Freight Damage Incident Report Form
Date of Incident
Time of Incident
Location
Reported By
Contact Information
Carrier Name
Carrier Reference Number
Consignee Name
Consignor/Shipper Name
Description of Freight (Type, Quantity, etc.)
Description of Damage
Photos/Attachments
Visible Damage
Yes
No
Concealed Damage
Yes
No
Goods Accepted?
Yes
No
Partially
Additional Comments
Signature
Date Signed