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Rapport de dommages matériels
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Email
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Your email
Instrument endommagé
*
Your answer
Date des dommages
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MM
/
DD
/
YYYY
Lieu des dommages
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Your answer
Dans le cadre de quel projet cet instrument a été endommagé?
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Your answer
Cause des dommages
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Your answer
Détails des dommages
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Your answer
Si applicable, montant des coûts engagés pour réparer les dommages ou remplacer l'instrument sur le terrain
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Your answer
Pistes de solutions proposées pour éviter que de tels dommages ne se reproduisent
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Nom(s) du (des) responsable(s) des dommages
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