Software Security Scan Report Form
Submit details and results of your software security scan, including findings, severity, and remediation status.
Scan Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Scan Initiator Name
*
Target System Name or ID
*
Scan Type
*
Static Application Security Testing (SAST)
Dynamic Application Security Testing (DAST)
Software Composition Analysis (SCA)
Manual Review
Other
Overall Severity Level
*
Critical
High
Medium
Low
Informational
Summary of Key Findings
*
Vulnerability Assessment
*
Rows
Severity
Remediation Status
Vulnerability 1
Critical
High
Medium
Low
Informational
Not Started
In Progress
Completed
Not Applicable
Vulnerability 2
Critical
High
Medium
Low
Informational
Not Started
In Progress
Completed
Not Applicable
Vulnerability 3
Critical
High
Medium
Low
Informational
Not Started
In Progress
Completed
Not Applicable
Overall Risk Rating
*
1
2
3
4
5
Remediation Actions Taken
*
Next Steps / Recommendations
*
Submit Report
Should be Empty: