ICS Network Security Assessment
Please complete this form to assess the security posture of your industrial control system (ICS) network. Accurate information will help identify risks and recommend improvements.
Organization Name
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
First Name
Last Name
ICS Network Type
*
Please Select
SCADA
DCS
PLC Network
Hybrid/Other
Critical Asset Inventory
Rows
Asset Name
Asset Type
IP Address
Criticality (1-5)
Asset 1
PLC
RTU
Server
Workstation
Network Device
Other
1
2
3
4
5
Asset 2
PLC
RTU
Server
Workstation
Network Device
Other
1
2
3
4
5
Asset 3
PLC
RTU
Server
Workstation
Network Device
Other
1
2
3
4
5
Asset 4
PLC
RTU
Server
Workstation
Network Device
Other
1
2
3
4
5
Network Segmentation Present?
*
Yes
No
Partially
Security Controls Assessment
*
Rows
Implementation Level
Effectiveness (1-5)
Firewall
Not Implemented
Partially Implemented
Fully Implemented
1
2
3
4
5
Intrusion Detection System
Not Implemented
Partially Implemented
Fully Implemented
1
2
3
4
5
Access Control
Not Implemented
Partially Implemented
Fully Implemented
1
2
3
4
5
Patch Management
Not Implemented
Partially Implemented
Fully Implemented
1
2
3
4
5
Backup and Recovery
Not Implemented
Partially Implemented
Fully Implemented
1
2
3
4
5
Known Vulnerabilities (Select all that apply)
Unpatched Systems
Weak Authentication
Remote Access Exposed
Lack of Monitoring
No Documented Vulnerabilities
Other
Overall Network Security Rating
*
1
2
3
4
5
Risk Level Assessment
*
Low
Medium
High
Recommendations for Improvement
Additional Comments
Submit Assessment
Should be Empty: