Information Technology (IT) Incident Management Report Template – Audilitics

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IT Incident Management Report Template

Incident Code/Ref

Incident Title

Incident Description

Incident Impact (Severity)

High

Medium

Low

Incident Status

Pending

Assigned

In Progress

Escalated

Resolved

Closed

Approved

Other

Location(s) of Incident

Street Address State / Province / Region Country

Reported By (Name)

Reported By (Unit)

Reported By (Email)

Incident Start Date

Year

Month

Day

Incident End Date

Year

Month

Day

Incident Start Time

Hours

:

Minutes

AM/PM

Incident End Time

Hours

:

Minutes

AM/PM

Affected Assets

People

Process

Technology

Infrastructure

Data

Incident Type

Cause(s) of Incident

Operational Impact of Incident

Corrective Actions Taken

Preventive Actions Taken

Lessons Learnt

Resolution Due Date

Month

Day

Year

Responsibility (Name)

Responsibility (Unit)

Responsibility (Email)

Δ

Subscribe

Notify of

Label

Name*

Email*

Δ

Label

Name*

Email*

Δ

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