Free Professional Damage Assessment Report Template

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Free Professional Damage Assessment Report Template

PROFESSIONAL DAMAGE ASSESSMENT REPORT


I. Damage Details

Item Name

Description of Damage

Estimated Cost

Laptop Model X2000

Screen cracked, internal components damaged due to fall from a desk

$1,200

Office Desk (Model Z)

Legs detached, surface scratched from impact

$450

Office Chair (ErgoComfort 350)

The base cracked, unable to rotate, back support broken

$300


II. Estimated Repair/Replacement Costs

  • Laptop Model X2000: $1,200 (Replacement cost)

  • Office Desk (Model Z): $450 (Repair cost)

  • Office Chair (ErgoComfort 350): $300 (Replacement cost)


III. Cause of Damage

Cause of Damage: The employee accidentally knocked over the desk during routine cleaning, causing the items to fall.


IV. Assessment Summary

  • Overall Damage Severity: Moderate

  • Actions Taken:

    • Laptop Model X2000: Reported to IT department for replacement.

    • Office Desk (Model Z): Sent for repairs to the maintenance team.

    • Office Chair (ErgoComfort 350): Ordered a new chair from the supplier, pending delivery.


V. Recommendations

  • Laptop Model X2000: Replace with a newer model.

  • Office Desk (Model Z): Reinforce office furniture to prevent further damage.

  • Office Chair (ErgoComfort 350): Upgrade to more durable office chairs.


VI. Conclusion

The overall damage is classified as Moderate, and the necessary actions have been identified to prevent future incidents.


Reported by: [Your Name]

Company Name: [Your Company Name]

Approved by: Elvie Block

Date of the Incident: May 12, 2054

Location of the Incident: [Your Company Address]

Date Reported: May 14, 2054

Time of the Incident:

  • AM

  • PM

  • DAMAGE REPORT

  • LOSS REPORT


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