Title Page

  • Location
  • Created on

  • Prepared by

  • Contact details

  • Addressed to

Property Damage Details

  • When did the damage occur or when was it discovered?

  • Property Description

  • Property Owner Information

  • Property Damage Description

  • Cause of the Property Damage

  • Was anyone injured?

  • Accomplish and attach an accident/injury report.

  • Authorities/Agencies Notified

  • Media Documentation

  • Witness Information
  • Witness Name and Contact Details

  • Witness Statement

  • Insurance Policy Details

  • Repair Costs/Estimates

  • Other Relevant Documents

Completion

  • Additional Notes/Comments

  • Reporter's Name and Signature

  • Safety Officer's Name and Signature

  • Acknowledgment

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.