The Security Incident Report Form serves as a standardized template for organizations to document and manage security incidents in accordance with Dutch law and EU regulations. This form is essential when an organization discovers any security incident that may impact data confidentiality, system integrity, or service availability. It must be completed as soon as an incident is detected and includes crucial information such as incident details, impact assessment, response actions, and regulatory notification requirements. The document ensures compliance with Dutch legal frameworks including the GDPR implementation act (UAVG), Dutch Data Breach Notification Act, and sector-specific regulations while facilitating proper incident response coordination and communication with relevant authorities. The form supports both immediate incident response needs and long-term incident tracking and analysis requirements.
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1. Incident Overview: Basic information including incident ID, date/time of discovery, date/time of occurrence, and reporter's details
2. Incident Classification: Severity level, type of incident (e.g., data breach, system outage, cyber attack), and initial impact assessment
3. Incident Description: Detailed narrative of the incident, including how it was discovered and immediate actions taken
4. Systems/Data Affected: List of affected systems, applications, or data, including whether personal data was compromised
5. Impact Assessment: Analysis of the incident's impact on operations, data, users, and business continuity
6. Response Actions: Documentation of all actions taken to contain and resolve the incident
7. Notification Requirements: Assessment of whether notifications to authorities (DPA), affected individuals, or other parties are required
8. Root Cause: Identification of the incident's root cause and contributing factors
9. Current Status: Current state of the incident (ongoing, contained, resolved)
1. Third Party Involvement: Details of any third-party vendors or service providers involved in the incident or its resolution
2. Financial Impact: Assessment of financial losses or costs associated with the incident
3. Legal/Compliance Implications: Analysis of legal and regulatory compliance issues arising from the incident
4. Media/PR Response: Communication strategy and public relations response plan if public disclosure is necessary
5. Insurance Claims: Information relevant for cyber insurance claims
6. Business Continuity Actions: Details of business continuity or disaster recovery plans activated
1. Technical Investigation Report: Detailed technical analysis of the incident, including logs, forensic findings, and technical evidence
2. Affected Data/Systems Log: Comprehensive inventory of all affected systems, applications, and data types
3. Timeline of Events: Detailed chronological timeline of the incident, response, and resolution
4. Evidence Collection Log: Register of all evidence collected during the investigation
5. Contact List: List of all relevant contacts involved in incident response
6. Remediation Plan: Detailed plan for implementing corrective actions and preventing similar incidents
7. Communication Records: Copies of all relevant communications regarding the incident
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