Operational Technology Cybersecurity Inspection Checklist Form
Complete this Operational Technology Cybersecurity Inspection Checklist Form to record inspection details, verify security controls, and document findings for OT systems.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Asset/System Inspected
*
Inspection Scope
*
Which security controls were verified?
*
Access Controls
Network Segmentation
Patch Management
Incident Detection/Response
Physical Security
Backup/Recovery
Other
Findings or Observations
*
Risk/Severity Assessment
*
Low
Medium
High
Critical
Recommended Remediation or Corrective Actions
*
Responsible Owner/Person
*
Follow-up Actions or Next Steps
Submit Inspection
Should be Empty: