Construction Incident Report Drafter

Construction Incident Report — Property Damage Event INCIDENT REPORT — INTERNAL DOCUMENT Project: [Project Name] Report Number: IR-2024-008 Date of Incident: [Date] Time of Incident: [Time — approximately] Date Report Completed: [Date] Completed by: [Name, Title] INCIDENT CLASSIFICATION: [ ] Near Miss [X] Property Damage [ ] First Aid [ ] Recordable Injury [ ] Lost Time Injury LOCATION OF INCIDENT: Area: Level 2, south wing mechanical room Specific location: East wall — adjacent to installed mechanical equipment DESCRIPTION OF INCIDENT: (Factual account — sequence of events as observed and reported) At approximately [time], a subcontractor crew was installing 8-inch diameter black iron pipe for the gas distribution system in the Level 2 mechanical room. While threading a section of pipe using a manual pipe threader mounted on a pipe stand, the pipe section rotated unexpectedly and struck the electrical contractor's previously installed conduit bundle on the east wall. The conduit bundle was displaced from its hangers at two locations. Three EMT conduits carrying low-voltage data cabling were bent at the point of impact. No personnel were in the area at the time of the incident. PROPERTY DAMAGE: Damaged items: Three 1-inch EMT conduit sections (bent and must be replaced), four unistrut conduit hangers (displaced), pre-pulled low-voltage cabling (condition under assessment — may require retesting and re-pulling) Estimated repair cost: $[Amount] — pending assessment by electrical subcontractor IMMEDIATE ACTIONS TAKEN: • Work in affected area stopped pending inspection • Electrical subcontractor supervisor notified within 30 minutes • Damaged area photographed and documented • Affected conduit sections flagged; no electrical work in damaged section until assessment complete ROOT CAUSE: Pipe threader was set up without confirming adequate clearance from adjacent installed work. Subcontractor crew did not review the pre-task planning checklist for equipment setup in occupied areas. CORRECTIVE ACTION: 1. Pre-task planning checklist to be completed before mechanical equipment (pipe threader, drill press, pipe bender) is set up in any area with installed adjacent work 2. Superintendent to brief all subcontractor foremen on equipment setup clearance requirements before next work session 3. Damaged electrical work to be repaired and re-tested at mechanical subcontractor's expense Report reviewed by: Superintendent — Date: [Date] Owner / CM notification required: [ ] Yes [X] No — damage below notification threshold