BSkyB Damage Report - V2

Job Details

• Job/Incident Number

• Date incident occurred

  Date
• Location
  Address

Engineer Details

• Engineer

• Tech Number

• Team Number

Person completing report

• Prepared by

• Date of Team Manager site visit

  Date

Liability

• Do we accept liability

  Yes

  No

  N/A

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

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

• Has the Health and Safety department been notified?

  Yes

  No

  N/A

• Is further investigation required?

  Yes

  No

  N/A

• Who will carry out further investigation?

• Has an incident report been completed on Solars

  Yes

  No

  N/A

Actions agreed with customer

• Customer Signature

  Sign

Signatures

• Manager signature

  Sign

• Engineer signature

  Sign

Email report to claimshandling@bskyb.com