Unintended Structural Interaction Report | Form MC-9

Section 1 — Deployment Reference

Contract / Deployment Reference Number

Format: MCN-YYYY-XXXXXX. Located in your deployment confirmation email.

Date of Deployment

Authorized Deployment Site Address

Deployment Service Type

Section 2 — Affected Structure

Structure Description

Estimated Square Footage

Approximate is acceptable. "A lot" is not a number.

Current Status of Structure

Distance from Authorized Perimeter (feet)

Must be greater than zero. If zero, see the note at the top of this form.

GPS Coordinates of Affected Structure

Decimal degrees or DMS format accepted. "Near the thing that got hit" is not accepted.

Section 3 — Property Owner Notification

Has the affected structure's owner been notified?

Yes No Unknown (structure ownership unclear)

Has the owner been informed McNadoes is not liable?

Yes No They did not take the call

Section 4 — Witnesses

A minimum of two witnesses are required. Witnesses must not be employed by McNadoes Corporation or the client organization.

Witness 1 — Full Name

Contact Information

Relationship to Client

Witness 2 — Full Name

Contact Information

Relationship to Client

Witness 3 — Full Name

Contact Information

Relationship to Client

Section 5 — Incident Description

Describe what occurred, in your own words

Minimum 150 words. Phrases such as "it just went there" and "I don't know what happened" do not meet the minimum standard for review.

0 words

Section 6 — Required Declarations

I understand that completion of this form does not constitute an admission of liability on the part of McNadoes Corporation. I confirm that the information provided in this form is accurate to the best of my knowledge, including the GPS coordinates, which I verified rather than estimating. I understand that McNadoes will review this form and respond within 10–15 business days, and that 'respond' means 'acknowledge receipt' and not necessarily 'resolve.' I understand that the authorized deployment perimeter was established in my contract, that I reviewed and signed my contract, and that the perimeter was not changed without my knowledge. I have read the McNadoes Terms of Service as they pertain to atmospheric overspray, adjacent property interaction, and the definition of 'scope.'

Submission Received

Form MC-9 has been logged.

Your incident report has been received and assigned a case number. A McNadoes representative will acknowledge receipt within 10–15 business days. Do not submit a duplicate form. This will not accelerate the review.