Mower Damage Report

Location & Work Type

  • Customer Site:

  • Work Area:

  • Work Being Undertaken:

Operator Details

  • Employee Name:

  • Job Title/Position:

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

  • Why was this employee operating this machine?

  • Please provide details?

Equipment Details

  • Equipment:

  • Pre Start Checklist Completed?

  • Please provide evidence.

  • Reason not completed?

  • Owned?

  • Hired?

  • Plant Type?

  • Supplier?

Incident Details

  • What was damaged:

  • Please provide details:

  • Photographic Evidence Must Be Provided.

  • Describe what happened:

  • Taken For Repair:

  • Which Supplier & By Who?

  • Please provide details.

  • Please provide details.

  • Damage Reported To:

Manager To Complete

  • Cost Of Repair:

  • Downtime:

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