Title Page
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Incident Report Number:
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Date and Time Report was compiled:
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Suburb affected:
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Clusters affected:
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Location of identified damages:
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MTTR:
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Actual time to diagnose issue:
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RNO/ANO Responsible:
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Line Manager/Exco Member:
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Person/s who reported the damages:
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Date and Time damages were reported:
Details of Damage
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1. Actual date of damage:
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2. Actual time of damage (exact time that the network/infrastructure was damaged):
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3. Reason we became aware of the damage (Clients Downtime/NOC alert etc.)
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4. Number of services affected:
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5. Number of ISPs are affected:
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6. NOC Report:
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Provide a copy of the Active Teams report:
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Reason for not obtaining the NOC Report from the Active Team:
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7. Actual location of damage (Specify Street name (and property number where possible))
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Actual GPS co-ordinates of damage locations:
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8. Type of Cable:
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Size of cable:
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9. Cable Label:
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10. What is the severity of the damage?
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Provide images of the site and damage/s
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11. Structured details of damage on site:
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Provide footage of the site and damages:
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12. Provide a diagram of affected network:
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13. Cost of damages: (ZAR)
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14. Obtain witness statements from neighbors, bystanders and/or third parties
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Provide Copies of witness statements:
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Reason for not obtaining witness statements:
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15. Has a SAPS case been opened?
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Provide SAPS CAS number and details of investigating officer:
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Reason for not opening a Case with the SAPS:
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16. Additional information:
Details of Parties Involved
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Actual time Team arrived on site:
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Who was on site upon arrival? (Contractors / Third Parties / Witnesses)
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Provide images of the above-mentioned Parties on site:
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Obtain witness statements from neighbors, bystanders and/or third parties:
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Provide Copies of witness statements:
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Reason for not obtaining witness statements:
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Contact details and particulars of parties on site: (Provide as much detail as possible)
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Who is the liable party and why?
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Details of liable party (Company/Individual name, address, contact details, project manager, subcontractors and main contractor details)
Details of Repair
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What work needed to be done to get the network up? (Interim and permanent if applicable)
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How long will this work take?
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Total Cost of Repair: (ZAR)
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Recommendation on mitigating potential further damage:
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Additional information:
