NIST SP 800-171 Compliance Checklist Form
Use this form to self-assess organizational readiness against NIST SP 800-171 and capture key compliance gaps, documentation status, and next steps.
Organization Profile
Organization Name
*
Primary Contact Name
*
Email Address
*
example@example.com
Industry or Business Sector
Approximate Organization Size
Please Select
1-10 employees
11-50 employees
51-200 employees
201-500 employees
501-1,000 employees
1,001+ employees
Other
Compliance Checklist
Policy and procedures documentation
System boundary definition
Asset inventory
Access control enforcement
Multi-factor authentication where applicable
Audit logging and log review
Media protection
Incident response process
Security awareness training
Regular access review and monitoring
Assessment Summary and Next Steps
Overall Compliance Status
*
Not started
In progress
Mostly implemented
Fully implemented
Top Gaps or Remediation Needs
*
Target Date for Remediation or Review
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes
Submit Checklist
Should be Empty: