Standard Guide for Composing Walkway Surface Evaluation and Incident Report Forms for Slips, Stumbles, Trips and Falls

SCOPE
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 evaluating 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 Field lengths and codes are provided, in the appendixes, and are appropriate for recording data in a computerized database and for obtaining uniformity between databases.  
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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Status
Historical
Publication Date
09-Apr-1996
Current Stage
Ref Project

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ASTM F1694-96e1 - Standard Guide for Composing Walkway Surface Evaluation and Incident Report Forms for Slips, Stumbles, Trips and Falls
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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
e1
Designation: F 1694 – 96
Standard Guide for
Composing Walkway Surface Evaluation and Incident
1
Report Forms for Slips, Stumbles, Trips, and Falls
This standard is issued under the fixed designation F 1694; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (e) indicates an editorial change since the last revision or reapproval.
1
e NOTE—Per Committee F13 Bylaws, editorially replaced term definitions wtih reference to Terminology F 1646 in January
2004.
1. Scope 4. Significance and Use
1.1 This guide provides a listing of items that may be useful 4.1 This guide provides recommendations for recording
in recording and evaluating the conditions of a walkway walkway surface evaluation and incident report data pertaining
surface, including ramps and stairs, that may involve a slip, to slips, trips, stumbles, and falls. It is intended to aid
stumble, or trip that may result in a fall. individuals or entities in the development of their own special
1.2 This guide provides a listing of data that may be useful reporting system. It is recognized that a user may use this guide
in evaluating a slip, stumble, trip, slip and fall, stumble and in its entirety or may extract only those segments providing the
fall, or trip and fall incident. level of information required. Depending on the intended use,
1.3 Nomenclature is provided to obtain uniform language a report form may be designed to be used alone or as a
for reports. supplement to or incorporated within another report form. This
1.4 Field lengths and codes are provided, in the appendixes, guide is not a final report form. It lists items considered
and are appropriate for recording data in a computerized appropriate for inclusion into a questionnaire, document, or
database and for obtaining uniformity between databases. report.
1.5 This standard does not purport to address all of the 4.2 Potential users include persons interested in the preven-
safety concerns, if any, associated with its use. It is the tion and investigation of slip, trip, stumble, and fall phenom-
responsibility of the user of this standard to establish appro- ena, such as insurance company loss control specialists,
priate safety and health practices and determine the applica- industrial and commercial safety professionals, plant and
bility of regulatory limitations prior to use. facilities management personnel, forensic engineers, and re-
search personnel concerned with factor correlation, statistics
2. Referenced Documents
acquisition, loss control, and cost control. Data on record
2.1 ASTM Standards: maintenance may be of special interest in the preparation of
F 1646 Terminology Relating to Safety and Traction for
documents for firms seeking ISO 9000 certification.
2
Footwear 4.3 This guide provides a systematic approach to creating a
report form suitable for entry into a computerized database.
3. Terminology
Uniform data recording provides ready comparison of data
3.1 See Terminology F 1646 for the following term used in
between databases or evaluation within one database.
this guide:
4.4 This guide provides uniform language appropriate for
3.1.1 SIC
creating a form for manually recording information regarding
pedestrian walkway evaluations and slip, trip, and fall inci-
dents.
1
This guide is under the jurisdiction of ASTM Committee F-13 on Safety and
4.5 Requirements for Reporting—Information specific to
Traction for Footwear and is the direct responsibility of Subcommittee F13.30 on
site location and case identification is given in 6.2; information
Consumers.
Current edition approved April 10,1996. Published June 1996. specific to walkway evaluation is given in 6.3; information
2
For referenced ASTM standards, visit the ASTM website, www.astm.org, or
specific to slip, trip, and fall incidents is given in 6.4.
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM
Standards volume information, refer to the standard’s Document Summary page on
the ASTM website.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
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F1694–96
5. Procedure 6.2.6 Person Preparing Report—Record the last name, first
name, and middle initial; company name; mailing address first
5.1 Preparing Report Form(s)—Use the requirements of
field, mailing address second field, city, state, mail zip code,
6.1-6.3 to prepare a floor evaluation report. Use all of the
and country; and telephone number, telephone extension, and
requirements of Section 6, including 6.4, to prepare slip and
facsimile machine number.
fall, stumble and fall, and trip and fall incident repo
...

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