Forensic Engineers and Consultants

Category Archive: Case Studies

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

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.

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Stan

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“What’s up man, you want to hit up the Longbranch tonight? Cool, I’ll get up with you later.” Ronnie ends the call and heads out on a beer run. After the last sip of Gin, Stan finishes up one of his many fan letters, drops it in the box, and starts to get ready for the night. “What’s good?” It was Ronnie’s cousin Squirrel on the line. “You okay with Stan going tonight?”  “Yeah,” Squirrel says, “he’s got a sweet ride… we’ll let him drive! He let me drive that GT all last week, that thing is hot!” “Sounds like a plan! Let me go dude, bout to head in and get some cold beer.”

911, what’s the nature of your emergency?

Yes, there is an overturned car, looks like maybe a Mustang, a red Mustang. I’m just off Highway 9. It’s down an embankment…I can see two people laying on the ground and one person still in the car. The two people on the ground are moving, but the one in the car looks bad!

Police and EMS are on the way ma’am.

Okay, I have my emergency flashers on, can you stay on the phone with me until they get here… it’s really dark and cold. I’m scared.

I’m here ma’am, try to calm down. Can you give me a description of the people involved, maybe what they’re wearing?

The one that’s lying near the car is wearing red jeans with a white T-shirt, and it looks like he has a black and green high-top sneaker on his left foot only, just a sock on the other. The other one out of the car has regular blue jeans on, and a green shirt with boots. It’s hard for me to see the guy in the car… looks like he has on jeans and some kind of black concert T-shit, I can see tour dates and make out the word “Shady”. Hey, the police are here, so I’ll hang up now.

A lot is at stake here and we have quite a dilemma, three occupants involved in a single vehicle crash with one fatality and no idea who the driver is. The stakes begin to rise immediately, at the scene of the crash. What’s documented or not documented will affect the outcome of this case. It will affect the outcome of this case when everyone has gathered with suit and tie, when hands are placed on the Bible, and the truth is sworn to be told.

We’ve talked about proper collision scene documentation several times, but this time let’s talk about a few ways we can build a case like this and possibly identify beyond a reasonable doubt who was driving at the time of the wreck. Read More

The Middle Car Blues

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Maybe you, a loved one, or even a client, have been in the unfortunate position, no pun intended, of being the creamy center in a three-car wreck. Odds are high that you have not, but those odds are also equally high that if you have, you will be shown as one of the contributors to the collision. In other words, the wreck will likely be your fault-and possibly the fault of the person behind you as well. Sure, the wreck could be the fault of the middle and third cars… that wreck would look something like this; 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

Don’t Get Burned With Your Gas Grill!

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If there is one thing Americans can agree upon, it is the enjoyment that comes from an outdoor barbeque.  Whether a summertime cookout or a fall BBQ to watch a football game, we all love the fun and fellowship that comes from sharing a meal that was prepared outdoors on a grill or smoker.  In fact, 64% of Americans own a grill or smoker.  The great majority of these are LP fueled gas grills with comparatively few natural gas fired grills.  These products can be enjoyed safely when designed, installed, and used in a proper manner.  However, given the grill’s use of flammable fuel gas and high temperatures, the potential exists for things to go wrong and result in burn injuries or uncontained fires that spread to the surroundings. Read More

Civil Twilight Pedestrian Collision: A Case Study

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Susan, a 45-year-old runner, was jogging in the early morning approximately an hour before sunrise, also known as “civil twilight.” Civil twilight occurs both before sunrise and after sunset when the sun is below the horizon and the sky is partially illuminated. Susan was wearing dark athletic clothing and grey tennis shoes for her morning run. She was running on the sidewalk in a suburban area and began to cross the four-lane road at an unmarked crosswalk. Read More

Turkey Fryers- Product Design is Critical to Consumer Safety

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As the holiday season nears, thoughts turn to wonderful home-cooked meals with family.  Few things in life are more pleasurable than a traditional holiday turkey feast. Yet for an unfortunate few, holiday meal time can turn tragic if a turkey frying accident occurs.   While fried turkeys may be tasty, many fire safety experts feel that the reward is not worth the risk.  Read More

Rainy Day Troubles: A Slip and Fall Case Study

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An afternoon summer rain shower led to an elderly woman’s admittance to the hospital. Mrs. Jones, aged 68, entered a retail store to buy groceries for her visiting family. Mrs. Jones walked through the store’s vestibule toward the entrance where she slipped and fell, sustaining significant injuries. An investigation was conducted to determine the cause of the slip and fall incident.

The investigation revealed Read More

The Importance of Crane Wire Rope Lubrication

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Wire ropes are critical components of cranes and play a crucial role in ensuring the safety and efficiency of crane operations. To extend the life of these ropes and maintain their strength and performance, it is essential to regularly lubricate them. Read More

The Collision Reconstruction Matrix – The Human

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Murder, suicide, deceit, and intrigue… car crashes? You bet! In our next installment of the 9-Cell Collision Matrix let us dive a little deeper into the glue that binds all this together, the human element.

Photo by Mark Turner

Let’s begin with the most basic human element at the root cause of car wrecks, our old friend inattention. Inattention… a vast word that encompasses many lackadaisical conditions. The daydreaming 16-year-old in math class, the radio knob turner, the back seat talker, the quarter pounder with cheese eater, and perhaps the most offensive, the cell phone user. All very dangerous behind the wheel, and one very dangerous to your future… as it turns out, you will always need good math skills… ask me how I know? Driving is of course a divided attention endeavor, Read More

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