Web Application Vulnerability Assessment Checklist Form
Use this form to document a web application security assessment, record checklist results, note findings, and track follow-up actions.
Assessment Scope
Application Name
*
Application URL / Environment
*
Assessment Type
*
New Release
Scheduled Review
Incident-Driven Review
Retest
Other
Assessment Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Vulnerability Checklist
Vulnerability Checklist
*
Overall Risk Level
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Security Posture Rating
1
2
3
4
5
Summary Notes
Findings and Follow-up
Overall Risk Rating
*
1
2
3
4
5
Summary of Critical Issues Found
*
Recommended Remediation Priority
*
Low
Medium
High
Urgent
Retest or Follow-up Needed
*
Retest Required
Follow-up Needed
No Further Action
Submit
Should be Empty: