Free Equipment Damage Report Template

EQUIPMENT DAMAGE REPORT

November 15, 2055


I. Equipment Details

Attribute

Details

Equipment Name/ID

Machine A-202

Make/Model

TechMaster 5000

Serial Number

789456123

Purchase Date

March 5, 2022

Location of Equipment

Manufacturing Floor 3B


II. Damage Details and Reported By

Reported by: [Your Name]

Company Name: [Your Company Name]

Approved by: Maria Turner

Date of the Incident: November 12, 2055

Location of the Incident:

Date Reported: November 12, 2055

Time of the Incident:

  • AM

  • PM

  • DAMAGE REPORT

  • LOSS REPORT

c. Nature of Damage:

The equipment malfunctioned during routine operation, causing a partial breakdown in the motor assembly. Sparks were seen emitting from the power unit, and the machine was immediately shut down to prevent further damage.

d. Cause of Damage:

The damage was likely caused by a short circuit in the power unit, resulting from improper maintenance. The motor has been previously serviced but appears to have been insufficiently inspected for wiring issues.


III. Immediate Actions Taken

a. Action Taken:

The equipment was immediately powered off to prevent further damage. The engineering team began an initial inspection of the power unit and confirmed a short circuit in the motor wiring. A temporary replacement motor was installed to resume operations.

b. Date and Time of Action:

November 12, 2055, 3:00 PM

c. Action Status:

The equipment is temporarily operational with a replacement motor, but it is scheduled for a full inspection and repair within the next 48 hours.


V. Additional Comments

  • The damage temporarily halted production, causing a 3-hour delay.

  • An official repair estimate will be provided once the inspection is completed.

  • It is recommended that all equipment undergo a thorough maintenance check to avoid similar issues in the future.


Please review this damage report and notify us of any required follow-up actions. For further inquiries, contact [Your Name] at [Your Company Name].


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