AAA Cooper Transportation Concealed Loss or Damage Inspection Report

• 

• It is the duty of the owner of goods to make reasonable effort to minimize the damages, and the carrier cannot be held liable for damages which such efforts would have prevented. It is the duty of the property owner where goods have been damaged to use all reasonable means to render the effect of the injury as light as possible.

• Customer name

• Date of inspection

  Date
• Location
  Address

• Pro Number

• Prepared by

• Name of connecting line, their WB no. and date

General Facts

• Date and Time of delivery

  Date

• Date inspection requested

  Date

• Requested by:

  Letter

  Telephone

  Other

• Dates good opened or unpacked

  Date

• Was shipment delivered to this address by our truck or picked up at the terminal by consigned?

  Delivered

  Pick up at dock

• Have goods been moved from floor to floor, or to location other than delivery site? If so explain.

  Yes

  No

  N/A

• Could (or should) damage have been noticed at time of delivery? ( based on your opinion as you now see container and/or goods)

  Yes

  No

  N/A

Shipping container:

• Container type:

  Select Box Carton Crate Corrugated Solid Pressed Solid Wooden Fiberboard Slatted Plywood Wirebound Slatted Wood and cardboard combined

  • Box
  • Carton
  • Crate
  • Corrugated
  • Solid
  • Pressed Solid
  • Wooden
  • Fiberboard
  • Slatted
  • Plywood
  • Wirebound
  • Slatted Wood and cardboard combined

• Container is:

  Select New Second hand

  • New
  • Second hand

• Closure method:

  Select taped steel strapped locked glued nailed stapled tied

  • taped
  • steel strapped
  • locked
  • glued
  • nailed
  • stapled
  • tied

• Are seams or edges or container split or open?

  Yes

  No

  N/A

• Container manufactured by:

• Bursting strength per square inch:

• Pack number ( very important if commodity is furniture)

Packing -Unpacking, etc

• We're goods unpacked prior to inspection?

  Yes

  No

  N/A

• We're containers held for inspection?

  Yes

  No

  N/A

• How were goods packed in containers? ( nested, individually boxed, etc.)

• Inner packing:

  Select cardboard liners separators shredded paper excelsior hay stray other

  • cardboard liners
  • separators
  • shredded paper
  • excelsior
  • hay
  • stray
  • other

• Is there any evidence that loss or damage is the result of inferior packing, interior or exterior? Explain

  Yes

  No

  N/A

Prior Transportation

• Are the goods in the original factory packed containers?

  Yes

  No

  N/A

• Does original method of sealing indicate opening of or tampering with since leaving factory?

  Yes

  No

  N/A

• What was the original point of shipment from factory?

Concealed Loss (only)

• Was there space in container for missing goods?

  Yes

  No

  N/A

• If so what occupied space?

• Does actual comparison check with invoice verify loss?

  Yes

  No

  N/A

• We're flaps glued, sealed or otherwise closed?

  Yes

  No

  N/A

• Was factory sealing tape intact?

  Yes

  No

  N/A

Commodity Information

• What is lost or damaged? ( Commodity or Product description)

• How many?

• Approximate weight?

• Released valuation per pound

• Describe exactly how, where, why and the extent of loss or damage. Please explain each in detail.

• Invoice cost of article?

• Can it be repaired locally?

  Yes

  No

  N/A

• Estimated cost of repairs?

• Amount cash allowance will accept?

• Recommended salvage disposition?

  Yes

  No

  N/A

Photos

• Add media

  Media

• Add media

  Media

• Add media

  Media

• Add media

  Media

• Add media

  Media

Damaged item to and including parts must be held for carrier disposition

• Note:
  This report is merely a Statement of Facts and not an Acknowledgement or Denial of Liability. It Is Not A Claim. The original must be forwarded along with other particulars called for on Standard Claim Form.

• Name and signature of company representative

  Sign

• Name and signature of AAA Cooper Transportation Representative

  Sign