wikiHow
Incident Report Template
1. Incident Details:
Date and time of the incident:
Location of the incident:
Incident ID/Reference number:
Description of the incident:
2. Incident Category:
Select the appropriate category: [e.g., Security, Safety, IT, Operational, etc.]
3. Reported By:
Name of the person reporting the incident:
Contact information:
4. Involved Parties:
Names and roles of individuals involved in the incident:
Contact information of involved parties:
5. Witness Information:
Names and contact information of witnesses, if applicable:
6. Incident Description:
Provide a detailed description of the incident, including what happened, who was involved, and any relevant factors or circumstances.
7. Impact Assessment:
Assess the impact of the incident, including any injuries, damages, disruptions, or losses incurred.
8. Immediate Actions Taken:
Outline the immediate actions taken to address the incident, such as notifying authorities, providing medical assistance, isolating affected areas, etc.
9. Investigation and Analysis:
Describe the investigation process conducted to gather additional information about the incident.
Analyze the root cause(s) of the incident and identify contributing factors, if possible.
10. Corrective Actions:
Specify the corrective actions recommended or implemented to prevent similar incidents from occurring in the future.
11. Follow-up and Communication:
Describe any follow-up actions taken, including communication with stakeholders, management, or authorities.
Document any lessons learned or recommendations for improvement.
12. Additional Documentation:
Attach any relevant documents, photographs, or evidence related to the incident.
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