Facility / Warehouse Name
Receiving Clerk Name
Station / Dock Door Number
Date of Intake
Time of Arrival
Logistics Carrier
FedEx
UPS
DHL
USPS
Amazon Logistics
LTL Freight
Carrier Vehicle / Trailer #
Driver Name / ID Badge
Master Tracking / Bill of Lading (BOL)
Check the core operational issue identified during offloading:
Category A: Physical Package Damage
Crushed / Pentered Packaging: The outer box or crate structural integrity is compromised.
Liquid Damage / Leaking: The item shows active wetness, stains, or chemical odors.
Severely Torn / Exposed Contents: The product inside is visible through tears in the outer wrap/cardboard.
Category B: Security & Tampering Concerns
Broken Factory / Security Seal: Tape or tamper-evident seals have been cut, peeled, or replaced.
Resealed / Double-Taped: The package has multiple layers of different branded tapes, suggesting it was opened and resealed mid-transit.
Pilferage Suspected (Empty Box): The package is exceptionally light or completely empty despite label weight.
Category C: Documentation & Label Errors
Misrouted / Wrong Facility: The address label clearly dictates a completely different destination.
Overage / Unmanifested: The package physically arrived, but does not exist on the carrier digital manifest or original Purchase Order (PO).
Shortage: The manifest specifies a multi-piece shipment (e.g., 1 of 3), but pieces are missing.
Verify compliance protocols to support potential vendor or carrier insurance claims:
Verification Step | Yes | No | N/A | ||
|---|---|---|---|---|---|
A | B | C | D | ||
1 | Were photos taken of the parcel before it was moved from the carrier vehicle? | ||||
2 | Did you take close-up photos of the shipping label and tracking barcode? | ||||
3 | Was the package weighed on an official facility scale? |
Recorded Weight at Intake (in lbs / kgs)
Stated Weight on Carrier Label (in lbs / kgs)
Where is this high-risk/damaged parcel being routed right now?
Refused at Dock: Delivery formally rejected. Returned immediately back onto the carrier's truck.
Quarantine Cage: Accepted into the building but locked in the designated "Exception Area" pending claims management.
Secured Hold for Inspection: Held aside for the internal quality assurance (QA) or safety team to open and inspect.
(Describe the exact condition of the package, the location of the damage, and any statements made by the delivery driver)
Important Legal Note: By signing below, both the facility clerk and the delivering driver acknowledge the physical state and exceptions noted upon transfer of custody.
Receiving Clerk Signature
Carrier Driver Acknowledgment
Driver signed and agreed to noted exceptions.
Driver refused to sign exception log.
Carrier Driver Signature (Optional but Recommended)
Time Signed
Form Template Insights
Important Note:
This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes.
AI-Generated Content: This template and its accompanying guidance are AI-generated to provide a practical starting point for your form-building needs. Please review and customise the content to ensure it is accurate, appropriate and suitable for your intended use.
This guide is provided for general informational and planning purposes only. It does not constitute professional, legal, financial, medical, employment, privacy, regulatory, or advice of any other kind, nor does it certify that this template is suitable or compliant for any particular jurisdiction or purpose.
Laws, regulations, industry practices and business requirements vary. You are responsible for reviewing and customising the template to suit your intended use and obtaining advice from appropriately qualified professionals where necessary.
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While the Safe-Drop Log protects the courier making a drop-off, and the Failed Delivery Log protects the courier making an attempt, the Package Intake & Exception Log is designed specifically for the receiving party (warehouses, distribution centers, corporate mailrooms, and retail stockrooms). It acts as a financial gatekeeper before liability for damaged or missing goods is legally accepted.
Mandatory Questions Recommendation
Important Note:
This section explains why certain fields in this form are marked as required and provides general guidance on how these requirements may support the collection of complete, accurate and relevant information.
Required fields and information-collection obligations may vary depending on your industry, jurisdiction, business operations and intended use of the form. A field marked as required in this template does not necessarily mean that collecting the information is legally mandatory.
Please review each required field to determine whether it is necessary, appropriate and lawful for your particular purpose. Consider applicable privacy, data protection, consent and industry-specific requirements, and consult an appropriately qualified legal, privacy or compliance professional where necessary.
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The six mandatory fields for this intake form, along with the operational and financial reasons why they are critical, are detailed below.
To configure an element, select it on the form.