Patch Management Risk Assessment Form
Assess patch-related risk for a system or application by providing its environment, patch scope, criticality, readiness, and overall risk summary.
Assessment Context
System/Application Name
*
Environment
*
Production
Staging
Development
Other
System Owner/Team
*
Patch Scope and Risk Factors
Patch/Advisory Identifier or Version
*
Patch Category
*
Please Select
Security
Bug Fix
Feature Update
Vendor Firmware
Other
Affected Component(s)
*
Application
Database
Operating System
Network Service
Security Tooling
Endpoint Agent
Storage
Other
Criticality of the System
*
Low
1
2
3
4
5
6
7
8
9
Critical
10
1 is Low, 10 is Critical
Known Risk Indicators / Vulnerability Exposure
*
Deployment Readiness and Assessment Result
Planned Deployment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Required Testing / Validation Completed?
*
Yes
No
Rollback Plan Available?
*
Yes
No
Maintenance Window Available?
*
Yes
No
Business Impact if Delayed
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Overall Risk Assessment Summary
*
Submit
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