CPSC NEISS · danger-score ranking

Which 20 consumer products send the most Americans to the emergency room?

According to the U.S. Consumer Product Safety Commission NEISS sample (2005-2024, last compiled March 2026), General Home Or Room Involvement In Fires leads this list at danger score 71/100 with roughly 14,776 estimated ER visits a year. The cutoff to make the top 20 is score 48.

#1 · 71
General Home Or Room Involvement In Fires
14,776
ER visits / year (#1)
48
Score to make top 20
20
categories on this list

The verdict

General Home Or Room Involvement In Fires (score 71) and Floors Or Flooring Materials (score 59) lead by combined injury volume, severity, and trend - 23 points above the #20 cutoff of 48.

#1 71
General Home Or Room Involvement In Fires
14,776/yr
ER visits, top category
48
Bar for #20
25.1%
Hospitalization share (#1)

Every figure is rendered live from the same CPSC NEISS ranking query as the table below, no AI summaries, no synthetic statistics.

Top 5 by danger score

Top 5 by danger score Horizontal bar chart of the top 5 items by value (/100). Top 5 by danger score Top 5 1. General Home Or Room… 71/100 2. Floors Or Flooring M… 59/100 3. Toilets 57/100 4. Beds Or Bedframes, O… 55/100 5. All Terrain Vehicles… 54/100 Bar to make this page = score 48 (#20). Scores combine ER volume, hospitalization, fatality, and 5-year trend.
# Score Product ER Visits/yr
1 71 General Home Or Room Involvement In Fires
Building Materials & Home Structures
14,776
2 59 Floors Or Flooring Materials
Building Materials & Home Structures
1.6M
3 57 Toilets
Home Furnishings & Fixtures
127,074
4 55 Beds Or Bedframes, Other Or Not Specified
Floors, Walls & Ceilings
697,169
5 54 All Terrain Vehicles (# Of Wheels Unspecified/off Road)
Sports Protective Equipment & Gear
27,170
6 54 Mopeds Or Power-assisted Cycles
Sports Protective Equipment & Gear
23,152
7 52 Crutches, Canes Or Walkers
Home Medical & Assistance Devices
100,182
8 52 Massage Devices Or Vibrators
Personal Care & Safety Products
4,048
9 51 Utility Vehicles
Swimming, Water & Beach Equipment
4,515
10 51 Chairs, Other Or Not Specified
Floors, Walls & Ceilings
347,059
11 51 Stairs Or Steps
Building Materials & Home Structures
1.2M
12 50 Rugs Or Carpets, Not Specified
Home Furnishings & Fixtures
131,922
13 50 Bathtubs Or Showers
Home Furnishings & Fixtures
308,185
14 49 Bicycles And Accessories, (excl.mountain Or All-terrain)
Swimming, Water & Beach Equipment
466,870
15 49 Ladders, Other Or Not Specified
Floors, Walls & Ceilings
159,361
16 49 Bedding, Not Specified
Floors, Walls & Ceilings
947
17 49 Golf (activity, Apparel Or Equipment)
Sports & Recreation Equipment
36,909
18 49 Recliner Chair
Home Furnishings & Fixtures
29,038
19 49 Propane, Lp Or Butane Gas Tanks Or Fittings
Laundry & Household Appliances
3,343
20 48 Two-wheeled, Powered, Off-road Vehicles
Swimming, Water & Beach Equipment
62,589

How Danger Scores Are Calculated

Each product category receives a danger score from 1 to 100 based on four factors from CPSC NEISS emergency room surveillance data (2005-2024):

  • 1. Injury Volume - Average annual estimated ER visits. Higher volume = higher score component.
  • 2. Hospitalization Rate - Percentage of ER visits resulting in hospitalization. Indicates injury severity.
  • 3. Fatality Rate - Percentage of incidents involving death. Weighted heavily in the score.
  • 4. 5-Year Trend - Whether injuries are increasing or decreasing. Worsening trends add to the score.

These four components are combined into a single composite score. Products scoring 60+ are classified as "Critical" risk, 40-59 as "High" risk, 20-39 as "Moderate" risk, and below 20 as "Low" risk.

Key Findings

Many of the most dangerous consumer products are everyday items that cannot be avoided, stairs, floors, beds, and chairs consistently rank among the top injury sources. This reflects the frequency of human interaction with these products rather than inherent design defects.

The data points to three recurring hazard categories: falls (especially among older adults), misuse of exercise equipment, and children left unsupervised around furniture and playground equipment.

Products with worsening 5-year trends may warrant increased consumer attention and regulatory review, as rising injury rates suggest emerging safety concerns. To keep this comparison statistically meaningful, we only rank categories averaging at least 100 ER-treated injuries a year; smaller categories can show large percentage swings from a handful of additional cases, which would be misleading here.

Frequently Asked Questions

What makes a product "most dangerous"?
Danger scores (1-100) combine four factors from 20 years of CPSC NEISS emergency room data: injury volume (annual ER visits), hospitalization rate, fatality rate, and 5-year trend direction. A score of 100 indicates the highest combined risk.
Where does the injury data come from?
All data comes from the Consumer Product Safety Commission (CPSC) National Electronic Injury Surveillance System (NEISS), which tracks product-related ER visits across a representative sample of US hospitals. Estimates are weighted to represent national totals.
How many ER visits are tracked?
The NEISS database covers approximately 7,300,000 product-related ER visits over 2005-2024. PlainSafety tracks 838 product categories.
Does a high danger score mean I should avoid these products?
Not necessarily. Many high-scoring products (like stairs or floors) are unavoidable parts of daily life. The data helps identify where injury prevention efforts have the most impact and where extra caution is warranted.

Data: CPSC NEISS 2005-2024. Danger scores (1-100) combine injury volume, hospitalization rate, fatality rate, and 5-year trend. NEISS data is a probability-based sample of hospital emergency departments and estimates are extrapolated to national totals.