Information

5.22 Asset failure evidence

  • Enmac Incident no :

  • Enmac incident type / Classification

  • Enmac Address / Location

  • Pic ID / Pole No: / Bay No :

  • Reported by

  • Conducted on

  • Failed asset actual location

Crew details section

  • Crew employed by <br>

  • Crew name

  • Names of crew personal

On Arrival

  • A JHS has been completed on

  • Complete a JHS before works commences and re answer the above questions

  • Take Photos of incident before any work is done (+ icon to add more photos)

Asset Failure Incident

  • What type of asset failed

  • You may be required to complete equip data sheets and forms and submit them for scanning with admin

  • Description of what failed

  • Was a temporary repair done ?

  • Please photograph the temp repair done ?

  • Describe the temp repair done

  • Was there a fire ?

  • What caught fire

  • Remember further information on fires is available 2.19 work practices

  • Take photographs of the fire ( use the + key to add more photos )

  • Any comments on the fire. Ie the size etc

  • Did emergency services attend

  • What emergency services attended

  • Name of police officer

  • Name of police station

  • Contact phone number

  • Police report number

  • Fire fighter name

  • What fire station did they come from ?

  • What station is the ambulance is from?

  • Any other notes , patient injuries etc

  • Was there any other third party involved ?

  • Name or type of third party

  • Address

  • Comments

  • Is a motor vehicle involved ?

  • Do you have the motor vehicle details ?

  • Why is there no vehicle details available

  • Color of vehicle

  • Make & model of vehicle

  • Registration number

  • Take photos of the vehicle showing number plates (use the + icon to add more photos )

  • Do you have the drivers details ?

  • License no:

  • Drivers name

  • Drivers address

Customer relations information

  • Was there a power outage ?

  • What time did the power go off ?

  • What time did power get restored ?

  • Has any one reported or discussed a possible claim against WPC ?

  • Enter their names , phone number and any relevant comments that they mentioned.

  • If possible photograph what they reporting

  • Was there any other public relations or other type of concern, complaint about this incident ?

  • Please enter any relevant notes or information that may help WPC manage this .

  • Add any photos the may help

Evidence section

  • Do you have physical evidence from this incident ?<br><br>

  • Evidence retained at

  • Other location that evidence is retained at
  • I will complete evidence custody transfer App when I relinquish custody

  • Please attach evidence tags to each piece of evidence and fill out each tag using a permanent marker only

  • Please enter All Evidence tags numbers

  • Photos of each side of each tag

Failed asset section

  • Location Where assets failed
  • Conductor type

  • Describe the type of conductor

  • LV Line type<br>

  • HV Line type<br>

  • Probable cause of failure

  • Further comments about cause

  • Close up of damage asset (+ icon to add more photos)

  • Sketch about failed asset incident

  • Description about sketch

Failed asset final comments

  • Is there any further work required ?<br>

  • Describe any work required

  • Final incident comments

  • Photograph of completed incident or any further actions required (+ icon to add more photos) as I have left it

  • Signature of report author

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.