ASHA Damage Report

Incident Number

• Job

• Date incident occurred

  Date

Engineer Details

• Engineer

• Tech Number

• Team Number

Person completing report

• Prepared by

• Date of Team Manager site visit

  Date

Record of findings - (Full details giving reason for denying or accepting liability with photographic evidence including report and clearly stating Liability Accepted/ Denied)

• We're there any witnesses?

• Witness details if not the person reporting the incident

Liability

• In my opinion was this caused by a Sky/ASHA visit or install?

  YES

  NO

  Uncertain

Photographs and drawings

• Add media

  Media

• Add drawing

  Drawing

• Add drawing

  Drawing

Corrective Action

• Has the person reported been made adware of the incident

  Yes

  No

  N/A

• Is further investigation required?

  Yes

  No

  N/A

• What corrective action has been taken to prevent a recurrence?

• Who will carry out further investigation?

What action has been agreed with the customer?

• Customer Signature

  Sign

Signatures

• Manager signature

  Sign

Email report to claimshandling@bskyb.com