Property Damage Report Form

Use this Property Damage Report Form template to record damages to property, capturing incident details, location and any injuries in structured manner.

Property Damage Report Form



Property Damage Details

1. When did the damage occur?


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2. What is the description of the property?


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3. What is the property owner’s information?


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4. What is the description of the property damage?


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5. What is the cause of the property damage?


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6. Was anyone injured?


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7. Was an accident/injury report accomplished and attached?


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8. Were authorities/agencies notified?


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9. Is there media documentation?


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Witness Information

1. What is the name and contact details of the witness?


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2. What is the witness statement?


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3. What are the insurance policy details?


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Repair Costs/Estimates

1. What are the repair costs or estimates?


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2. Are there other relevant documents?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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