Damage Section Only - Please fill out

Work Date

Work Order Name

Job Order

Job Name

Arborist

Estimated Hours

Site

990 Drewry St NE, , ,

*********LINE ITEM ***********

Type of Work/Service Name:

Price

Notes from Arborist

Service Description

TRPs, Closures, Tasks, Waivers, etc.

Post Job Questions:

Work Order Line Item #

Internal Notes

Service Description

Type of Work/Service Name:

Price

Task Status

Unproductive Yard Time Crew Hours

example: 1.5 for hour and a half

Travel Time Crew Hours

example: 2.25 for 2 hours and 15 minutes

Hours Worked on Site Crew Hours

example: 3.75 for 3 hours and 45 minutes

Was Anyone Injured

Name of Injured Worker

Explain injuries:

Injury Date

Injury Time

Injury Day of the Week

Injury Site Conditions (grade, terrain, proximity to targets, etc.)

If Other, please explain:

Injury Environmental Conditions

If Other, please explain:

Injury Risk Anticipated and/or documented in Job Site Safety Briefing/in Pre-Job Safety?

Please Explain Injury Risks Anticipated

Were there any damages?

Type of Damage

Explain Damages:

How did the damage occur?

Did the damage occur at the client's property or at a different property? (neighbor, different unit, etc)

What is the address and contact information of where the damage took place?

Where on the property did the damage occur?

Was customer notified of damage?

Additional Damage Information

Damage Date:

Damage Time

Damage Day of the Week

Damage Site Conditions (grade, terrain, proximity to targets, etc.)

If Other, please explain:

Damage Environmental Conditions

If Other, please explain:

Damage Risk Anticipated and/or documented in Job Site Safety Briefing/in Pre-Job Safety?

Please explain damage risks anticipated

Which workers were involved in the damage?

How should fault be assigned?

Photos of damage

Pre-Photo 1

Pre-Photo 2

Pre-Photo 3

Pre-Photo 4

Photos

Photo 1	Photo 3
Photo 2	Photo 4

Do Not Remove

Work Order Type

Work Order ID

Contact Information