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Assessment Template for Identification of the DUT, ICS and Assessment Results (Excel), Version 1.1.1

Date 30.04.2022

To support a conformance assessment using the assessment specification and the amendments document “BSI TR-03173”, the BSI provides an “Assessment Template”. This template facilitates a simple and structured documentation of the conformance declaration required as part of the assessment and of the assessment results. Manufacturers can use the template to conduct a self-assessment, but also to provide required information to a test laboratory. A test laboratory can use this information for the conformance assessment and fill the results of individual test cases into the template.

The structure of the template maps the conformance assessment methodology described in the assessment specification. The required information from the "Identification of the DUT" form, the Implementation Conformance Statement (ICS) and the results of the assessment can be completed inside an Excel template.