Metal Melting Loss Report Form
Report and document details of metal melting loss incidents in a production or foundry setting.
Date and time of incident
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location or process area
*
Type of metal involved
*
Please Select
Steel
Aluminum
Copper
Iron
Other
Process conditions at time of loss (e.g. temperature, equipment status)
Quantity or weight of metal lost (kg or lbs)
*
Probable cause of melting loss
*
Corrective action taken or recommended
*
Reported by (name and position)
*
Date reported
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Approved by (name and position)
Submit Report
Should be Empty: