SIMPLE DAMAGE DOCUMENTATION
I. Damage Documentation Details
Field | Details |
|---|
Date of Incident | November 15, 2055 |
Location of Damage | [Your Company Address] |
Name of Person Reporting the Damage | [Your Name] |
Email | [Your Email] |
Phone Number | 555 222 7777 |
II. Damage Description
Item Affected | Damage Description | Action Needed |
|---|
Shelving Unit #12 | Destroyed | Replacement required |
Box #245-A | Contents damaged (fragile goods) | Inspection and possible replacement |
Forklift Unit #3 | Minor scratches on the exterior | Inspection and minor repairs |
Warehouse Wall | Minor dents and scratches | Minor repairs |
III. Cause of Damage
Cause | Details |
|---|
Operator Error | The forklift driver attempted to maneuver too quickly in a narrow aisle. |
IV. Immediate Actions Taken
Action Taken | Details |
|---|
Area Secured | The area was cordoned off to prevent further incidents. |
Goods Relocated | Damaged goods were moved to a safe location for inspection. |
Forklift Inspected | The forklift underwent immediate inspection for safety. |
Temporary Shelving Support | Temporary support was added to shelving units to prevent further collapse. |
V. Estimated Repair/Replacement Costs
Item | Estimated Cost |
|---|
Shelving Unit Replacement | $1,200 |
Damaged Goods | $1,000 |
Forklift Repair | $500 |
Warehouse Wall Repair | $300 |
Total | $3,000 |
VI. Insurance Information
Field | Details |
|---|
Insurance Provider | [Your Company Name] Insurance Co. |
Policy Number | 123 456 |
Claim Number | 9876 |
VII. Attachments (Photos, Reports, etc.)
Attachment | Details |
|---|
Photos of Damage | Photos of damaged shelves, forklift, and warehouse wall. |
Incident Report | An incident report from the forklift operator. |
Inspection Report | Warehouse inspection report. |
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