NIS2 OT Network Technical Assessment Checklist Form
Use this form to document an OT network technical assessment checklist, capture the environment scope, record control-by-control findings, and summarize overall readiness and remediation priorities.
Assessment Scope and Asset Context
Organization / Site Name
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
OT Network Segment or Plant / Site Location
*
Primary Asset / System Scope
*
NIS2 OT Technical Checklist
OT Network Technical Control Status
*
Rows
Compliant
Partially Compliant
Not Compliant
Not Applicable
Network segmentation
1
2
3
4
Remote access control
5
6
7
8
Firewalling / allow-listing
9
10
11
12
Asset inventory visibility
13
14
15
16
Vulnerability management
17
18
19
20
Backup and recovery readiness
21
22
23
24
Logging and monitoring
25
26
27
28
Incident response readiness
29
30
31
32
Secure change management
33
34
35
36
Network Segmentation Maturity
Ad hoc
1
2
3
4
5
6
7
8
9
Optimized
10
1 is Ad hoc, 10 is Optimized
Remote Access Control Maturity
Ad hoc
1
2
3
4
5
6
7
8
9
Optimized
10
1 is Ad hoc, 10 is Optimized
Monitoring and Logging Maturity
Ad hoc
1
2
3
4
5
6
7
8
9
Optimized
10
1 is Ad hoc, 10 is Optimized
Notes / Observations
Assessor Summary
Overall Risk / Severity Rating
*
Low
1
2
3
4
5
6
7
8
9
Critical
10
1 is Low, 10 is Critical
Findings Summary
*
Recommended Next Step / Remediation Priority
*
Please Select
Immediate containment
required remediation within 30 days
planned remediation
monitor and review
Other
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