interested in the preven-tion and investigation of slip,trip,stumble,and fallphenomena,such as insurance company loss controlspecialists,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 forcreating a form for manually recording information regardingpedestrian walkway evaluations and slip,trip,and fall inci-dents.4.4 Recommendations for ReportingInformation specificto site location and case identification is given in 6.2;infor-mation specific to walkway evaluation is given in 6.3;infor-mation specific to slip,trip,and fall incidents is given in 6.4.5.Procedure5.1 Preparing Report Form(s)Consider the recommenda-tions in 6.1 6.3 when preparing a walkway surface evaluationreport.Use the recommendations in Section 6 when preparingslip and fall,stumble and fall,and trip and fall incident reportsand reports of near falls.6.Report6.1 Form of ReportThe report may be in narrative orcoded format.The form may be hard copy or electronic media,or the original data may be hard copy and then converted toelectronic or computerized format.The form of the report willbe left up to the user.1This guide is under the jurisdiction of ASTM Committee F13 on Pedestrian/Walkway Safety and Footwear and is the direct responsibility of SubcommitteeF13.50 on Walkway Surfaces.Current edition approved July 1,2014.Published September 2014.Originallyapproved in 1996.Last previous edition approved in 2009 as F1694 09.DOI:10.1520/F1694-14.2For referenced ASTM standards,visit the ASTM website,www.astm.org,orcontact ASTM Customer Service at serviceastm.org.For Annual Book of ASTMStandards volume information,refer to the standards Document Summary page onthe ASTM website.Copyright ASTM International,100 Barr Harbor Drive,PO Box C700,West Conshohocken,PA 19428-2959.United States1 6.1.1 A form may be composed with a simply statedquestion on the form.Possible responses may be listed adjacentto the question,in a supplement,in instructions that the entityissues regarding the form,or on the reverse side of the form.See X1.3 for a sample walkway evaluation report form andX1.4 for a sample incident report form.6.1.2 Photos and diagrams may be useful to illustrate andexplain the information collected.6.2 Case Identity:6.2.1 Date