# Safety-led industrial incident response · Observation, dependency and gap record

Blank workpaper, not completed testing or approval. Do not include secrets or real personal data.

## Prerequisites / minimal reproduction

[ ] Complete; add evidence and owner.

## Expected / actual / business impact

[ ] Complete; add evidence and owner.

## Evidence-gap owner / deadline / decision impact

[ ] Complete; add evidence and owner.

## Initial assumption / counter-evidence / revised assessment

[ ] Complete; add evidence and owner.

## Module-specific evidence

- Response decision log with authority and impact fields.
- Time, source, uncertainty and shift-handover record.