Administration Vendor Incident Report Form

Administration Vendor
Incident Report Form

Instructions: Fill out this form to document any incidents involving our vendors that could impact our operations, reputation, or relationships. Provide detailed information to ensure a comprehensive understanding of the incident. Submit this completed form to the designated vendor management team for review and appropriate follow-up actions.

Incident Information

Incident Date		Incident Time
Location of Incident		Vendor Involved
Description of Incident	During routine unloading, a pallet of goods was found to be significantly damaged, compromising the integrity of several products.

Impact Assessment

Operations	Temporary shortage of stock for key products
Finance	Estimated loss of $4,500 due to damaged goods, not accounting for potential lost sales
Reputation	Negative impact on our reputation for reliability among our customers
Risk Recurrence	Medium. First such incident.

Incident Response

Immediate Response	Reported incident to request immediate investigation
Long-Term Measures	Planning a review of packaging and handling procedures
Documentation	Photos of damaged goods Copy of delivery note Initial incident communication with vendor

Follow-Up Actions

Action	Responsible Party	Deadline
Conduct a thorough investigation to identify the cause of the damage.	Vendor

Approval Signatures

Reported by:

[Name]

[Position]

[Date]

Reviewed by:

[Name]

[Position]

[Date]

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