Template

Equipment Damage, Loss and Theft Report Form

by Thomasina Larkin, from the Community

40+

Use this equipment damage, loss and theft report form to document incidents quickly and consistently. Capture the incident type, work being carried out, people involved, equipment details and identification numbers, location, and a complete description of how the damage, loss or theft occurred. Attach photos, record estimated repair or replacement costs, and note the responsible person. If theft is involved, add police file and station numbers and the officer in charge. Collect employee and supervisor signatures, then export the finished report to PDF, Word, Excel or share via web link.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Plant and Equipment Damage, Loss and Theft Report
This Plant and Equipment Damage, Loss and Theft Report form helps teams document incidents affecting company assets. Users can record incident date and time, location and specific area, equipment ID and status, photos of damage or loss, and the names of involved staff and supervisors. The form includes sections for incident details, actions required, and signatures from the operator, supervisor, and office staff to ensure accountability and timely follow up. Designed for construction and field operations, it supports safety, compliance, and efficient asset management.
by Jeff Pratt, from the Community
Downloads: 0
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Internal Theft Incident Report Template
This internal theft incident report template helps retailers document incidents of suspected employee theft from initial report to disposition. Capture store code and location, manager on duty, incident type (merchandise theft, cash theft, fraudulent returns, unauthorized discounts), case value, and how the case was generated. Record employee details, interview notes, witness statements, property lists by style code, and attach evidence, statements, and promissory notes. Track police notifications, custody, and case numbers to align with asset protection, HR, and legal processes. Use this checklist to standardize loss prevention investigations across locations.
by Victor Arriaga, from the Community
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Police, Theft and Damage Report Template
Use this construction incident report template to document theft or property damage on site. Capture date, location, job number, reporter, nature of the incident, findings, witness details, and attach photos or drawings. Record liability position, corrective actions, and notifications to Health and Safety or police, plus whether further investigation is required and by whom. Generate a clear record to support insurance claims, contractor communication, and compliance across projects.
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Theft and Damage Report for Construction Sites
Use this Theft and Damage Report to document incidents on homes under construction. Capture site and access photos, record dates and times, note GPS coordinates for police, and detail stolen or damaged materials with approximate values. Include forced entry evidence and police report numbers to support insurance claims, internal reporting, and security improvements.
by Geoffery Palmer, from the Community
Downloads: 30+
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Equipment Damage, Loss and Theft Report Form

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