UTILITY HIT INCIDENT REPORT - Nickle Electrical Companies 2026

1. Click ‘Get Form’ to open the UTILITY HIT INCIDENT REPORT in our editor.
2. Begin by entering the 'Date of Incident' and 'Location of Incident' at the top of the form. This information is crucial for record-keeping.
3. Fill in the 'Underground Facility Damaged' section, followed by your 'Name', 'Title', and 'Signature'. Ensure all personal details are accurate.
4. Provide your 'Job #' and 'Phone Number' for contact purposes. Next, include any witnesses present during the incident.
5. Indicate whether site photos were taken before and after the dig by selecting 'Yes' or 'No'. This helps document compliance with safety protocols.
6. Check all affected utilities from the list provided, including Communications, Water, Sewer, Electric, and Gas. Specify if it was a main or service line.
7. Answer questions regarding service interruption and provide details about utility personnel present for repairs. Include times where applicable.
8. Complete sections regarding contractor status and communication with Miss Utility. Provide ticket numbers as necessary.
9. Describe excavation methods used and any relevant distances related to utility marks. This information is vital for assessing compliance with safety standards.
10. Finally, summarize the circumstances surrounding the incident in detail to provide context for future reference.

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