Critical Server Identification

1. General Information:

Computer/Host name: __________________________

Primary IP address: ___________________________

All IP addresses: ___________________________

Computer Location: Building and Room #:
_______________________________________________

Collegiate Unit: _______________________________

Department:__________________________

2. Contacts:

Computer/Data Owner:______________________________

Phone and e-mail:_____________________

Primary Tech Contact:______________________________

Phone and e-mail:____________________

Cell phone/pager: __________________

Alternate Tech Contact:______________________________

Phone and e-mail:____________________

Cell phone/pager: __________________

3. Criteria for identifying critical servers: (check all that apply)

A. Data Criteria:

[ ] Stores health information on individuals other than students or employees

Volume:
[ ]   High (> 5,000 records)
[ ]   Medium (500 - 5,000 records)
[ ]   Low (<500 records)

[ ] Stores non-public student data

Volume:
[ ]   High (> 5,000 records)
[ ]   Medium (500 - 5,000 records)
[ ]   Low (<500 records)

[ ] Stores non-public employee data

Volume:
[ ]   High (> 5,000 records)
[ ]   Medium (500 - 5,000 records)
[ ]   Low (<500 records)

[ ] Stores other legally protected, contractually protected, or non-public data
(Describe:_______________________________________________________)

Volume:
[ ]   High (> 5,000 records)
[ ]   Medium (500 - 5,000 records)
[ ]   Low (<500 records)

B. Level of impact if server is unavailable:

[ ]   University-wide
[ ]   Campus or Collegiate Unit
[ ]   Department
[ ]   Other

C. Other Criteria:

[ ]   Important software applications
      (List:________________________________________)
[ ]   Large number of users (Approx #: __________________)
[ ]   Potential large financial liability including grants and contracts
[ ]   Impact upon reputation of the University

4. Security Measures:

A. Protected by Firewall? Yes or No  If Yes, identify: ______________________________________

B. For Solutionary Monitored host:

Role/Purpose: ________________________________________

Operating System: _______________________________   Version: ____________________

Tech Admin Group: ________________________________________

Additional background information and instructions are available for completing the form.

Click here for more information on reporting critical servers.