Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
    Area of Damage
  • What is the Area or location of Damage on Site

  • Discription of Damage

  • Description of work done to date

  • Repair Solution

  • Contractor Required

  • Contractor ETA

  • W/O# Raised

  • P/O Raised

  • Rate the Priority of the Damage

Completion

  • Add signature

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