HTML Preview Construction Safety Incident Report page number 1.
EXHIBIT D
PLANNING, DESIGN AND CONSTRUCTION
Construction Incident Report
PD&C Project No.
To: Project Manager, Planning, Design and Construction 3201 Arch Street
Fax: 215-895-6733
Date of Report:
Date of Occurrence: Time of occurrence:
Incident Location:
Issued by: (Contractor/Construction Manager)
Individual Completing this Form:
Description of Incident:
Contact at Time of Incident:
Date of Contact: Time contacted:
Action Taken:
Comments:
cc: Director - Planning, Design & Construction Fax: 215 895-6733
Director - Public Safety (for any security issues) Fax: 215-895-1550
Project Manager - UNICCO (for Creese, MacAlister, Phys Ed Ctr. & all Dormitories) Fax: 215 895-6701
Property Manager - API (for 3001-101 Market) Fax: 215 222-0620
Property Manager - API (for other API properties) Fax: 215 662-5924
Director - Safety & Health Programs (for any sprinkler, standpipe, fire alarm work) Fax: 215 762-7899
Building Systems Manager-Facilities Management Fax: 215 895-6754
Enter here
Please select
Enter
Enter
Print Form