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You are here: Home > Product Alerts & Recalls > Product Incident Report


  

 CSA Product Alerts & Product Recalls direct to you
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CSA Group's Corporate Audits & Investigations (A&I) team is an integral part of the CSA Group Legal Department located in our Corporate Office. The A&I team investigates incidents involving CSA certified products, issues all points bulletins (apbs), product recalls and safety notices in co-operation with manufacturers and supports the standards development process.

Fill out the online form below and let us know about an incident with a CSA-certified product or download a Microsoft Word version of our Product Incident Report form

You can also call CSA Group’s Corporate Audits & Investigations at (416) 747-4278

* mandatory fields

ABOUT YOU:


1. Your name: *

2. Company:

3. Address: *

4. E-mail: *

5. Phone number: *

 6. Fax number


ABOUT THE USER OF THE PRODUCT (IF NOT YOU):


7. Product user:

8. Company:

9. Address:

10. Contact:

11. Phone number:

12. Fax number


ABOUT THE PRODUCT:


13. Is this a CSA-Marked product? *
What does that mean?

Yes No

14. CSA File #:
What does that mean?

15. Product:

16. Product purchase date:

17. Product/Description code:

18. Ratings:

19. Model No.:

20. Manufacturer:

21. Serial Number:

22. Where was the product used?:


ABOUT THE INCIDENT:


23. Incident date:

24. Did it cause fire?

Yes No

25. Did it cause injuries?

Yes No

26. Did it cause any damage?

27. Please describe the incident below *

* I consent to CSA collecting and using the information provided by me on this form strictly to conduct investigations into the product incident described. If appropriate and applicable, I understand that it is my responsibility to obtain the consent of individuals whose personal information I am disclosing to CSA.

CSA is committed to protecting the privacy of the personal information in this form. This information is never sold to third parties by CSA. However, I understand and consent to CSA releasing any personal information contained on this form to manufacturers or regulatory authorities for the purpose of investigating a product incident (only to the extent required for such investigation); or to comply with a court order requiring release.

Visit CSA’s Corporate Policy on Confidentiality and Privacy for information on how CSA protects your personal information.