Information

  • Document No.

  • Building

  • Type of damage

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Description of how the incident occurred

  • Details of property/asset damage sustained (location, asset including make and model if available)

  • Insert photos of damage

  • Initial response and make safe works conducted

  • Are further works required to repair/return asset condition to prior incident

  • If Yes please list actions required

  • List any recommendations to mitigate the risk of the incident reoccurring

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.