# Commission Implementing Decision (EU) 2019/417 of 8 November 2018 laying down guidelines for the management of the European Union Rapid Information System ‘RAPEX’ established under Article 12 of Directive 2001/95/EC on general product safety and its notification system (notified under document C(2018) 7334), Division Table 3: Severity of injury Extent: E+W+S+N.I. Type of injury Severity of injury 1 2 3 4 Laceration, cut Superficial External (deep) (> 10 cm long on body) (> 5 cm long on face) requiring stitches Tendon or into joint White of eye or cornea Optic nerve Neck artery Trachea Internal organs Bronchial tube Oesophagus Aorta Spinal cord (low) Deep laceration of internal organs Severed high spinal cord Brain (severe lesion/ dysfunction) Bruising (abrasion/ contusion, swelling, oedema) Superficial ≤ 25 cm2 on face ≤ 50 cm2 on body Major > 25 cm2 on face > 50 cm2 on body Trachea Internal organs (minor) Heart Brain Lung, with blood or air in chest Brain stem Spinal cord causing paralysis Concussion — Very short unconsciousness (minutes) Prolonged unconsciousness Coma Entrapment/ pinching Minor pinching — (Use as appropriate the final outcomes of bruising, crushing, fracture, dislocation, amputation, as applicable.) (Same outcome as for suffocation/ strangulation.) Sprain, strain, musculoskeletal disorder Extremities Joints Spine (no dislocation or fracture) Knee ligaments strain Ligament or tendon rupture/tear Muscle tear Whiplash — Dislocation — Extremities (finger, toe, hand, foot) Elbow Jaw Loosening of tooth Ankle Wrist Shoulder Hip Knee Spine Spinal column Fracture — Extremities (finger, toe, hand, foot) Wrist Arm Rib Sternum Nose Tooth Jaw Bones around eye Ankle Leg (femur and lower leg) Hip Thigh Skull Spine (minor compression fracture) Jaw (severe) Larynx Multiple rib fractures Blood or air in chest Neck Spinal column Crushing — — Extremities (fingers, toe, hand, foot) Elbow Ankle Wrist Forearm Leg Shoulder Trachea Larynx Pelvis Spinal cord Mid-low neck Chest (massive crushing) Brain stem Amputation — — Finger(s) Toe(s) Hand Foot (Part of) Arm Leg Eye Both extremities Piercing, puncturing Limited depth, only skin involved Deeper than skin Abdominal wall (no organ involvement) Eye Internal organs Chest wall Aorta Heart Bronchial tube Deep injuries in organs (liver, kidney, bowel, etc.) Ingestion — — Internal organ injury (Refer also to internal airway obstruction where the ingested object gets stuck high in the oesophagus.) Permanent damage to internal organ Internal air way obstruction — — Oxygen flow to brain blocked without permanent consequences Oxygen flow to brain blocked with permanent consequences Suffocation/ Strangulation — — Oxygen flow to brain blocked without permanent consequences Fatal suffocation/ strangulation Submersion/ Drowning — — — Fatal drowning Burn/Scald (by heat, cold, or chemical substance) 1°, up to 100 % of body surface 2°, < 6 % of body surface 2°, 6-15 % of body surface 2°, 16-35 % of body surface, or 3°, up to 35 % of body surface Inhalation burn 2° or 3°, > 35 % of body surface Inhalation burn requiring respiratory assistance Electric shock (See also under burns as electric current can cause burns.) Local effects (temporary cramp or muscle paralysis) — Electrocution Neurological disorders — — Triggered epileptic seizure — Eye injury, foreign body in eye Temporary pain in eye without need for treatment Temporary loss of sight Partial loss of sight Permanent loss of sight (one eye) Permanent loss of sight (both eyes) Hearing injury, foreign body in ear Temporary pain in ear without need for treatment Temporary impairment of hearing Partial loss of hearing Complete loss of hearing (one ear) Complete loss of hearing (both ears) Poisoning from substances (ingestion, inhalation, dermal) Diarrhoea, vomiting, local symptoms Reversible damage to internal organs, e.g. liver, kidney, slight haemolytic anaemia Irreversible damage to internal organs, e.g. oesophagus, stomach, liver, kidney, haemolytic anaemia, reversible damage to nerve system Irreversible damage to nerve system Fatality Irritation, dermatitis, inflammation or corrosive effect of substances (inhalation, dermal) Local slight irritation Reversible eye damage Reversible systemic effects Inflammatory effects Lungs, respiratory insufficiency, chemical pneumonia Irreversible systemic effects Partial loss of sight Corrosive effects Lungs, requiring respiratory assistance Asphyxia Allergic reaction or sensitisation Mild or local allergic reaction Allergic reaction, widespread allergic contact dermatitis Strong sensitisation, provoking allergies to multiple substances Anaphylactic reaction, shock Fatality Long-term damage from contact with substances or from exposure to radiation Diarrhoea, vomiting, local symptoms Reversible damage to internal organs, e.g. liver, kidney, slight haemolytic anaemia Damage to nervous system, e.g. Organic Psycho Syndrome (OPS; also called Chronic Toxic Encephalopathy, also known as ‘painters' disease’). Irreversible damage to internal organs, e.g. oesophagus, stomach, liver, kidney, haemolytic anaemia, reversible damage to nervous system Cancer (leukaemia) Effects on reproduction Effects on offspring CNS depression Microbiological infection Reversible damage Irreversible effects Infection requiring prolonged hospitalisation, antibiotics-resistant organisms Fatality --- Source: https://www.legislation.gov.uk/eudn/2019/417/annex/division/2/division/6/division/6.3/division/Table (the official version) Page: https://openlegislation.uk/eu-decision-2019-417/annex/division-2/division-6/division-6.3/division-Table Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.