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The Safety Record Special Report: How Consumer’s Union Shocking Child Seat Tests Forced the Recall of the Evenflo Discovery

Editor’s note: The Safety Record spent more than a year seeking the documents related to Recall 08C002 involving Evenflo Discovery child restraint.  The Safety Record undertook this project because the defect was serious, resulting in a recall of more than 1 million seats. Yet, much the public record explaining how this recall came about was missing, and, the National Highway Traffic Safety Administration was not forthright in its actions or in its public statements in February 2008. The Safety Record is committed to ensuring that the public record is complete and to bringing transparency to NHTSA’s important regulatory and investigative activities in the interest of government accountability. Documents obtained following the successful settlement of Safety Research & Strategies litigation against NHTSA show that the Evenflo recall was the result of secret investigations and behind-the-scenes exchanges between the agency and Evenflo. This Special Report, in part, is based on these records.  

On September 19, 2005, Isaac Neal Eslinger died of his injuries in a rollover crash that occurred the day before. He was seven months old. His mother Debra was at the wheel of the family’s 1996 Isuzu Oasis van, travelling north on Highway 6 towards Mandan, North Dakota. According to the police report of the crash, the last thing Debra Eslinger remembered was glancing back at her daughter, before realizing that she had swerved onto the shoulder of the other side of the road. Debra tried to correct her steering, but lost control of the van. It rolled over and came to rest in a ditch on the east side of the highway.

Debra, who was wearing her seatbelt, and her three-year-old daughter, secured in a child safety seat, survived the crash without any injuries. The Evenflo Discovery infant seat holding Isaac, however, detached from its base in the crash. Isaac, still strapped in the seat, was pitched out of the van. He died of a skull fracture and head injury.

Isaac’s father, Neal Eslinger, a chiropractor in Bismarck, paid tribute to his only son on a blog he writes, called My Living Strength:

“Isaac has a spirit presence that warmed all hearts. He was a “master of smiling” as he displayed his prominent dimples, twinkling eyes and his unique laughs, giggles and squeaks. The mere glimpse of his mother or sound of her voice would bring a smile and a laugh that truly was an honor to witness. …Isaac was a gift from God and he always was and always will be “Our Little Angel.” Words cannot express the blessings he brought into our lives.”

Three weeks after the crash, on Oct. 7, 2005, Isaac Eslinger’s death in an Evenflo Discovery infant seat was reported to the National Highway Traffic Safety Administration. Fifteen months later, NHTSA’s Office of Defects Investigation came looking for the crash report.

January 2007 would turn out to be a turning point for the popular infant carrier combination car seat. A controversial Consumer Reports story claimed that sled-tests showed that some models of the Discovery had a tendency to separate from its base under the stress of crash forces. This wasn’t actually news. A spate of infant deaths and injuries linked to base separations had initiated a low-level NHTSA investigation in 2004. But that probe was closed four months later with no defect finding.

NHTSA and Evenflo swiftly dispatched the Consumer Reports story by pointing out that its side-impact sled tests were actually conducted at a much higher rate of speed than the story claimed. Within weeks, Consumers Union, publisher of Consumer Reports, printed a retraction, withdrew the story and apologized to its readers. But one year later, NHTSA and Evenflo announced that the juvenile products manufacturing firm was recalling 1.1 million Discovery infant carriers because testing by both parties showed that it could separate from its base in a side impact.

In the three-and-a-half year gap between the closing of the first investigation and the recall of the Discovery infant carrier were two secret NHTSA defects investigations into the infant carrier’s propensity for seat base separations, the discrediting of a consumer advocacy organization that attempted to raise the bar on child restraint safety, and more child injuries and deaths in crashes that resulted in base separations.

The recall was five years ago, but questions about its origins linger. Save a flurry of stories published about CU’s testing mistake and retraction, and fewer when the recall was announced a year later, the record surrounding this child safety defect has remained hidden from public view. Increasingly, this appears to be by design. NHTSA frequently hides the extent of its investigative activities and its negotiations with industry. If no formal Preliminary Evaluation or Engineering Analysis is opened, the public record is never established. This secrecy has been the subject of criticism by safety advocates, who say that it allows the agency to avoid accountability, and by the Department of Transportation’s Office of Inspector General. In an October 2011 audit, the OIG criticized the Office of Defects lack of documentation and transparency:

“Without comprehensive documentation of pre-investigation activities, ODI’s decisions are open to interpretation and questions after the fact, potentially undermining public confidence in its actions.” Noting NHTSA’s failure to document meetings with manufacturers, OIG recommended “a complete and transparent record system with documented support for decisions that significantly affect its investigations.”

In November 2011, Safety Research & Strategies filed a Freedom of Information Request for the communications between NHTSA and Evenflo surrounding February 2008 recall. When NHTSA responded that it had no such documents, SRS appealed – arguing that the simultaneous press releases issued by NHTSA and Evenflo showed that each entity knew about the other’s test results on the Discovery – evidence of communication between the two. In April, after NHTSA did not respond to SRS’s appeal, the company filed a civil lawsuit in U.S. District Court to obtain the documents. In February, SRS and the Department of Transportation settled the lawsuit, after NHTSA released all of the documents it said were in its possession. The Department of Transportation paid SRS’s costs and legal fees of $14,281. 

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Liberty Tire Gives Consumers Another Reason to Avoid Used Tires

In 2012, Kumho Tires notified NHTSA that it was recalling 40,769 SOLUS KH25 passenger car tires (size 225/45R17) due to sidewall cracking. At the time, nearly the entire recall population was in Kumho’s warehouses. Only 122 had actually been sold to customers; another 1,116 were in dealer’s inventories. But thanks to one of the nation’s biggest tire recyclers, Kumho has to recall them again.

On April 30, Kuhmo announced that it would now have to collect nearly 12,000 SOLUS KH25, because the national tire recycler that was supposed to scrap them resold them to used tire dealers. According the Defect and Noncompliance notice Kumho filed with the National Highway Traffic Safety Administration, in early August 2012, the Vietnamese tire manufacturer paid Liberty Tire Recycling to dispose of 11,922 tires from its Itasca, Illinois warehouse. The tires slated for destruction had three holes drilled into in the tread surface – presumably to render them unusable. Instead, Liberty sold 7,875 tires to various tire wholesalers in Texas, New York, North Carolina and Puerto Rico.

On its website, Liberty proclaims itself as an environmental champion, turning more than 110 million scrap tires annually into the “raw materials for smart, sustainable products that improve people’s lives”: 

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The Continuing Case of Takata’s Exploding Airbags

Last week, four Japanese automakers – Toyota, Nissan, Honda and Mazda – announced recalls of 3.4 million vehicles for “improperly pressurized” airbags made by Takata that could rupture, igniting fires or propelling metal fragments that could travel “upward toward the windshield or downward toward the front passenger's foot well.”

They forgot to mention that they could shoot straight out and hit you in the chest, as allegedly happened in 2009 to a Florida woman who owned a 2001 Honda Civic. And, they apparently forgot to mention that these airbags have been recalled over and over again since 2001.

In this latest campaign, Takata said that it only learned of the problem in 2011, after an alleged rupture of a passenger airbag inflator occurred in Puerto Rico. Certainly, it’s unlikely that 2011 was the first the supplier heard about this issue. There have been six recalls associated with Takata airbags that explode with too much force, spraying debris in their wake. This slow-moving rolling recall for manufacturing defects involving 13-year-old vehicles raises more questions than it answers. Why is Honda identifying a manufacturing process problem so long after these vehicles were produced?

The latest recall of 2000 to 2004 vehicles suggests an age degradation issue involving the propellant. Honda’s ever-changing explanations suggest that perhaps more than one manufacturing problem lies at the root of the inflator rupture problems.  A stroll through the recall documents also reveals Honda’s odd behavior – like recalling 830,000 vehicles to find 2,400 replacement modules. The depth of NHTSA’s involvement is also unknown. The agency began asking questions in 2009, without actually assigning the recall investigation an official Recall Query number. We suspect that the Recall Management Division has been keeping close company with Honda ever since.

Honda Inflator Ruptures Through the Years

2001: Recall 01V055

In February 2001, Isuzu reported in a Defect and Noncompliance Notice that it discovered three vehicles, a 2000 and 2001 Rodeo and an MY 2001 Honda Passport had passenger side front air bag inflator modules built with too much generant.

“In the event of a crash, the abnormal amount of generant could cause the airbag to burst. Occupants could be injured either as a result of debris or as a result of crash forces not counteracted by the air bag,” Isuzu said.

According to the defect report, the undisclosed supplier told the vehicle assembly plant that it had produced air bag units with incorrectly manufactured inflators in late January 2001. At the time, Isuzu said that it only knew of three defective vehicles outside its possession – identified by Isuzu 's undisclosed supplier using ”radiography images in the supplier's possession.”

So, it was a small, limited recall, since two of the vehicles were on the dealer’s lot, and only one – a Honda Passport – had been sold to a customer. 

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Kia and the Breaking Brake Switch that’s Been Broken

Remember Lauri Ulvestad? She was the unfortunate owner of a 2011 KIA Sorrento, which took her on a wild 60-mile ride, at speeds topping out at 115 mph, around sedans and 18-wheelers along the north-bound corridor Interstate 35 in Harrison County, Missouri. The Missouri State Highway Patrol, which escorted Ulvestad until she was able to bring the vehicle to a stop, captured the event with an on-board camera.

At the time, the automaker said that it could not duplicate the event, and that it was “an isolated incident.” But, it bought Ulvestad’s Kia double-quick.

Well, today it turned out that the Ulvestad incident wasn’t so isolated after all. Kia and Hyundai announced that they were recalling 1.9 million vehicles from the 2006-2011 model years for a brake switch failure. The long list of vehicles includes: Hyundai Accent, Elantra, Genesis Coupe, Santa Fe, Sonata, Tucson and Veracruz vehicles and Kias Optima, Rondo, Sedona, Sorento, Soul and Sportage.

According to KIA’s Part 573 Defect and Noncompliance Report:

“The stop lamp switch” (also known as a brake switch) “on vehicles in the subject recall population may experience intermittent switch point contact. This condition could potentially result in intermittent operation of the push-button start feature, intermittent ability to remove the vehicle’s shifter from the Park position, illumination of the ‘ESC’ (Electronic Stability Control) indicator lamp in the instrument cluster, intermittent interference with operation of the cruise control feature, or intermittent operation of the stop lamps. Intermittent operation of the stop lamps increases the risk of a crash.”

How does this description square with Lauri Ulvestad’s experience? Let’s see:

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Ford Unintended Acceleration Hopping that Class Action Train

It’s Ford’s turn to take a ride down the Unintended Acceleration (UA) class action track. The civil lawsuit, filed in the southern district of West Virginia, with plaintiffs from 14 states, seeks economic damages from any Ford vehicle manufactured between 2002 and 2010 equipped with an electronic throttle control system but not a brake override system. This civil lawsuit seeks economic damages only on behalf of Ford owners and lessors who relied on Ford’s representations of vehicle safety in choosing their products.

As in the recently settled Toyota MDL, the remedy is a brake override system. Hopefully Ford will design one that works in most UA scenarios – unlike Toyota’s version, which does not override the command to accelerate if the brake is already depressed when the UA occurs or at low speeds. (Sorry, all you plate-glass-breaking, drive –through, curb-hopping Toyota parkers who have the misfortune of experiencing a UA event while riding the brakes into a parking spot.)

While Toyota has gotten most of the ink on UA, it is hardly the only automaker grappling with electronic malfunctions in its vehicles. A casual survey of some of pending or recently retired National Highway Traffic Safety Administration investigations and news stories about wild terrifying trips on our nation’s highways shows that Hyundai, Mercedes Benz, Honda, Ford and others have been associated with Unintended Acceleration and Unintended Braking.

Ford, you may recall, was the target in 2011 of Judge William T. Swigert’s ire for lying to the court, the National Highway Traffic Safety Administration, as well as its own expert witnesses on its knowledge of UA. Swigert, Senior Judge of the Florida’s Fifth Judicial Circuit, set aside a jury verdict in favor of Ford in Stimpson v. Ford, because the automaker defrauded the court by claiming that it knew of no other cause of unintended acceleration than driver error and for concealing years of testing that showed that electromagnetic interference was a frequent root cause of UA in Ford vehicles.

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Betsy Spills Toyota’s Beans

To steal a line from Bogie: “Of all the publications in all the websites in all the world, she walks into Corporate Counsel.” She – being Betsy Benjaminson, a freelance translator from Israel who was tasked with translating from Japanese into English documents regarding Toyota Unintended Acceleration. Corporate Counsel — being the self-described “leading digital destination for in-house counsel to find breaking news and practical information.” And this bit of breaking news? When you lie to the world about an automotive electronics problem that has the potential to result in fatal crashes, don’t expect every underling to keep your secrets.

The story, entitled Is Toyota Telling the Truth About Sudden Acceleration? (Spoiler alert: the answer is: No.) is a fascinating behind-the-scenes look at a company in disarray with a technically challenging problem that its technicians weren’t looking too hard to solve, while its legal and public relations gears clicked into place to drive the denial machine forward. Our favorite:

“Hagiwara and Chris Tinto, a V.P. for technical and regulatory affairs and safety, had been talking about the U.S. investigation and an earlier one in Europe that also involved unintended acceleration (UA).

‘Tinto is extremely pessimistic,’ Hagiwara wrote, ‘and is saying (public hearings, someone will go to jail, I can’t completely take care of the pedal problem, etc.).’ Tinto’s primary concerns (according to Hagiwara): ‘For NHTSA, we said that our investigations in Europe found that the pedal return is a little slow at a slightly open position, and that there were no accidents, but this is not true. Last year’s situation in Europe (many reports of sticking pedals and accidents, and a TI TS9-161 was filed on October 1, 2009) was not reported to NHTSA.’ That failure, Tinto said, ‘may be a violation of the TREAD Act’—the federal law that requires car manufacturers that conduct recalls in foreign countries to report these to U.S. regulators.”

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Triple Threat? The GAO Audits Saferproducts.gov

Three years ago, when the U.S. Consumer Product Safety Commission began to solicit the public’s advice and counsel on the development of a consumer complaint database, manufacturers and the purveyors of consumer products forecast the end of capitalism. The database would be full of false reports, besmirching the snowy reputations of good and humble companies, who existed only to serve their customers according to the highest standards of retail integrity. And as this pool of complaints spread and deepened, tort lawyers would cast their lines, hooking cases with no actual merit but heavy with potential to drive said good and humble companies out of existence.

They stamped their feet and waved their fists, but the database was mandated as part of the Consumer Product Safety Improvement Act of 2008. A few rearguard actions were mounted to kill its funding, but they met with no greater success.

Saferproducts.gov debuted in March 2011. If you are afraid you missed the apocalypse, no worries. It didn’t happen. According to a rather mild – dare we say boring – Government Accounting Office report, the rumors of the free market’s demise at the hands of a consumer compliant database were greatly exaggerated. In fact, few consumers have actually used Saferproducts.gov to report an incident – only 12,030 from April 2011 to January 2013. The GAO, which conducted the performance audit from July 2012 to March 2013, found that more than 97 percent who used the website to report an alleged product failure identified themselves as consumers. In more than half the cases, the reporter identified him or herself – or a relative (parent, child, spouse) as the victim.

Most of the consumers who test drove the website for the GAO auditors found it easy to use. None of the group had heard of Saferproducts.gov before, and only a few understood the basic mission of the CPSC. Some were put off by requests that reporters register with the website. A few suggested helpfully that the website would be more aptly named Unsafeproducts.gov. (Now would that go over big with industry.)  

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Another Secret Chevy Volt Investigation?

One word journalists like to use in headlines about the all-electric Chevy Volt is “shock” – as in “Electric Shock: Is GM Really Losing $49,000 on Every Volt Sale?” and “Chevy Volt Continues to Shock and Awe After a Week on the Road” and “Chevrolet Volt: Electric sedan sends shock waves through auto industry.”

An electric vehicle is going to invite those metaphors, right? But three months ago, a driver from California made a complaint to the National Highway Traffic Safety Administration that was literally shocking. On December 1, the driver received what was described as a significant electric shock from the gear shifter:

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Submersion Lawsuit Highlights Escape Design Gaps

On August 19, 2011, Washington Boulevard, a Pittsburgh thoroughfare built over a stream bed filled suddenly with nine feet of water, trapping Kimberly A. Griffith and her two daughters in their Chrysler minivan. Griffith, Brenna, 12, and Mikaela, 8, drowned in the minivan, unable to open the power windows, while the outside water pressure made it impossible to open the vehicle’s doors. Mary Safill, a 72-year-old woman who was also caught up in the flash flood on Washington Street, managed to escape her car, but drowned in the torrent.

Earlier this month, the law firm of Swensen, Perer & Kontos filed a lawsuit on behalf of the victims’ families. The civil action names eight defendants, including Chrysler for failing to warn consumers about the hazards of vehicle submersion and for a failure to implement escape technology.

Motor vehicle submersions are small but significant portion of motor vehicle deaths.  The National Highway Traffic Safety Administration, using the Fatal Analysis Reporting System (FARS) and the National Automotive Sampling System – Crashworthiness Data Systems (NASS-CDS) has reported that an average of 384 occupants die in motor vehicle crashes each year – not including those that occur during floods. An internal NHTSA analysis of non-flooding submersion deaths showed that most occurred as the result of a collision or rollover, that the windows were already smashed by impacts, and that most occupants were already injured before the vehicle hit the water. 

In the published version of the NHTSA research, Drowning Deaths In Motor Vehicle Traffic Accidents, author Rory Austin says the little is known about drowning deaths that occur as the result of a traffic crash. His analysis found that “63 percent of the passenger vehicle drowning fatalities involved a rollover, and 12 percent involved a collision with another motor vehicle. The most common passenger vehicle crash scenario was a single-vehicle rollover accounting for 59 percent of the fatalities. These crashes frequently involved running off the road and colliding with a fixed object prior to the rollover and immersion. In cases with known restraint use, the victim was not using any form of restraint system 52 percent of the time.”

Research by Gordon Giesbrecht and Gerren McDonald of the University of Manitoba concluded the opposite: “Many, if not most, victims die from drowning rather than from trauma.” In some industrialized nations, such as New Zealand, Canada, and the U.S. motor vehicle submersions. account for a significant proportion of all accidental drowning deaths – from 7 to 11.6 percent Giesbrecht and McDonald call motor vehicle submersions the deadliest type of single vehicle crash.

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Thoroughly Modern Tire Dealer – Not.

Bob Ulrich’s column If the TIA is the Puppet Master is NHTSA the Puppet? in February 14ths Modern Tire Dealer, casts me as an impatient crusader who has single-handedly ginned up a non-existent controversy about the dangers of tire age and used tires in the service of trial lawyers.

The issue of tire age surfaced in the U.S. in the wake of the Ford Explorer/Firestone Wilderness ATX. In 2003, NHTSA fulfilled a Congressional mandate by initiating a tire age rulemaking, which sought manufacturers’ comments. The industry did not exactly distinguish itself. Its responses ranged from denial of any problem to ignorance of testing, analysis or the very concept of tire age.

Our research showed that industry was studying rubber oxidation and heat as early as the 1930s. We also located a pair of German studies from the 1980s which concluded that tires failed at a greater rate after six years and recommended manufacturers alert consumers to prevent potential crashes. We identified the vehicle and tire makers who followed that advice, publishing tire age recommendations as early as the 1990s. Not one industry representative alerted the agency to wealth of information it had about tire age.   

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