Incidents / Quality Assurance Software

Looking for someone to create a fairly simple PHP-based Incident reporting software. The general idea is for when I find a problem with something, such as a website or a lannding page, or an ad that I have online, I can login to this system, and log the affected client, the category, error type, project type (whether email, landing page, text ad, banner ad,etc), the date discovered, date of the applied fix, how the issue was discovered, who discovered it, was I at fault or was the client, etc. I have a basic template that I want this made with, with a general framework of how things need to be. Any decent PHP developer will do fine with this project. I need this done quickly, and it shouldn't take long at all.