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Equipment Damage Report Template

This document is a report form for employees to document any damage, defect, loss, or theft of company equipment. The form collects information about the employee reporting the incident, details of the affected equipment, location of the equipment at the time of the incident, date and location of the incident, and space for additional remarks. The note at the bottom indicates that any incidents must be promptly reported to supervisors according to company policies and procedures.

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Cenon Cyrus Justalero
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291 views1 page

Equipment Damage Report Template

This document is a report form for employees to document any damage, defect, loss, or theft of company equipment. The form collects information about the employee reporting the incident, details of the affected equipment, location of the equipment at the time of the incident, date and location of the incident, and space for additional remarks. The note at the bottom indicates that any incidents must be promptly reported to supervisors according to company policies and procedures.

Uploaded by

Cenon Cyrus Justalero
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

EQUIPMENT DAMAGE / DEFECTIVE / LOSS / THEFT

REPORT
DAMAGE / LOSS / THEFT - REPORTED BY
EMPLOYEE NAME:
POSITION:
CONTACT NO.:
EMPLOYEE ID NO.:
DEPARTMENT:
EMAIL:

EQUIPMENT INFORMATION
EQUIPMENT:
LIST OF EQUIPMENT DAMAGED /
DEFECTIVE / LOSS / STOLEN

EQUIPMENT IDENTIFICATION

EQUIPMENT LOCATION AT TIME


OF DAMAGE / DEFECT / LOSS

REMARKS/NOTES/DETAILS:

INCIDENT INFORMATION (If Applicable)


INCIDENT DATE: PROJECT/SITE:

REPORTED ON:
SPECIFIC LOCATION:
SUPERVISOR:

REMARKS/NOTES:

Note: ALL OCCURRENCE OF DAMAGED/ DEFECTIVE / LOSS AND THEFT OF COMPANY OWNED TOOLS AND
EQUIPMENT SHALL BE REPORTED PROMPTLY TO IMMEDIATE SUPERVISOR/PROJECT IN CHARGE FOR PROPER
DOCUMENTATION AND IN PERSUANT TO PROPER ACTION NEEDED TO BE ADDRESSED IN ACCORDANCE TO
COMPANY POLICY'S RULES AND REGULATIONS.

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