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The form looks good; however, I find it handy to have a Priority category (Critical, Major, Minor) to help the project team focus on issues in the right sequence. Setting a priority also requires that you have some discussions early on with the project team and business owners on defining Critical, Major and Minor. For instance, Criticl issues are something that MUST be resolved prior to moving forward or represent a work stoppage and loss of time/resources. Major would be something that possibly has a work-around for an interim solution, but needs to be resolved prior to the project or a milestone being complete. Minor would be an issue that is not a big deal if it was resolved before the end of a project; sometimes callend an enhancement.