Database Access Exam Results Table Log Form
Log operational entries for database access exam results efficiently and accurately using this form.
Date and Time of Exam Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Examiner Full Name
*
First Name
Last Name
Examinee Identifier
*
Database/System Accessed
*
Please Select
Production Database
Test Database
Development Database
Reporting Database
Other
Exam Type
*
Please Select
Initial Access Exam
Periodic Review Exam
Privilege Escalation Exam
Access Revocation Exam
Other
Result Status
*
Pass
Fail
Pending
Score (if applicable)
Access Level Evaluated
*
Please Select
Read-Only
Read/Write
Admin
No Access
Other
Exam Method
*
Please Select
In-Person
Remote/Online
Automated Script
Other
Remarks / Notes
Submit Log Entry
Should be Empty: