Ken Murphy

Incident & Damage Report

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Information

Client / Site
Job Address
Conducted on
Prepared by
Location

Report

Description of the incident
Who was responsible for the damage
When was the incident damage notified
Has Make U Safe management been notified via call or FaceTime
Photos of damage / incident
Sign off
Signee's name
Only Make U Safe PTY LTD staff are authorised to install, modify and dismantle this system. Stringent training and induction by Make U Safe PTY LTD staff has taken place in the uses and limitations of this system to maintain compliance. For installation, modifications or dismantle of the system call Make U Safe on 1300 785 578
Make U Safe PTY LTD
35 Nelson Street Moorabbin 3189
Victoria
Australia
Telephone: 1300 785 758
Email: customerservice@makeusafe.com.au
Website: www.makeusafe.com.au
Facebook: www.facebook.com/makeusaferoofprotection

Ken Murphy

Incident & Damage Report

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.