Damage Record

According The South Carolina Underground Damage Prevention Act, Section 58-36-90 (Damages) (A) The excavator performing an excavation or demolition that results in any damage to a facility must, immediately upon discovery of such damage, notify the notification center and the facility operator, if known, of the location and nature of the damage.

The excavator must allow the operator reasonable time to accomplish necessary repairs before completing the excavation or demolition in the immediate area of such facility. The excavator shall delay any back-filling in the immediate area of the damaged facility until authorized by the operator. The repair of any damage shall be performed by the operator or by qualified personnel authorized by the operator.

Section 58-36-20 (Definitions)(4) ‘Damage’ means the substantial weakening of structural or lateral support of a facility, penetration or destruction of protective coating, housing, or other protective device of a facility and the partial or complete severance of a facility.

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(B) An excavator responsible for any excavation or demolition that results in damage to a facility where damage results in the escape of any flammable, toxic, or corrosive gas or liquid, or electricity, or endangers life, health, or property, immediately shall notify emergency services, including 911, the notification center and the operator, if known. The excavator must take reasonable measures to protect themselves, those in immediate danger, the general public, property, and the environment until the operator or emergency responders have arrived and completed their assessment.

PLEASE NOTE:
Any flammable, toxic, or corrosive gas or liquid, or electricity, or endangers life, health, or property, immediately shall notify emergency services, including 911, the notification center and the operator, if known.

REQUIRED FIELDS NOTICE:
The damage report will not be processed if the following items are not filled: Phone Number, Your Name, Company Address, Company City, Company State, Company Zip Code, Type of Work, County, City, Street Name, Nearest Intersecting Street, and Work is Done by.

BEFORE SUBMITTING:
Please review all information for accuracy and spelling!

REPORTER INFORMATION
Reporter Phone: (Area Code First) *
Reporter's Company: *
Reporter Address: *
Reporter City, State, Zip Code: *
Reporter Name: *
Reporter Email: *

WORKSITE INFORMATION
Work Type: *
Who was doing the work?: (Persons First & Last Name) *
Date of Event or Discovery Date: *
    :
County: *
Damage Address: *
Damage City, State, Zip Code: *
Intersecting Street: (Enter the Nearest Intersecting Street within 1/4 mile of Job Site) *

DAMAGE INFORMATION
Who is providing the information?:
Type of Right of Way where the event occurred?:
What type of facility operation was affected: *
What type of facility was affected:
Was the facility owner a member of SC811?:
Was the One Call Center notified?: *
Locate Notice Number: (If You Don't Know the Number Type Unknown) *
Type of Excavator:
Type of Equipment Used: *
Other Type of Equipment: (If Other is Selected in the Field Above, Please Specify it Here)
Did this cause service outage:
Root Cause:
Remarks: (Please do not press the enter key to go to the next line. Word wrap will automatically start the next line.)