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  • United: Equipment Incident/Accident Report

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    malik jahan
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    The document is an equipment incident/accident report form that collects information about damaged equipment. It requests details about the company, location, equipment description, estimated repair costs, how the incident occurred, those involved, whether the lessor was notified, and remarks. The form aims to document equipment damage incidents in a standardized way.

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    epjfoiwejof

    Original Title

    05d-equipmentrep

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    The document is an equipment incident/accident report form that collects information about damaged equipment. It requests details about the company, location, equipment description, estimated repair costs, how the incident occurred, those involved, whether the lessor was notified, and remarks. The form aims to document equipment damage incidents in a standardized way.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    9 views1 page

    United: Equipment Incident/Accident Report

    Uploaded by

    malik jahan
    The document is an equipment incident/accident report form that collects information about damaged equipment. It requests details about the company, location, equipment description, estimated repair costs, how the incident occurred, those involved, whether the lessor was notified, and remarks. The form aims to document equipment damage incidents in a standardized way.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    UNITED ATTACHMENT D

    E Q U I P M E N T I N C I D E N T / A C C I D E N T R E P O R T
    Company Name Date & Time

    Accident Location Discipline

    Manufacturer

    Description of Equipment Type Model

    Equipment No.

    Serial No.

    Estimated Cost of Repairs:

    Description of Damage:

    Description of How The Incident/Accident Occurred (Why? What? Where? etc?)

    Operator’s Name Responsible Supervisor

    Reported By: Reported To

    Equipment Leased From

    Lessor Notified Contact Name Date Notified


    Yes
    No
    Lessor’s Recommended Action

    Remarks

    Submitted By: Date Submitted

    /conversion/tmp/scratch/440651120.doc

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