Firmware Compliance Monitoring Checklist Form
Complete this checklist to assess device and firmware records against compliance requirements.
Device Name or ID
*
Firmware Name or ID
*
Firmware Version / Release Number
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Compliance Criteria Assessment
*
Rows
Meets Requirement
Partially Meets
Does Not Meet
Firmware Signed
1
2
3
Update Mechanism Secure
4
5
6
Version Matches Documentation
7
8
9
Rollback Protection
10
11
12
Vulnerability Scan Passed
13
14
15
Overall Compliance Rating
*
1
2
3
4
5
Compliance Result
*
Pass
Fail
Conditional Pass
Issues or Non-Compliance Details
Reviewer Notes
Reviewer Name
*
Submit Checklist
Should be Empty: