| Incident ID | |
|---|---|
| Incident Title | |
| Priority | ☐ P1 - Critical ☐ P2 - High ☐ P3 - Medium ☐ P4 - Low |
| Reported Date/Time | |
| Detected By | |
| Affected System(s) | |
| Affected Users/Processes | |
| Incident Owner |
Describe the impact on business operations:
_________________________________________________________________________________
_________________________________________________________________________________
Describe the technical symptoms observed:
_________________________________________________________________________________
_________________________________________________________________________________
Number of users affected: _____________
Systems affected: _____________
Duration of impact: _____________ (from _______ to _______)
Date/Time: _______________
Event: Incident first detected
Description: _________________________________________________________________
Date/Time: _______________
Event: Initial response and triage
Description: _________________________________________________________________
Date/Time: _______________
Event: Investigation activities
Description: _________________________________________________________________
Date/Time: _______________
Event: Workaround or fix implemented
Description: _________________________________________________________________
Date/Time: _______________
Event: Service restored / Incident resolved
Description: _________________________________________________________________
What directly caused the incident?
_________________________________________________________________________________
_________________________________________________________________________________
What underlying factors allowed the immediate cause to occur?
_________________________________________________________________________________
_________________________________________________________________________________
What other factors contributed to the incident?
_________________________________________________________________________________
_________________________________________________________________________________
☐ 5 Whys ☐ Fishbone Diagram ☐ Timeline Analysis ☐ Other: _______________
| Action Taken | Date/Time | Performed By | Result |
|---|---|---|---|
Actions taken to prevent immediate recurrence:
| Action | Owner | Target Date | Status |
|---|---|---|---|
Actions to address root cause and prevent similar incidents:
| Action | Owner | Target Date | Status |
|---|---|---|---|
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Has this solution been added to the knowledge base? ☐ Yes ☐ No
KB Article ID: _______________
| Prepared By | Name: ____________________ Signature: ____________________ Date: __________ |
|---|---|
| Reviewed By | Name: ____________________ Signature: ____________________ Date: __________ |
| Approved By | Name: ____________________ Signature: ____________________ Date: __________ |
Remova Inc. | www.removateam.org | notifications@removateam.org
This template is provided as a guide. Adapt as needed for your specific requirements.