Title Page

  • Conducted on

Rail Load Information

  • Origin of Shipment

  • Destination of Shipment

  • BOL Number

  • Car Number

  • Date Shipped

  • Date Received

  • Overall Condition of the Load

  • Product ID # for damaged pieces (if applicable)

  • How many PIECES are damaged?

  • How many LIFTS are damaged?

  • Please select ALL types of damage that apply to this load:

  • If other, please specify

Rail Air Bags

  • Condition of the air bags

  • If other, please specify

  • How were the air bags placed?

  • If other, please specify

Rail Securing Damage

  • Was corner protection present?

  • If other, please specify

  • Was cable damage present?

  • If other, please specify

  • Describe the cable tension

  • Describe the riser placement

Product Specifics

  • Was the product wet and/or dirty?

  • Describe the condition of the poly wrap/poly bags

Load Documentation

  • Do you have any pictures of the damaged load?

  • Please provide pictures of damaged load

  • Additional Pictures

  • Additional Pictures

  • Additional Pictures

Contact Information

  • Please provide your name

  • Any additional comments on the load?

  • Thank you for completing this form.

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