Forensic Engineers and Consultants

Blog Posts by: Ellen Szubski

Author Ellen Szubski

Expertise Includes:

  • Human Factors & Safety
  • Vehicle/Pedestrian/Bicycle Crash Investigations
  • Illumination Evaluation
  • Workplace Injuries
  • Codes and Standards
  • Risk Assessment
  • Slips, Trips and Falls

A Case Study: Monkey Bar Fall and Lack of Playground Maintenance

Author

An 8-year-old girl was playing at a playground with her family. The playground was about a year old and very popular. While on the monkey bars about 7 feet up in the air, the child lost her grip and fell to the surrounding loose-fill material engineered wood fiber surface below. She hit her head and sustained serious life-altering injuries.

The Red circled area highlights the displaced playground surfacing in the area where the 8-year-old fell. The surfacing material only measured 3 inches deep before hitting hard compacted earth.

I was hired to investigate the incident and determine the cause of the 8-year-old’s injuries. I conducted a site inspection shortly after her fall. The surrounding area under the monkey bars where the child fell was comprised of loose-fill engineered wood fiber. Under the monkey bars was a “scuff mine” or significant depression of displaced surfacing material from frequent use and weather/water drainage. Within the depression, the depth of the engineered wood fiber measured 3 inches. Evidence suggested that when the park was built a year ago, the engineered wood fiber was 12 inches deep. There was not any maintenance program in place to inspect, rake, and replenish lost surfacing material within the playground. Thus, since its original placement, it was unlikely that the surfacing material under the monkey bars had been maintained to a safe critical fall height. Generally, loose-fill material like engineered wood fiber compresses about 25% over time. Thus, a 12 inch deep engineered wood surface would compress to 9 inches and would likely protect children falling from up to 10 feet high. At the time of the inspection, the engineered wood fiber surfacing measured 3 inches and likely only protected children from up to an estimated 3 feet in the air. The 8-year-old fell from the monkey bars located 7 feet in the air onto an insufficient depth of surfacing material. The owners knew or should have known about the dangers of improperly maintained playground surfacing. The owners of the playground failed to maintain the playground according to –STM F1487: Standard Consumer Safety Performance Specification for Playground Equipment for Public Use and CPSC Public Playground Safety Handbook.

An example of displaced and washed out engineered wood fiber.

All playground surfacing material has a Critical Fall Height (CFH) that determines how much impact it can safely absorb. The Critical Fall Height is the safety threshold for playground surfacing and must always be equal to or greater than the surrounding playground equipment’s actual fall height to be considered safe. For example, if the monkey bars have a fall height of 84 inches (7 feet), the surrounding surfacing material must have a critical fall height of at least 7 feet or taller, meaning that a fall from the monkey bars onto the surrounding surface would likely not result in a serious injury. Had the incident playground been maintained to a critical fall height of at least the fall height of monkey bars (7 feet), the child would not have sustained significant injuries. The owners of the playground should have had a regular maintenance program in place to adequality maintain the critical fall height of the playground surfacing material.

Ellen Szubski, Ph.D., CXLT, CPSI, AHFP, is the senior human factors consultant at The Warren Group. She earned a Doctorate of Philosophy in Human Factors Psychology and a Master of Science in Applied Psychology from Clemson University.  She did her dissertation on “The Influence of Pedestrian Biological Motion on Time-To-Collision Estimates at Night”.  She is also a Certified XL Tribometrist, Certified Playground Safety Inspector and a Certified Associate Human Factors Professional (AHFP). Prior to entering the forensic field, Ellen planned and conducted experiments for a major bicycle manufacturer. She also conducted laser strike perception studies for the Department of Defense.  Ellen applies her experience in Human Factors to the analysis of crash investigations and other personal injury matters. These matters often include collisions involving vulnerable road users and drivers, driver distraction, and slips, trips, and falls. She utilizes her knowledge of OSHA regulations, codes, and standards in her analysis of premises liability incidents and safety consulting.  Ellen is a current member of the Human Factors and Ergonomics Society (HFES) and it’s Forensic Professional Technical Group.

The Real Playground Hero: Playground Surfacing Material Maintenance

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According to the CDC, nearly 70% of all playground injuries are caused by falls to the ground. This makes the choice and maintenance of surfacing materials one of the most important factors in preventing playground injuries. All playground surfacing material has a Critical Fall Height (CFH) that determines how much impact it can safely absorb. The Critical Fall Height is the safety threshold for playground surfacing and must always be equal to or greater than the surrounding playground equipment’s actual fall height to be considered safe. For example, Read More

Pollen Can Cause More Than Allergies

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Slip and falls occur when there is an unexpected loss of traction between a person’s foot and the walking surface, causing them to lose balance and fall.  This type of injury is common and can occur in any setting where people walk, including homes, workplaces, and public areas. Slips can result in serious injuries, particularly for older adults.

The human gait cycle consists of four phases: the Read More

Short Flight Stairs, Big Hazard

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Stairs that contain three or fewer risers are considered short flight stairs according to safety standard ASTM F1637-21: Standard Practice for Safe Walking Surfaces. Single step transitions are also considered a short flight stair. Short fight stairs can be particularly hazardous for pedestrians due to the lack of visual cues signifying an elevation change. Unexpected changes in elevations can cause pedestrians to misstep and fall. Read More

The End of Daylight-Saving Time Leads to More Vehicle and Pedestrian Collisions

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Daylight saving (DST) ends on November 2, 2025, and with it the clocks will “fall back” an hour.  While it is nice to gain an hour of sleep, the end of daylight-saving time also comes with a increase of vehicle crashes, injuries, and pedestrian fatalities. This phenomenon prompts the question: What is so dangerous about being a pedestrian at night? Read More

Waterpark Woes

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On July 12, 2024, a family entered the local water park to cool down. The family consisted of a mother and her two sons. While walking toward the wave pool area, the mother stepped off the wooden stairs and onto the surrounding concrete landing. As she did so, she slipped on a puddle of water that had accumulated on the surface. She fell backward, landing on her left side and striking her elbow and the back of her head against the stairs—effectively ending the family’s outing before it began. Read More

Springing Forward into the Dangers of Fatigued Driving

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Every spring, the United States shifts the clocks forward one hour creating an extra hour of light in the evenings. However, this shift may be linked to a slight increase in fatal traffic accidents immediately following the time change. It is theorized that the increase in fatal traffic accidents is due to two things: people losing an hour of sleep and the low illumination conditions of morning commuters. Read More

Binocular and Monocular Cues in Depth Perception

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Depth perception is an essential aspect of interacting with and navigating the world for people. Depth perception is the ability to perceive the world in three dimensions (3D). It allows people to judge how far away objects are, how they relate spatially to one another, and how they can successfully interact with them. Depth perception is a critical aspect of vision that enables activities like Read More

Why Pedestrians Overestimate Their Visibility: A Dive into the Psychology of Road Safety

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When we step out onto the road as pedestrians, most of us assume that we are easily visible to oncoming drivers. However, research shows that pedestrians frequently overestimate their visibility, especially at night or in low-light conditions. This overconfidence can lead to dangerous situations, contributing to accidents and fatalities. Understanding why pedestrians overestimate their visibility is crucial for improving road safety and preventing accidents. Read More

Human Factors and Halloween Hazards: Trip and Falls

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Trick-or-treating is a fun and festive activity, but it comes with certain hazards that can pose risks to children and even adults. In addition to vehicle and pedestrian collisions and accidents, tripping and falling while trick-or-treating is a common hazard, especially for children navigating unfamiliar and dimly lit areas at night.

Children and adults can face tripping hazards on walkways while trick-or-treating.

Tripping hazards can be mitigated through compliance with walkway safety standards such as ASTM F 1637-2021: Standard Practice for Safe Walking Surfaces. ASTM F1637 is a standard that provides Read More

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