The Security Incident Report Form is a critical document required for organizations operating in Indonesia to maintain compliance with cybersecurity and data protection regulations. It is specifically designed to meet the requirements set forth by Government Regulation No. 71 of 2019, the PDP Law 2022, and BSSN regulations. This form should be used whenever a security incident occurs that impacts organizational assets, data, or operations. It captures essential information about the incident, including detection details, impact assessment, response actions, and notification requirements. The document ensures standardized reporting across the organization and facilitates mandatory reporting to Indonesian regulatory authorities when required. It serves as a crucial element in an organization's incident response framework and supports both operational and compliance objectives.
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1. Incident Reference Information: Basic metadata including report number, date/time of report, and reporter details
2. Incident Overview: High-level summary of the security incident including type, severity, and initial impact assessment
3. Incident Timeline: Detailed chronological record of when the incident was detected, actions taken, and key events
4. Impact Assessment: Analysis of affected systems, data, users, and business operations
5. Immediate Response Actions: Documentation of steps taken to contain and mitigate the incident
6. Systems/Assets Affected: Detailed list of compromised or affected IT assets, systems, or data
7. Incident Category and Classification: Formal categorization of the incident type and severity level
8. Notification Requirements: List of internal and external parties that have been or need to be notified
1. Data Breach Details: Required when personal data is compromised, including types of data affected and number of individuals impacted
2. Financial Impact: Include when there are quantifiable financial losses or costs associated with the incident
3. Third-Party Involvement: Required when external vendors, service providers, or contractors are involved in the incident
4. Regulatory Compliance Impact: Include when the incident affects compliance with specific regulations or standards
5. Business Continuity Measures: Required when incident triggers business continuity or disaster recovery procedures
6. Media/Public Relations Impact: Include when the incident has potential public exposure or media implications
1. Appendix A - Evidence Collection Log: Detailed log of all evidence collected during incident investigation
2. Appendix B - System Logs: Relevant system, network, or application logs related to the incident
3. Appendix C - Communication Records: Records of all internal and external communications regarding the incident
4. Appendix D - Screenshots and Technical Evidence: Visual documentation and technical evidence of the incident
5. Appendix E - Action Item Tracker: List of follow-up actions, responsibilities, and deadlines
6. Appendix F - Incident Response Checklist: Standard checklist of required response actions based on incident type
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