Get the free Underground Facility Damage Report UFDR - publicservice vermont

For Department Use Only State of Vermont Department of Public Service 112 State Street, Montpelier, VT 056202601 30 VIA CHAPTER 86, SECTION 7007 SUBMIT INFORMATION BY EMAIL OR FAX TO: DIG.SAFE STATE.VT.US

How to fill out underground facility damage report

How to fill out an underground facility damage report:

1. Start by gathering all relevant information about the incident, such as the date and time of the damage, location, and description of the damage. Take photographs if possible.
2. Identify the party responsible for the damage, whether it is your organization or another party.
3. Fill out the necessary contact information, including your name, position, and contact details.
4. Provide a detailed description of the damage, including any observed safety hazards or potential risks.
5. Indicate if any injuries or fatalities were involved and provide the necessary details.
6. Note any actions taken immediately after the incident, such as notifying the appropriate authorities, isolating equipment, or securing the area.
7. If applicable, include any witness information or statements regarding the incident.
8. Specify any repairs or corrective actions that have been taken or are planned to address the damage.
9. Sign and date the report to verify its accuracy.

Who needs an underground facility damage report?

1. Utility companies: Underground facility damage reports are crucial for utility companies to identify areas of concern and plan appropriate maintenance or repairs.
2. Contractors: Construction or excavation companies need to document any damage caused during their operations and ensure that repairs are made promptly.
3. Government agencies: Municipalities, transportation departments, and regulatory bodies require underground facility damage reports to monitor the condition and safety of underground infrastructure.
4. Insurance companies: Insurers often request underground facility damage reports to assess claims

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What is underground facility damage report?

The underground facility damage report is a document that must be filled out whenever damage occurs to underground utilities or facilities.

Who is required to file underground facility damage report?

Any individual or organization responsible for causing damage to underground facilities is required to file the underground facility damage report.

How to fill out underground facility damage report?

The underground facility damage report can typically be filled out online or submitted through a designated reporting system provided by the relevant authorities.

What is the purpose of underground facility damage report?

The purpose of the underground facility damage report is to document and report incidents of damage to underground utilities in order to prevent future accidents and ensure the safety of workers and the public.

What information must be reported on underground facility damage report?

The underground facility damage report must include details such as the location of the damage, the cause of the damage, the extent of the damage, and the contact information of the person or organization responsible.