Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
21 views1 page

009-Damage Report

The document is a RAIC Damage Report Form used to report incidents related to damage at premises. It includes sections for details about the incident, description of damage, injuries, witnesses, and approval signatures. The form is designated as Form No. HSE-DMG-009 and was issued on 25.09.2024.

Uploaded by

alir55602
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
21 views1 page

009-Damage Report

The document is a RAIC Damage Report Form used to report incidents related to damage at premises. It includes sections for details about the incident, description of damage, injuries, witnesses, and approval signatures. The form is designated as Form No. HSE-DMG-009 and was issued on 25.09.2024.

Uploaded by

alir55602
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

REHABILTAION PROJECT

RAIC Damage Report Form

Title: ______________________________ Type of Premises _____________________________

Reported by__________________________Dept.__________________Date__________________
Date of Incident: _________________ Time ____________ Location _________________________

Description of Damage:

Was any person injured? Yes  No 


If so, please describe injuries and follow up action (i.e. first aid applied, ambulance called)

Details of Witnesses:

Name Address Phone No.

Prepared By: Approved BY:


Name: Name:
Position: Position:
Date: Date:
Signature: Signature:

Form No. HSE-DMG-009 Rev. Page 1 / 1 Issue Date: 25.09.2024

You might also like