Incident Report Template

Name(s):

Department:

Incident No: 1

Related ticket: (Identify ticket number of the task involved)

Description: Non-submission of the proposal of the Webinar Electronic Process Optimization for
approval due to delay and wrong proposal

Impact: Considerable delay in the processing of the approval in the IRTC, Extension, VPRE, and Office of
the President, the IRTC Extension Coordinator prepared the proposal instead

Root Cause:

Timeline: (Identify updates beginning from the deployment of ticket up to cancellation or resolution
ideally every working day)

Root Cause Analysis:

a. 5-why’s
b. Ishikawa Diagram

Resolution: (What should be done to prevent the incident from happening again? )