Stephen F. Austin State University

Network/Computer Outage Report Form

Information Technology Services

STATUS

Site Under Outage
Past Outage

Contact Information

Name
Title	Department	Location
Email	Phone

If not on SFA Campus / Nacogdoches:

Street Address

City

State

Zipcode

Additional Contact Information

Outage Description / Type

Computer Security Violation*		Natural Disaster Type		Outside Carrier Name		Equiptment Failure (local)
Other Explain

*If box is check, form SFA Security Incident Report needs to be filled out.

Server Type Affected

Critical Production Application
Critical Administrative/Support Application
Email Servers
Research Applications/Data
Academic Applications/Data
Web Servers (external)
Web Servers (internal)
FTP
Print Servers
Other

If other, explain:

Server / Workstation Information (if known)

No. of Workstations Affected	No. of Servers Affected	No. of Blgs/Sites
No. of Workstations Damaged	No. of Servers Damaged
Additional Information

Date / Time of Outage Discovery

Date of Discovery

Time of Discovery

Duration of Attack

Date / Time of Outage Remediation

Date of Remediation

Time of Remediation

Outage Misc. Information

Impact of Outage

Loss/Compromise of Data
System Downtime
Damage to Systems
Financial Loss
Estimated Loss $
Damage to the Integrity or Delivery of Critical Goods, Services or Information
Other Organizations' Systems Affected

Severity of Attack, Including Financial Loss, Infastructure, PR Impact if made public

High
Medium
Low
Unknown

Sensitivity of Data

High
Medium
Low
Unknown

How did you detect this?

Was a disaster recovery plan initiated? Explain.

Was law enforcement contacted on this? Who & when?

Has the incident been resolved?

Yes
No

Explain

What preventive measures have taken place so the incident will not re-occur?

Additional Information

Privacy and Security Policy