Midway Colleges, Inc.
Cabanatuan, City
College of Maritime Education
Bachelor of Science in Marine Engineering
INCIDENT REPORT
Date: [Date of Incident] Time: [Time of Incident]
1. Incident Details:
a. Incident Type: [ Security Breach, Data Loss, Physical Damage, Employee Injury, etc.]
b. Incident Location: [Provide specific location]
c. Description: [Provide a detailed description of the incident, including what happened, how it happened,
and any relevant background information- 3-5 Paragraphs]
d. Persons Involved: [List the names and roles of individuals involved, including employees, contractors,
and any third parties]
e. Witnesses: [List the names and contact information of any witnesses present during the incident]
2. Assessment:
a. Severity Level: [ Low, Medium, High, Critical]
b. Impact: [Describe the impact of the incident on the business operations, data, or personnel]
c. Root Cause Analysis: [Provide an analysis of the underlying cause(s) of the incident, if known]
Incident Possible Cause/s
3. Response and Mitigation:
a. Actions Taken: [Describe the immediate actions taken to respond to the incident, including any
emergency measures or protocols followed]
Action Taken In-Charge Remarks
b. Notification: [Specify who was notified about the incident, both internally and externally]
c. Containment: [Describe the steps taken to contain the incident and prevent further damage or escalation]
d. Remediation: [Outline the measures taken to resolve the issue and restore normal operations]
4. Lessons Learned:
a. Findings: [Summarize the findings from the incident investigation, including any vulnerabilities or
weaknesses identified]
b. Recommendations: [Provide recommendations to prevent similar incidents from occurring in the future]
c. Training and Awareness: [Outline any training or awareness initiatives planned to educate employees
about the incident and its lessons]
5. Follow-up Actions:
a. Responsible Parties: [Specify the individuals or teams responsible for implementing the
recommendations and follow-up actions]
b. Progress Tracking: [Describe how progress will be monitored and tracked]
Prepared By:
[Your Name]
[Your Position/Title]
[Date Prepared]
