Follow the steps to successfully complete the report online.

1. Click ‘Get Form’ button to obtain the form and open it in the electronic editor.
2. In Section 1 (Incident Handler), fill in the date the report was received and the date processing began, followed by your name, report number assigned by the security officer, title, department, email address, and phone number, including any applicable extension.
3. Move to Section 2 (Incident Update). Here, provide the current status of the incident response and write a summary detailing the incident.
4. For Section 3 (Investigators), list the names, organizations, titles, email addresses, and phone numbers of all individuals involved in the investigation.
5. In Section 4 (Log of Actions Taken), document the date, who took action (incident handler or investigator), the specific action taken, and the results of that action.
6. Proceed to Section 5 (Evidence Found) to record any evidence discovered during the investigation by date and include relevant details on the individual who documented the evidence.
7. Section 6 (Parties Involved in Incident) requires listing all individuals involved in the incident, including their names, titles, organizations, phone numbers, and email addresses.
8. In Section 7 (Incident Handler and Investigator Comments), add comments from both the incident handler and investigators along with details on the type of incident, its cause, associated costs, and the business impact.
9. For Section 8 (Findings), indicate whether there was unauthorized access, denial of service, or inappropriate usage. If applicable, document the estimated or actual number of compromised personal health information accounts and the PHI breach impact.
10. Next, in Section 9 (Recommended Corrective Actions), list all recommended actions with dates.
11. In Section 10 (Actions Taken), only provide information on actions that were actually performed, including dates and a description of the action.
12. Complete Section 11 (Notifications Made) by documenting the organizations notified, their point of contact, notification dates, and a summary of the information provided.
13. Finally, attest to the truth and accuracy of the information by signing where indicated, including the date to finalize the report. Review your entries, then save changes, download, print, or share the completed form as necessary.

Ensure your security incident is thoroughly documented by completing the Security Investigation Report Sample online today.