Construction Incident Report Samples 1

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EXHIBIT D

PLANNING, DESIGN AND CONSTRUCTION

Construction Incident Report

PD&C Project No.

To (via email): Project Manager, Planning, Design and Construction, 3201 Arch Street

Date of Report:

Date of Occurrence: Time of Occurrence:

Incident Location: Building: Bldg. #: Floor: Room(s):

Issued by: (Contractor/Construction Manager)

Individual Completing this Form:

Description of Incident:

Contact at Time of Incident: Safety Security Facilities

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
Director - Environmental Health and Safety (for any safety issues and sprinkler, standpipe, fire alarm work) safeheal@drexel.edu
Building Systems Manager - Facilities Management (for any mechanical, electrical or plumbing issues) Fax: 215 895-6754
Project Manager - GCA (for Creese, MacAlister, Phys Ed Ctr. & all Dormitories) Fax: 215 895-6701
Property Manager - API (for 3001-101 Market) Carmen Piccolo at piccoloc@drexel.edu
Property Manager - API (for other API properties)

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