AL-IKHSAN SDN BHD

A C CI D E N T / I N C I D E N T R E P O R T F O R M
Record no :
Personal details
Name: Julaihie bin Sabri

Occupation: IT Technician

Section/Department: IT Department Date of report: 14/12/2008

Accident/incident details /
Date:12/12/2008-14/12/2008 Date reported: 14/12/2008

Location:Al-Ikhsan.com

Reported to whom: CEO and Board of Director of Al-Ikhsan /

Full accident/incident details what happened, or in the case of a near miss, what could have happened
The whole of Al-Ikhsan.com servers was down

Damage Nature of Injury

Contusion/crush Burn Dislocation Amputation
Laceration/open wound superficial injury Foreign body /System Down
Concussion Sprain/strain Fracture Dermatitis
Location of Damage
Head/face Eye Internal organs
Hand/fingers Shoulder/arms Trunk (other than back)
Hip/leg Foot/toes Backs
/ Other (state): AL-Ikhsan servers
Results of accident
Lost time damage Y / N No. of days: 2 days Workers compensation Y / N
Treatment received: First aid Doctor Hospital
Damage to equipment/buildings/vehicles etc.
What was damaged?
Phone orders cannot be procced and website cannot to sign in

Contributing factors
What were the contributing factors (if any)?
Attack by a virus called Rootkit Virus

Corrective actions
Immediate actions
Immediate system reboot to restart the website server

What controls can be put in place to prevent this from happening again?
Installing anti-virus and identification method

Date by which action is to be taken / /

Signatures
Officer: HS Rep: Manager:
Director: Investigating officer:

Actions completed: Date: / / Manager: