Danger score versus ER volume
Danger score versus ER volume
According to CPSC NEISS 2005-2024, Pens And Pencils ranks #256 of 838 by danger score (38/100) at ER-volume #125 of 838 (18,856/yr). They are not the same ranking.
- #256
- danger rank of 838
- #125
- ER-volume rank of 838
- 38/100
- danger score
- 18,856/yr
- estimated ER visits (avg)
Danger score combines injury volume, hospitalization, fatality, and five-year trend. ER volume is the average annual NEISS estimate alone. Rank 1 is highest on each list.
Where this category's danger score sits nationally
Danger score (38/100) across 838 scored CPSC product categories
38 Around the middle lower than 30% of 838 product categories
scored CPSC product categories, bucketed by value
Each bar is a band; taller bars hold more product categories. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source CPSC NEISS, PlainSafety danger-score model · 2024
Composite verdict
Composite Safety Score: 54/100
One verdict blending 4 independently-sourced dimensions from two separate CPSC systems, each benchmarked against all 838 scored product categories by percentile rather than raw value, so no single huge-volume category can dominate the scale.
| Dimension | Value | National percentile | Weight applied | Source |
|---|---|---|---|---|
| Injury severity (hospitalization + fatality blend) | 5 | 42nd | 35% | CPSC NEISS 20-year severity index |
| Annual ER injury volume | 18,856 | 81st | 30% | CPSC NEISS estimated annual ER-treated injuries |
| 5-year injury trend | -19% | 37th | 15% | CPSC NEISS 5-year % change in ER-treated injuries |
| Consumer incident reports | 10 | 49th | 20% | CPSC SaferProducts.gov public incident report count |
Methodology: each dimension is ranked against the full population's p10/p25/p50/p75/p90 breakpoints and interpolated to a 0-100 percentile; the composite is the weighted average of available percentiles. See methodology for the full benchmark table.
Where 377,194 estimated ER injuries land on the body
Body-part shares from the same CPSC NEISS injury_types extract for product code 1685. Segments sum to 377,194 - a body-map mix, not a danger score or ER-volume rank.
Two danger lenses
Same-group peer scores and this product's dial
The bars compare PlainSafety danger scores inside the Personal Care & Safety Products group (same CPSC NEISS extract). The dial is this product's score alone on the Low/Moderate/High bands. Do not read a peer bar as an ER-visit count.
Personal Care & Safety Products danger scores
How this 38/100 score is built
The score is computed from four CPSC-derived factors for pens and pencils - no opinion, no editorializing:
- Injury volume 18,856 ER visits/yr High volume
- Severity (hospitalization rate) 4.9% Below median admission rate
- Fatality rate 0.00% No recorded fatalities
- 5-year trend-19%
Band labels compare this category against the corpus of 838 scored CPSC product categories, see the full methodology for the exact weighting of each factor.
What the CPSC Data Shows
Across the 20-year NEISS window from 2005 to 2024, injury counts for pens and pencils are declining by about 19% over the last five years, with the busiest year on record being 2006 (26,488 estimated ER visits) and the quietest 2020 (10,261 estimated visits). The single most common ER diagnosis is foreign body to the ear, accounting for approximately 41,919 visits across the 20-year NEISS window, followed by contusions, abr. to the eyeball (37,638 cases). The 5-14 age group absorbs the largest share of injuries, about 213,049 cases over the NEISS window, and males appear slightly more often than the opposite sex in that cohort. Severity outcomes from the NEISS disposition field show that 4.9% of ER visits involving this product end in hospital admission or transfer.
Beyond the hospital-sampled NEISS projections, this page also aggregates 10 consumer incident reports filed directly on SaferProducts.gov, plus 20 anonymized ER narratives - together forming a layered picture of how pens and pencils fail in real households. Every figure on this page comes from CPSC-published data: NEISS projects national estimates from a probability sample of about 100 U.S. hospital emergency departments, while SaferProducts.gov collects voluntary reports from consumers, manufacturers, and clinicians. The danger score, trend indicators, and demographic breakdowns update automatically when CPSC releases a new yearly NEISS file, which is why this page is dated 2024-12-31. For regulatory context, consult CPSC recall notices and the SaferProducts.gov public database linked below.
Annual Injury Estimates (2005–2024)
Source: CPSC NEISS national estimates Injuries represent ER-treated cases only
Who Gets Injured?
| Age Group | Male | Female | Total |
|---|---|---|---|
| 0-4 | 36,302 | 31,640 | |
| 5-14 | 128,721 | 84,328 | |
| 15-24 | 22,808 | 17,515 | |
| 25-34 | 9,023 | 8,747 | |
| 35-44 | 7,054 | 6,728 | |
| 45-54 | 4,525 | 4,445 | |
| 55-64 | 3,620 | 2,504 | |
| 65-74 | 2,152 | 1,653 | |
| 75+ | 1,918 | 3,106 |
Most Common Injuries
| Body Part | Diagnosis | Est. Injuries |
|---|---|---|
| Ear | Foreign Body | |
| Eyeball | Contusions, Abr. | |
| Internal | Ingestion | |
| Hand | Puncture | |
| Face | Foreign Body | |
| Finger | Foreign Body | |
| Eyeball | Other | |
| Hand | Foreign Body | |
| Mouth | Laceration | |
| Face | Laceration | |
| Foot | Puncture | |
| Foot | Foreign Body | |
| Mouth | Puncture | |
| Face | Puncture | |
| Finger | Laceration |
Severity Breakdown
ER Visit Narratives
Real anonymized emergency room reports from the CPSC NEISS database.
8YOM C/O LEFT EYE PAIN, WAS AT SCHOOL AND POKED HIMSELF IN THE EYE WITH A PENCIL. DX: CORNEAL ABRASION , SUPERFICIAL INJURY OF EYE
29 YOM WAS REFUSED AT BOOKING AFTER HE VERBALIZED SWALLOWING A PENCIL, LOOSE AND BAGGED DRUGS. NO UDS. DX: SWALLOWED FOREIGN BODY.
35 YOF FELL ON PENCIL IN AJIL DX; FACE LAC
45YOM FROM THE JAIL STATES THAT HE WAS HAVING TROUBLE URINATING SO HE INSERTED TWO PIECES OF A PEN INTO HIS URETHRA IN AN ATTEMPT TO HELP HIM URINATE NOW HAS SEVERE PAIN DX: FOREIGN BODY IN URETHRA
66YO *** *** *** REPORTS A HALF OF A #2 WOODEN PENCIL INSIDE THE URETHRA DX: FOREIGN BODY IN URETHRA
29YOM PATIENT WAS BENTING OVER TO PICK UP A PEN OFF THE FLOOR, AND DEVELOPED LEFT SIDED HIP PAIN, SHE DIDN'T FELL TO THE FLOOR DX: LEFT HIP SPRAIN
10 YOM PUT A MECHANICAL PENCIL IN HIS EAR AND SOME OF THE PENCIL LED IS STUCK. DX: FOREIGN BODY RIGHT EAR, TYMPANIC MEMBRANE CENTRAL PERFORATION RIGHT
12YOM WITH FB IN EAR. PT TRIED TO USE PENCIL TO TAKE OUT EAR WAX AND PIECE OF THE PENCIL WAS STUCK IN EAR DX: FB OF LEFT EAR
7YOM WAS AT SCHOOL WHEN HE STUCK A PENCIL UP HIS RIGHT NOSTRIL AND NOW IT'S BLEEDING DX: NASAL ABRASION
11YOM SUSTAINED MULTIPLE SELF-INFLICTED ABRASIONS TO LEFT WRIST WITH A PENCIL STATES HE WANTS TO DIE AND GO TO HEAVEN WITH HIS GRANDPA DX: SUPERFICIAL ABRASIONS, BEHAVIOR PROBLEM IN A PEDIATRIC PATIENT
9YOF WAS GETTING INTO A CAR AND WAS HOLDING A WOODEN PENCIL, THE CAR DOOR SLAMMED ONTO HER HAND AND THE PIECE OF PENCIL WENT INTO HER RIGHT HAND DX: FOREIGN BODY HAND
7YOM, TRIPPED AND FELL WHILE RUNNING WITH A PENCIL IN HIS MOUSE CAUSING THE PENCIL TO PIERCE IN THE BACK OF HIS MOUTH, DX: INJURY OF MOUTH; PUNCTURE WOUND OF ORAL CAVITY
Consumer Incident Reports
Reports filed by consumers on SaferProducts.gov.
To whom it may concern, My wife purchased your 8-pack Washable Dot Markers listed on the Amazon website on July 18 2019. We have never used the product until August 2, 2020. Your Product: https://www.amazon.com/gp/product/B01ADUE85O/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 Our daughter was coloring w/ the blue marker and it got on her hands and she wiped her face. The marker caused chemical burns on her face. It is unacceptable that your products are marketed as safe and non-toxic.
I purchased and hello kitty pen pencil, paper kind of like a little school kit for my 5 yr old upon opening the box and the small packages inside there was one labeled pen. To shock it was not a pen but a long razor blade I tried to reach someone at the website posted on the box www.hellokitty.co.kr but it says it is under construction. I thank god I was the one who opened what appears to be a pink pen with hello kitty on the front and not my toddler who could have caused serious injuries to herself.
We purchased our son the Crayola Glow Explosion paper and marker set. When we started coloring, we noticed the markers had a funny/bad smell to them. Since the box said it was non-toxic and it was from a trusted company like Crayola, we figured the smell would dissipate over time. We hung our artwork (2 of the full size glow sheets) in his room around 9pm before bed. The next morning, approx 9am, I opened his door to go in, and realized the smell had completely consumed his large bedroom. My son complained of a stuffy nose and dry/scratchy throat. I immediately threw the paper away, and within about an hour of being in the living room, his nose and throat cleared up. I have been afraid to let him try it again.
The consumer stated that he heard his 3 years old granddaughter choking and when he went to check on her, she coughed the metal portion that holds the eraser. The consumer stated that the pencils eraser was approximately ¾ of an inch and the pencil was double the size of the normal pencil width. This particular product is identified specifically for children! The consumer stated that he did not need to do anything to assist his granddaughter she had coughed the piece on her own. The consumer stated that four pencils came in the pack that he purchased and all of the erasers metal holders were loose. The consumer stated that he email the manufacturer and was awaiting a response. The consumer believes that this product should be investigated since it poses a choking hazard to children and anyone who puts pencils in their mouth.
Lucky Shot .308 Retractable Twist Pen was in patient pocket and exploded causing laceration and shrapnel injury. It is a pen made from a bullet. bought at academy sports, Product was in pocket and not in use at the time. Likely had left over gun powder and static electricity set off explosion is my guess.
My son had a pen and was drawing. He put the top part of the pen in his mouth, like many adults even do, and must have bit down inside the hollowed clip part where the plastic SCRIPTO logo was located. It had a little give to it so it ended up bouncing back and trapping part of his top lip inside the clip of the pen. He was bleeding and screaming. We called the ambulance whose paramedics would not take the pen off themselves but wanted to drive us to the ER where the doctors could figure out how to remove the pen from his lip. It took three doctors to pry the pen off of his lip. I contacted Scripto with this information. They seemed helpful at first and asked me to send along pictures and the pen itself since I had brought it home with me after it was removed from my son's lip. After I sent it, I waited to hear back. More than six months later with numerous unanswered/hang up phone calls to their person, [REDACTED], who handles these situations, I finally go ahold of him through Scripto. He told me he was not responsible for this, that he was sorry about my son, but that he couldn't help anymore, and that we would have to agree to disagree. I told him that I would have likes the respect for him to at least call me back and let me know this information since it had been more than six months. He said he was busy and had a lot to do. While Scripto itself is not making pens anymore, I just saw a University that had pens out at their booth in February 2016 with the same type of clip. If pen companies don't know about this clip, then they won't know about the dangers. They will continue making them, and more people could potentially get hurt.
A relative made me aware of what looks like a VERY hazardous product being sold on Amazon.com -- a pure lead pencil, at http://www.amazon.com/Jac-Zagoory-Beta-Inkless-Pen/dp/B005GLYHLG.
The consumer indicates that her and her daughter were using the marker for approximately four to five minutes when her daughter said she could not use them anymore because she was feeling dizzy and nauseous, and her eyes were watery. When the consumer stood up, she felt the same way. The consumers husband had to take their daughter to the restroom as she could no longer walk; the consumers daughter vomited. The consumers symptoms subsided after forty-five minutes whereas her daughter began to feel better after two hours. The consumers husband placed the marker in a sealed bag. The consumer notes that although her and her daughter had some marker ink on their hands, they did not have any allergic reaction to it, at least not visibly. The consumer contacted Poison Control and explained the situation; the representative she spoke to advised her or a family member to contact 911 immediately for an ambulance if her or her daughter became unconscious. The consumer contacted the Manufacturer and explained the situation; the representative she spoke to informed her that they have never had a reported problem with the marker but that a Manager would be contacting her. The consumer has yet to hear from a Manager. The consumer went to the retailer and explained the situation; the Manager informed her that she would be speaking to her Supervisor in the hopes of placing a warning on the unit as it does not have any warnings at all. The consumer states that the unit was only used one time for four to five minutes. The consumer plans on keeping the marker for at least the next thirty days in case an investigation ensues.
Showing 8 of 10 reports.
Product Recalls
Search for active and past recalls related to pens and pencils on the CPSC website.
Compare beyond Personal Care & Safety Products
Nationwide peers by danger score, ER volume & hospitalization
Three PlainSafety-derived comparison paths for Pens And Pencils: cross-group products nearest on danger score (38/100), estimated annual ER visits (18,856/yr), and hospitalization share (4.9%). Same-group neighbours stay in Related Products above.
Similar danger score
Nearest cross-group products by PlainSafety danger score (100-point scale).
Similar ER visit volume
Nearest cross-group products by NEISS estimated annual ER visits.
Similar hospitalization rate
Nearest cross-group products by % of NEISS ER visits resulting in hospital admission.
Related Products in Personal Care & Safety Products
Read with this product
About this data
CPSC National Electronic Injury Surveillance System (NEISS) 2005–2024 and SaferProducts.gov consumer incident reports form the basis of this page. Injury estimates are based on a nationally representative probability sample of U.S. hospital emergency departments.
According to PlainSafety's CPSC NEISS corpus ranking, Pens And Pencils ranks #256 of 838 scored CPSC product categories by PlainSafety danger score and #125 of 838 by 20-year estimated ER injury volume.
Frequently Asked Questions
Where does pens and pencils rank on danger score versus ER volume?
Among 838 scored CPSC product categories, pens and pencils ranks #256 by PlainSafety danger score (38/100) and #125 by 20-year estimated ER injury volume (18,856/yr). The two rankings come from the same NEISS extract and are not the same order.
What are the most common injuries from pens and pencils?
The most common injury is foreign body to the ear, accounting for approximately 41,919 injuries over 20 years.
Are injuries from pens and pencils increasing or decreasing?
Down 19% over 5 years.
Who is most at risk for pens and pencils injuries?
The 5-14 age group accounts for the most injuries, with approximately 213,049 cases recorded over 20 years. Males are more frequently injured in this age group.
What happens when someone is injured by pens and pencils?
Of all ER visits involving pens and pencils, approximately 4.9% result in hospital admission. The majority of patients (95.1%) are treated and released from the emergency department.
How can I report a safety problem with pens and pencils?
You can file a consumer incident report at SaferProducts.gov, the official CPSC reporting portal. Reports help the CPSC identify emerging hazards and trigger investigations or recalls. You can also call the CPSC hotline at 1-800-638-2772.
PlainSafety is rendered directly from U.S. Consumer Product Safety Commission recall and incident records, no number is typed in by an editor. Product recall timelines and hazard labels are drawn from CPSC recall records for this product. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.