[Company Name/Logo]

Incident Response Report

Response Team

Team Members Involved:




Incident Summary

Summary of Incident:





Response Actions

Actions Taken:





Follow-up Actions

Additional Steps:





Incident Response Summary Table:

Detail Description
Team Members Involved [List Names]
Summary of Incident [Describe Incident]
Actions Taken [Describe Actions Taken]
Follow-up Actions [Describe Additional Steps]

Reported By:

Name: ____________________________________

Position: _______________________________

Signature: _______________________________

Date: ___________________________________