Laboratory Security Breach Incident Report
Date and Time of Incident
Location (Building, Room)
Reported By (Name & Title)
Contact Information
Incident Details
Description of Breach
How Was the Breach Discovered?
Persons Involved (including unauthorized access, if any)
Materials, Samples, or Data Affected
Immediate Actions Taken
Actions to Contain or Investigate the Breach
Follow-Up
Authorities Notified
Further Actions/Recommendations