Incident Report Form – Kenya


* Mandatory Fields

Dept of Detection *
Dept of Origin *
Reporter *  
Reporter Email *  
Dept Manager *
Dept Risk Champion *
Copy To
Is this a write-off or refund or reversal?
Hod Approval *
Account name
Account number
Event Title *
Description/Cause of the Incident *
Action taken
Loss Categories
Loss Amount
Likely Impact
Actual Impact
Recovery
Currency
Discovery Date *
Discovered by
Start Date *
 
Reputation damage
Risk Event Categories
Attachment 1
Attachment 2
Attachment 3
 



   











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