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Audit

Incident Details
Date and time of incident

What was the Incident?

Were there any injuries?

Description of injury

Take photo of injury

Was there any damage to property or equipment?

Description of damage

Take photo/s of damage

What caused the incident?

Take photo of surrounding environment including any comments

What actions will be taken to eliminate future repeats of the incident?

Management comments

Sign Off

Signed off by supervisor when corrective actions have been adopted and monitored

Supervisor sign off

IT Incident Report Template Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 35

Use this template to report incidents concerning the server, the server room, and other IT-related incidents. Use your mobile device to take photo evidence and record if there’s damage to property or injury to staff.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

Download and edit this free checklist

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Audit

Incident Details
Date and time of incident

What was the Incident?

Were there any injuries?

Description of injury

Take photo of injury

Was there any damage to property or equipment?

Description of damage

Take photo/s of damage

What caused the incident?

Take photo of surrounding environment including any comments

What actions will be taken to eliminate future repeats of the incident?

Management comments

Sign Off

Signed off by supervisor when corrective actions have been adopted and monitored

Supervisor sign off