IT Service Management Certification Audit Checklist Form
Use this checklist to assess IT service management certification readiness, record evidence, note gaps, and document corrective actions.
Audit Identification
Organization Name
*
Department / Service Area
*
Audit Title / Reference
*
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Auditor Name
*
First Name
Middle Name
Last Name
Service Owner / Contact Name
*
First Name
Middle Name
Last Name
Audit Type / Status
Initial Audit
Surveillance Audit
Re-audit
Internal Readiness Check
Other
Certification Scope and Standards
Audit scope areas
*
Incident management
Problem management
Change management
Service request management
Configuration management
Service level management
Asset management
Knowledge management
Continual improvement
Other
Certification standard or framework assessed
*
ITIL 4
ISO/IEC 20000
COBIT
FitSM
DevOps
Custom internal framework
Other
Applicable ITSM processes to include
Checklist Evaluation
Checklist Evaluation
*
Rows
Compliant
Partially Compliant
Non-Compliant
Not Applicable
Notes / Evidence
Evidence Availability
1
2
3
4
Document Review
5
6
7
8
Record Sampling
9
10
11
12
Staff Interview
13
14
15
16
System Observation
17
18
19
20
Policy / Procedure Presence
21
22
23
24
Control / Process Area Assessment
*
Overall Checklist Item Rating
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Additional Evidence Notes
Findings and Corrective Actions
Nonconformities or Gaps Discovered
*
Severity / Priority of Finding
*
Critical
High
Medium
Low
Corrective Action Description
*
Assigned Owner
*
Target Completion Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Follow-up Verification Status
*
Pending
In Review
Verified Complete
Re-opened
Evidence Reference or Corrective Action Notes
Audit Outcome and Submission
Final Audit Result
*
Certified-Ready
Conditionally Ready
Not Ready
Requires Re-Audit
Overall Comments
Next Steps
Submit Audit Checklist
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