Simple Damage Documentation

SIMPLE DAMAGE DOCUMENTATION

I. Damage Documentation Details

Field	Details
Date of Incident	November 15, 2055
Location of Damage	[Your Company Address]
Name of Person Reporting the Damage	[Your Name]
Email	[Your Email]
Phone Number	555 222 7777

II. Damage Description

Item Affected	Damage Description	Action Needed
Shelving Unit #12	Destroyed	Replacement required
Box #245-A	Contents damaged (fragile goods)	Inspection and possible replacement
Forklift Unit #3	Minor scratches on the exterior	Inspection and minor repairs
Warehouse Wall	Minor dents and scratches	Minor repairs

III. Cause of Damage

Cause	Details
Operator Error	The forklift driver attempted to maneuver too quickly in a narrow aisle.

IV. Immediate Actions Taken

Action Taken	Details
Area Secured	The area was cordoned off to prevent further incidents.
Goods Relocated	Damaged goods were moved to a safe location for inspection.
Forklift Inspected	The forklift underwent immediate inspection for safety.
Temporary Shelving Support	Temporary support was added to shelving units to prevent further collapse.

V. Estimated Repair/Replacement Costs

Item	Estimated Cost
Shelving Unit Replacement	$1,200
Damaged Goods	$1,000
Forklift Repair	$500
Warehouse Wall Repair	$300
Total	$3,000

VI. Insurance Information

Field	Details
Insurance Provider	[Your Company Name] Insurance Co.
Policy Number	123 456
Claim Number	9876

VII. Attachments (Photos, Reports, etc.)

Attachment	Details
Photos of Damage	Photos of damaged shelves, forklift, and warehouse wall.
Incident Report	An incident report from the forklift operator.
Inspection Report	Warehouse inspection report.

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