Activity Security Checklist
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1DIVISION/BRANCH/OFFICE
ROOM NUMBER
MONTH AND YEAR
ACTIVITY SECURITY CHECKLIST
Irregularities discovered will be promptly reported to the designated
Statement
Security Office for corrective action.
I have conducted a security inspection of this work area and checked all the items listed below.
TO (if required)
FROM (if required)
THROUGH (if required)
*ITEM
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1.
2.
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INITIAL FOR DAILY REPORT
TIME
* Fill in each ITEM as needed in order to meet your organization’s requirements; e.g. “1. Security alarm(s) and related equipment have been activated (where appropriate).”
701-101
STANDARD FORM 701 (11-2010)
NSN 7540-01-213-7899
Prescribed by NARA/ISOO
32 CFR PART 2001 EO 13526
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