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 *

Sign above with your finger or mouse

Signed 08/25/2026 — today's date is recorded with your signature.