Title Page
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Conducted on
Rail Load Information
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Origin of Shipment
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Destination of Shipment
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BOL Number
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Car Number
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Date Shipped
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Date Received
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Overall Condition of the Load
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Product ID # for damaged pieces (if applicable)
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How many PIECES are damaged?
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How many LIFTS are damaged?
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Please select ALL types of damage that apply to this load:
- Forklift Damage
- Load Shift
- Cable
- I-Beam
- Air Bag
- Broken Corners
- Unloading
- Wet/Dirty
- Other
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If other, please specify
Rail Air Bags
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Condition of the air bags
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If other, please specify
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How were the air bags placed?
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If other, please specify
Rail Securing Damage
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Was corner protection present?
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If other, please specify
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Was cable damage present?
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If other, please specify
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Describe the cable tension
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Describe the riser placement
Product Specifics
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Was the product wet and/or dirty?
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Describe the condition of the poly wrap/poly bags
Load Documentation
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Do you have any pictures of the damaged load?
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Please provide pictures of damaged load
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Additional Pictures
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Additional Pictures
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Additional Pictures
Contact Information
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Please provide your name
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Any additional comments on the load?
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Thank you for completing this form.