Transit Damage Assessment Form
Report and evaluate damage to transit items during shipment or transport using this structured assessment form.
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
Shipment Reference Number
*
Location of Incident
*
Item Description
*
Type of Damage
*
Please Select
Physical (e.g., dent, break, scratch)
Water/Moisture
Missing Parts
Contamination
Other
Severity of Damage (1 = Minor, 5 = Severe)
*
Minor
1
2
3
4
Severe
5
1 is Minor, 5 is Severe
Brief Description of Damage
*
Suspected Cause
Please Select
Improper Handling
Inadequate Packaging
Environmental Factors
Unknown
Other
Upload Photo(s) of Damage
Upload a File
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Choose a file
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Recommended Next Steps or Actions Taken
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