PPS Equipment Damage Report

• Equipment

• Conducted on

  Date

• Prepared by

Location & Work Type

• Customer Site:

• Work Area:

• Work Being Undertaken:

Operator Details

• Employee Name:

• Job Title/Position:

  Select Branch Manager Business Development Manager Project Manager Senior Team Leader Team Leader Trainee Team Leader Operative Apprentice Yr 1 Apprentice Yr 2 Apprentice Yr 3 Apprentice Yr 4

  • Branch Manager
  • Business Development Manager
  • Project Manager
  • Senior Team Leader
  • Team Leader
  • Trainee Team Leader
  • Operative
  • Apprentice Yr 1
  • Apprentice Yr 2
  • Apprentice Yr 3
  • Apprentice Yr 4

• Has the Operator been assessed as competent to operate this equipment?

  Yes

  No

  N/A

• Why was this employee operating this machine?

• Please provide details?

Equipment Details

• Equipment:

  Select Atom Edger Backpack Blower Blower Hand Held Brushcutter Hedger Combi Unit Hedger Hand Held Pole Saw Combi Unit Push Mower Ride On Mower Spray Unit

  • Atom Edger
  • Backpack Blower
  • Blower Hand Held
  • Brushcutter
  • Hedger Combi Unit
  • Hedger Hand Held
  • Pole Saw Combi Unit
  • Push Mower
  • Ride On Mower
  • Spray Unit

• Pre Start Checklist Completed?

  Yes

  No

• Please provide evidence.

  Media

• Reason not completed?

• Owned?

  Yes

  No

• Hired?

  Yes

  No

• Plant Type?

• Supplier?

Incident Details

• What was damaged:

  Select Machine Property Trailer Vehicle Other

  • Machine
  • Property
  • Trailer
  • Vehicle
  • Other

• Please provide details:

• Photographic Evidence Must Be Provided.

  Media

• Describe what happened:

• Taken For Repair:

  Yes

  No

  N/A

• Which Supplier & By Who?

• Please provide details.

• Please provide details.

• Damage Reported To:

Manager To Complete

• Cost Of Repair:

• Downtime: