Utility Hit / Damage Report

Fill this out the same day the utility was hit. Everything marked * is required, including 4 photos and a signature.

Job & timing

Job number *

Date filling out this form

Filled in automatically — today's date.

Date of damage *

Time of damage *

Person filling out this form *

Foreman on the job *

Date the office was notified *

Location of utility hit *

Road name, intersection, or nearest address.

Type of utility hit *

Select every utility that was damaged — you'll answer a short set of questions for each one.

Summary of incident *

What were you doing, what equipment, how deep, and what happened after.

Do you feel we are at fault for this damage? *

Why? *

Did the utility provider comment that Ryan Contracting is NOT responsible? *

Only answer Yes if someone from the utility actually said it onsite.

4 minimum. The date and time are stamped onto each picture automatically.

0 of 4 required photos uploaded

Pictures taken by *

Claim letters, invoices, locate tickets, GSOC printouts — anything on paper. Most reports won't have any, and that's fine.

PDF, Word, Excel, text or email files, up to 25 MB each. Photos of the damage belong in the section above.

Sign above with your finger or mouse

Signed 10/25/2026 — today's date is recorded with your signature.