Power Failure Report

[Company/Organization Name/Logo]

Power Failure Report

Incident Details

Name of Reporting Party: ____________________________________

Department: _______________________________

Position: _______________________________

Date of Power Failure: _________________________

Time of Power Failure: _________________________

Location: ___________________________________

Description of Power Failure:
Provide a detailed account of the power failure, including the duration of the outage, the areas affected, and any equipment or processes disrupted by the loss of power. This section should also include any known or suspected causes of the failure, such as weather conditions, equipment failure, or external factors.

Impact on Operations:
Document the specific effects of the power failure on the organization’s operations, including any production losses, safety concerns, or delays in service. This may also include the impact on critical systems such as security, communication, or IT infrastructure.

Witnesses (if any):
List the names and contact information of any individuals who witnessed the power failure or were involved in responding to it.

Immediate Actions Taken:
Detail the actions taken to restore power and minimize disruption, such as switching to backup generators, contacting the utility provider, or implementing emergency protocols.

Follow-Up Actions:
Outline the steps to be taken after the power is restored, including reviewing the cause of the failure, assessing any damage, and implementing measures to prevent future occurrences.

Power Failure Summary Table:

Reported By:

Name: ____________________________________

Position: _______________________________

Signature: _______________________________

Date: ___________________________________