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Software Incident Report Form Template

Streamline Your Response to Software Issues

When a software incident occurs, quick and precise reporting is critical. This Software Incident Report Form Template helps IT services and cybersecurity teams capture essential details about incidents effectively. With this template, you can simplify submission collection, enhance issue tracking, and ensure compliance with audit requirements, all while maintaining WCAG-aligned labels for accessibility. Explore how this template can help you address software problems efficiently and improve your incident management process.

Use this Template (FREE) Live Preview
Full name
Email address
May we contact you about this report?
Yes
No
Incident title
Incident type
Suggested severity
Unknown/Not sure
None
Low
Medium
High
Critical
Affected software name and version
Platform or operating system
Windows
macOS
Linux
iOS
Android
Web
Not sure
Other
Please Specify:
Environment type
Production
Staging
Development
Test
Local
Other/Not applicable
Date first observed
How frequently does this occur?
Never
Rarely
Sometimes
Often
Always
Steps to reproduce
Expected result
Actual result
Error messages or codes (if any)
Is a temporary workaround available?
Yes
No
Who is affected?
Only me
A few users
Many users
Entire team or department
Entire organization
External customers
Unknown/Not applicable
Data impact
None
Temporary unavailability
Data inconsistency
Data loss
Security or privacy exposure
Unknown/Not sure
Not applicable
May we create a public issue with these details?
Yes
No
Yes, but anonymize my personal information
Not sure
Date of confirmation
I confirm the information provided is accurate to the best of my knowledge.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration depicting a software incident report form for FormCreatorAI article

When to use this form

Use this form whenever software misbehaves and you need a clear record to triage and fix it. It helps support teams, engineers, and managers gather the same facts fast after app crashes, failed deploys, data loss, slowdowns, security alerts, or a confusing UX that blocks users. File it during an outage, after a near miss, or while a ticket is still fresh. Your report creates one timeline, impact estimate, and next steps so teams can act without guesswork. If the event involves broader safety or regulatory harm, route it to the Critical incident report form. For unusual non-software events, use the Special incident report form instead.

Must Ask Software Incident Report Questions

  1. What did you observe, including exact error messages or codes?

    Plain details cut noise and speed diagnosis. Exact text lets search and alert rules match the issue.

  2. When did it start and stop, with timestamps and time zone?

    Time bounds link the issue to deploys, config changes, or traffic spikes. Shared timing prevents duplicate investigations.

  3. Who and what was impacted (users, services, regions), and how severe is it?

    Impact and severity guide priority and escalation paths. Clear scope helps stakeholders communicate with customers.

  4. How can we reproduce it, step by step, and how often does it occur?

    Repro steps let engineers validate the bug and test fixes. Frequency points to risk and logging needs.

  5. What actions have you taken so far, and where can we find logs, screenshots, or links?

    This avoids repeated work and speeds handoffs. Artifacts give context for root-cause analysis and postmortems.

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