Template

IT Incident Report Form Template

by arpita chaudhury, from the Community

This IT incident report form helps teams quickly record and escalate technology and security incidents. The template guides users to document who reported the issue, when it was discovered, systems and locations affected, number of sites and devices impacted, whether third parties are involved, and the current resolution status. Capture impact categories such as data loss, downtime, integrity damage, financial loss, and legislative violations. Include incident description, severity, containment steps, observations, and reporter signature to support investigation, remediation, and audit readiness.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
IT Incident Report Form
This IT incident report template helps teams document and escalate security or technology incidents quickly and consistently. Capture essential details such as the incident summary, discovery date and time, affected sites and systems, and whether third-party environments are impacted. Assess potential impact areas including data compromise, system damage, downtime, financial loss, integrity issues, and legal or regulatory implications. Record contact information for the reporter, location, observations, and resolution status to support triage and investigation. Use this form to standardize incident intake and enable faster response and root-cause analysis.
by Yaimari Castillo, from the Community
Downloads: 10+
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Template
Podium Industries Incident Report
Use this Podium Industries Incident Report template to document IT or operational incidents quickly and consistently. Capture incident numbers, people involved, dates and times, reporter and location details, and attach photos. Record contact information, discovery time, whether the issue is resolved, and where affected systems are located. Assess impact by selecting data loss, system damage, downtime, financial loss, integrity damage, other organizations affected, or legislation breaches. Add a narrative description, observations, and comments, then complete with reporter name and signature. Ideal for incident response, root cause analysis, compliance, and continual improvement in technology environments using SafetyCulture.
by Aaron Hancock, from the Community
Downloads: 0
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Template
ICT Incident Report Form
Capture critical details of IT incidents with this ICT incident report form. Record incident description, affected systems, device identifiers, security indicators, impact, and initial actions. Includes fields for department, contact information, verdict status, malware or command and control indicators, and potential impacts such as data loss, downtime, or financial loss. Use it to standardize reporting across cybersecurity, network operations, and software teams and to support faster triage, investigation, and compliance documentation.
by Tageshwar Ramlall, from the Community
Downloads: 0
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Template
Site Incident Report Form
Use this site incident report form to document workplace events accurately and consistently. Capture site name, location, date and time of the incident and when it was reported, employee and supervisor details, witness names and contacts, and a clear description of the task and how the incident occurred. Record any damage or loss, immediate actions taken, photos of damage, and whether emergency services attended, including officer details. Assess post-incident risk, assign follow-up actions, and obtain employee and investigating manager signatures to support safety, compliance, and continuous improvement.
by Rick Todd, from the Community
Downloads: 30+
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IT Incident Report Form Template

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IT Incident Report Form

Podium Industries Incident Report

ICT Incident Report Form

Site Incident Report Form

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IT Incident Report Form

Podium Industries Incident Report

ICT Incident Report Form

Site Incident Report Form