Tag Archives: consumer safety

Root Cause Analysis - Incident Investigation

Thousands Injured Each Year From Falling Televisions

By Kim Smiley

Nearly all parents know about the dangers of watching too much television, but a new study shows that too few are aware of the risk of injury from televisions.  The number of television injuries is more than most would guess with more than 17,000 children visiting emergency rooms for  television related injuries each year.   Falling televisions have also caused hundreds of deaths with 29 killed in just 2011.  The rate of injuries associated with televisions is also increasing at an alarming pace, jumping 126% since 1990.

The majority of victims were young children under five.  The accidents seem to be a potentially deadly combination of their lack of situational awareness and unanchored televisions set on unsafe surfaces.  The study didn’t include why the televisions were in unsafe locations, but one theory is that many older televisions are moved into secondary locations that aren’t as safe as families acquire bigger, fancier televisions.  The older televisions may be on dressers or night stands that were never meant to hold televisions.  Children climb the furniture either attempting to turn on the television or retrieve something off the top and the television tumbles down on top of them.  Dressers with drawers are particularly dangerous because children may figure out how to use the drawers as steps and manage to climb much higher than anticipated.

The rapid rate of technological advances may also play a role since typical families are buying new televisions more frequently than in previous decades and the number of televisions in an average home has increased.  The changing design of televisions is also relevant.  New thinner televisions have significantly smaller bases making them top heavy and more likely to topple over.  Many families are also buying bigger televisions with can amplify the danger if they topple.

Experts have suggested a few potential solutions to this problem.  First and foremost, parents need to be made more aware of the issue, possibly through a public awareness campaign.  A campaign to distribute anchoring devices has been discussed as well as providing them with new televisions at purchase.  Another option may be to add stability requirements to new designs so that televisions are less likely to topple.  It is also recommended that parents never store remote controls or toys on top of a television because they may entice children into climbing to reach them.  Only time will tell which solution if any are implemented, but this study is a first step in raising public awareness about this issue.

To view a Cause Map, or visual root cause analysis, of this issue, click on “Download PDF” above.  A Cause Map visually lays out the causes that contribute to a problem to show the cause-and-effect relationships and can help clarify a situation.  The possible solutions are included on the Cause Map.

Root Cause Analysis - Incident Investigation

Shattering Glass Cookware

By Kim Smiley

Did you know that glass cookware comes with directions?  Many consumers aren’t aware of that fact or know that there is a risk of their trusty cookware shattering if the directions aren’t followed.

This issue can be analyzed by building a Cause Map, a visual root cause analysis.  To begin the Cause Mapping process, an Outline is filled in with the basic background information.  The impact to the goals is also listed in the Outline.  In this example, the safety goal is impacted because there is a possibility of injury if glass cookware shatters.  The schedule goal is also impacted because of the possibility of messes and ruined meals.  This issue has also generated some negative publicity so it is also an impact to the consumer service goal.  The next step is to ask “why” questions to determine what things contributed to the issue.  These causes are then added to the Cause Map to visually show the cause-and-effect relationships between them.

In this example, the glass cookware explodes because it is subjected to temperature swings and it isn’t able to withstand the change in temperature.   Modern glass cookware isn’t as resilient to temperature changes because it is made of a different material.  Starting in the 1980s, glass cookware started to be manufactured using soda lime silicate glass.  Originally, glass cookware was made with borosilicate glass, which is significantly more resilient to temperature changes.  The change occurred because soda lime silicate is cheaper, more resilient to impacts and better for the environment.

Many consumers aren’t aware that modern glass cookware is different from what they may have grown up using.  As a result, consumers may not be following the new directions and this may cause the cookware to explode.  Many consumers may not even be aware that glass cookware comes with directions.  The directions can be found on the manufactures’ websites if the original packaging was tossed.

A recent article in the American Ceramic Society Bulletin that looked into the issue found that modern glassware is far less resilient to temperature changes and concluded that the margin of safety is borderline.  Consumer Reports also looked into the issue in 2009 with a dramatic video showing shattering cookware.  Consumer Reports warned people to carefully read safety warnings.  Manufacturers of the products stand by their products and are fighting to have the American Ceramic article retracted.  Visit the Pyrex and Anchor Hocking’s website for more information.

If you would like to report an incident of shattering cookware, please contact the Consumer Product Safety Commission at 800-638-2772 or info@cpsc.gov.