Keystone Mill Claim Report

Railcar Information:

• Initials & Number

• Picture of Railcar

  Media

About the Damage:

• Reason for Report:

  Select Damage Seal Defect Short Bulk Shortage Load Shifted Misdelivered

  • Damage
  • Seal Defect
  • Short
  • Bulk Shortage
  • Load Shifted
  • Misdelivered

• Product Condition:

  Select Burned Contaminated Crushed Crushed Core Dented Dirty Flat Spot Frozen Gouged Infested Leaking Missing Punctured Rusted Torn Thawed Wet White Rust Out of Round

  • Burned
  • Contaminated
  • Crushed
  • Crushed Core
  • Dented
  • Dirty
  • Flat Spot
  • Frozen
  • Gouged
  • Infested
  • Leaking
  • Missing
  • Punctured
  • Rusted
  • Torn
  • Thawed
  • Wet
  • White Rust
  • Out of Round

• Location of Damage:

  A End

  B End

  Doorway

  Throughout

• Bracing Method:

  Select Steel Banding Bulkhead/Load Divider Dunnage Bag Lengthwise Void Fillers None Rubber Mat Shrink Wrapped

  • Steel Banding
  • Bulkhead/Load Divider
  • Dunnage Bag
  • Lengthwise Void Fillers
  • None
  • Rubber Mat
  • Shrink Wrapped

• Cause of Damage:

  Select Equipment Defect Improper Loading Improper Bracing Concealed Damage Carrier Handling Not Transport Damage Unknown Derailment Overage Theft/Vandalism

  • Equipment Defect
  • Improper Loading
  • Improper Bracing
  • Concealed Damage
  • Carrier Handling
  • Not Transport Damage
  • Unknown
  • Derailment
  • Overage
  • Theft/Vandalism

• Does this railcar need repair?

  Yes

  No

  N/A

Mill Claim

• BOL

• RR Door Type

  Double

  Single

  Plug

• Blocked Properly?

  Yes

  No

  N/A
Damaged Rolls

• Picture

  Media

• Damage Code

  Select A - Wet B - Crushed Cores C - Chaffing/Rubbing D - Edge/Bottom Damage E - Side cut/Gouge F -Other

  • A - Wet
  • B - Crushed Cores
  • C - Chaffing/Rubbing
  • D - Edge/Bottom Damage
  • E - Side cut/Gouge
  • F -Other

• Your name

• Signature

  Sign

• Date

  Date