Incident Response Triage Checklist Form
Use this form to record and triage an incident quickly, capture impact and status, and document immediate response actions.
Incident Details
Incident Title / ID
*
Date and Time Detected
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Reporter Name or Team
*
Reporting Channel / Source
*
Monitoring Alert
User Report
Security Tool
Helpdesk
Other
Triage Assessment
Incident Type
*
Security
Service Outage
Performance Degradation
Data Loss
Access Issue
Other
Severity / Priority
*
Low
Medium
High
Critical
Business Impact
*
Minimal
Moderate
Significant
Severe
Affected Systems / Services
Current Status
*
New
Investigating
Contained
Escalated
Resolved
Response and Escalation
Immediate actions taken
*
Incident owner / assignee
*
Escalation priority / next step
*
Low - monitor
Medium - escalate to team lead
High - notify incident manager
Critical - activate incident response plan
Other
Additional notes / follow-up actions
Submit
Should be Empty: