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  • EU GDPR (2016)
  • ISO 27001:2022
  • NIS2
  • NIS2 Netherlands (Cbw, 2026)

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SV
Sam de Vries
sam.devries@tidewell-it.example
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Body

Purpose

This Procedure sets out two linked activities of the management system: the internal audit that checks whether the system works as planned, and the management review in which the Management Board judges how well it performs.

Scope

It covers the whole information security management system, all its documents and controls, and all the locations and teams within the ISMS scope.

Roles

  • Management Board: approves the audit programme and holds the management review.
  • ISMS Manager: owns this Procedure, prepares the review, and tracks corrective actions.
  • Internal Auditor: plans and carries out audits.
  • Control owners: supply information and fix Findings.

Part A Internal audit

Programme and independence

  1. The Management Board approves an annual audit programme that covers every part of the system at least once, with more attention for areas that carry more risk or that had problems before.
  2. Auditors are independent of what they audit. The Internal Auditor does not audit controls they operate. For those, a second auditor from another team or an external consultant carries out the audit.

Audit

  1. The Internal Auditor plans each audit with its objective, scope, criteria, and dates, and tells the control owners.
  2. During fieldwork, the auditor interviews staff, observes work, and examines records. The auditor notes the evidence for every conclusion.
  3. The auditor writes a report and discusses it with the control owners before it is final.

Findings and corrective action

  1. Each Finding gets a severity and an owner.
  2. The owner finds the root cause, proposes a corrective action, and agrees a due date.
  3. The ISMS Manager tracks every action as a Task. When an action is done, the Internal Auditor checks that it worked.

Part B Management review

Preparation and meeting

  1. The Management Board holds the review at least once a year.
  2. The ISMS Manager prepares the inputs required by ISO/IEC 27001:2022 clause 9.3.2: the status of earlier actions, changes in internal and external issues, and feedback on performance. The feedback covers nonconformities, monitoring results, audit results, and the achievement of objectives. The inputs also hold feedback from interested parties, the results of risk assessment and the state of the treatment plan, and opportunities for improvement.

Outputs

  1. The review decides on the outputs of clause 9.3.3: opportunities for continual improvement and any need for changes to the system.
  2. Each decision gets an owner and a due date, and becomes a Task.
  3. The ISMS Manager writes the minutes and keeps them. The next review starts with the status of these decisions.

Records

  • The audit programme, plans, reports, and Findings.
  • The corrective actions and the checks on their effect.
  • The inputs and the minutes of every management review.

Related documents

  • Information Security Policy
  • Risk Management Policy
  • ISMS scope

Review

The ISMS Manager reviews this Procedure at least once a year and after a significant change.
    • — none —
    • PER-001 — Sam de Vries
    • PER-002 — Annelies Verbeek
    • PER-003 — Kasper Hoogland
    • PER-004 — Marloes Brinkman
    • PER-005 — Nadia El Idrissi
    • PER-006 — Lotte van Dijk
    • PER-007 — Thijs Bosman
    • PER-008 — Anika Raghavan
    • PER-009 — Daan Rijnders
    • PER-010 — Eva Lundmark
    • PER-011 — Selim Aydogdu
    • PER-012 — Ioana Vasilescu
    • PER-013 — Finn de Rooij
    • PER-014 — Gerrit Smeenk
    • PER-015 — Wouter Hazelhoff
    • PER-016 — Aisha Rahman
    • PER-017 — Niels Dekker
    • PER-018 — Tariq Rashidi
    • PER-019 — Fleur Maas
    • PER-020 — Hans Overbeek
    • PER-021 — Marit Koster
    • PER-022 — Alessandro Ferrante
    • PER-023 — Yara Visser
    • PER-024 — Lars Ekstedt
    • PER-025 — Amira Khalil
    • PER-026 — Remco Bergsma
    • PER-027 — Roos van Beek
    • PER-028 — Dimitri Volkov
    • PER-029 — Esther Blom
    • PER-030 — Mustafa Karaca
    • PER-031 — Floris Adriaanse
    • PER-032 — Joris Kamphuis
    • PER-033 — Lieke Bakhuizen
    • PER-034 — Charlotte Veldhuis
    • PER-035 — Rik Meinders
    • PER-036 — Elena Marques
    • PER-037 — Judith Haanstra
    • PER-038 — Vera Dijkstra
    • PER-039 — Hanneke Rutten
    • PER-040 — Bram Oosterhuis
    • PER-041 — Stefan Kowalski
    • PER-042 — Imogen Clarke
    • PER-043 — Gustav Lindahl
    • PER-044 — Noah Smit
    • PER-045 — Sofie Claes
    • PER-046 — Marjolein Teunissen
    • PER-047 — Willem-Jan Roest
    • PER-048 — Rosalind Achterberg
    • PER-049 — Mikael Strand
    • PER-050 — Ilse Wiegman
    • PER-051 — Cornelis Vos
    • PER-052 — Patrick Ellison

    Nothing found that matches the search criteria.
    • ROL-001 — ISMS Manager
    • ROL-002 — Internal Auditor
    • ROL-003 — Data Protection Officer
    • ROL-004 — Service Desk Lead
    • ROL-005 — Change Manager
    • ROL-006 — Incident Coordinator
    • ROL-007 — Supplier Manager
    • ROL-008 — HR Lead
    • ROL-009 — Facilities Lead
    • ROL-010 — Management Board

    Nothing found that matches the search criteria.
    Who must read this document?
    Requirements covered by this procedure
    • Art. 5(1)(a) — Lawfulness, fairness and transparency (Mandatory)
    • Art. 5(1)(b) — Purpose limitation (Mandatory)
    • Art. 5(1)(c) — Data minimisation (Mandatory)
    • Art. 5(1)(d) — Accuracy (Mandatory)
    • Art. 5(1)(e) — Storage limitation (Mandatory)
    • Art. 5(1)(f) — Integrity and confidentiality (Mandatory)
    • Art. 6 — Lawfulness of processing (Mandatory)
    • Art. 13-14 — Information to be provided to data subjects (Mandatory)
    • Art. 12 — Transparent communication and exercising rights (Mandatory)
    • Art. 15 — Right of access (Mandatory)
    • Art. 16 — Right to rectification (Mandatory)
    • Art. 17 — Right to erasure ('right to be forgotten') (Mandatory)
    • Art. 18 — Right to restriction of processing (Mandatory)
    • Art. 19 — Notify recipients of rectification, erasure, or restriction (Mandatory)
    • Art. 20 — Right to data portability (Mandatory)
    • Art. 21 — Right to object (Mandatory)
    • Art. 24 — Responsibility of the controller (accountability) (Mandatory)
    • Art. 25 — Data protection by design and by default (Mandatory)
    • Art. 28 — Processor contracts (Mandatory)
    • Art. 30 — Records of processing activities (Mandatory)
    • Art. 32 — Security of processing (Mandatory)
    • Art. 33 — Notification of a personal data breach to the supervisory authority (Mandatory)
    • Art. 34 — Communication of a personal data breach to the data subject (Mandatory)
    • Art. 35 — Data protection impact assessment (DPIA)
    • Art. 37-39 — Data protection officer (DPO)
    • Ch. V — International transfers of personal data
    • 4.1 — Understanding the organisation and its context (Mandatory)
    • 4.2 — Understanding the needs and expectations of interested parties (Mandatory)
    • 4.3 — Determining the scope of the information security management system (Mandatory)
    • 4.4 — Information security management system (Mandatory)
    • 5.1 — Leadership and commitment (Mandatory)
    • 5.2 — Policy (Mandatory)
    • 5.3 — Organisational roles, responsibilities and authorities (Mandatory)
    • 6.1.1 — Actions to address risks and opportunities - general (Mandatory)
    • 6.1.2 — Information security risk assessment (Mandatory)
    • 6.1.3 — Information security risk treatment (Mandatory)
    • 6.2 — Information security objectives and planning to achieve them (Mandatory)
    • 6.3 — Planning of changes (Mandatory)
    • 7.1 — Resources (Mandatory)
    • 7.2 — Competence (Mandatory)
    • 7.3 — Awareness (Mandatory)
    • 7.4 — Communication (Mandatory)
    • 7.5.1 — Documented information - general (Mandatory)
    • 7.5.2 — Creating and updating documented information (Mandatory)
    • 7.5.3 — Control of documented information (Mandatory)
    • 8.1 — Operational planning and control (Mandatory)
    • 8.2 — Information security risk assessment (operational) (Mandatory)
    • 8.3 — Information security risk treatment (operational) (Mandatory)
    • 9.1 — Monitoring, measurement, analysis and evaluation (Mandatory)
    • 9.2.1 — Internal audit - general (Mandatory)
    • 9.2.2 — Internal audit programme (Mandatory)
    • 9.3.1 — Management review - general (Mandatory)
    • 9.3.2 — Management review inputs (Mandatory)
    • 9.3.3 — Management review results (Mandatory)
    • 10.1 — Continual improvement (Mandatory)
    • 10.2 — Nonconformity and corrective action (Mandatory)
    • A.5.1 — Policies for information security
    • A.5.2 — Information security roles and responsibilities
    • A.5.3 — Segregation of duties
    • A.5.4 — Management responsibilities
    • A.5.5 — Contact with authorities
    • A.5.7 — Threat intelligence
    • A.5.8 — Information security in project management
    • A.5.9 — Inventory of information and other associated assets
    • A.5.10 — Acceptable use of information and other associated assets
    • A.5.11 — Return of assets
    • A.5.12 — Classification of information
    • A.5.13 — Labelling of information
    • A.5.14 — Information transfer
    • A.5.15 — Access control
    • A.5.16 — Identity management
    • A.5.17 — Authentication information
    • A.5.18 — Access rights
    • A.5.19 — Information security in supplier relationships
    • A.5.20 — Addressing information security within supplier agreements
    • A.5.21 — Managing information security in the ICT supply chain
    • A.5.22 — Monitoring, review and change management of supplier services
    • A.5.23 — Information security for use of cloud services
    • A.5.24 — Information security incident management planning and preparation
    • A.5.25 — Assessment and decision on information security events
    • A.5.26 — Response to information security incidents
    • A.5.27 — Learning from information security incidents
    • A.5.28 — Collection of evidence
    • A.5.29 — Information security during disruption
    • A.5.30 — ICT readiness for business continuity
    • A.5.31 — Legal, statutory, regulatory and contractual requirements
    • A.5.33 — Protection of records
    • A.5.34 — Privacy and protection of PII
    • A.5.35 — Independent review of information security
    • A.5.36 — Compliance with policies, rules and standards for information security
    • A.5.37 — Documented operating procedures
    • A.6.1 — Screening
    • A.6.2 — Terms and conditions of employment
    • A.6.3 — Information security awareness, education and training
    • A.6.4 — Disciplinary process
    • A.6.5 — Responsibilities after termination or change of employment
    • A.6.6 — Confidentiality or non-disclosure agreements
    • A.6.7 — Remote working
    • A.6.8 — Information security event reporting
    • A.7.1 — Physical security perimeters
    • A.7.2 — Physical entry
    • A.7.3 — Securing offices, rooms and facilities
    • A.7.4 — Physical security monitoring
    • A.7.5 — Protecting against physical and environmental threats
    • A.7.6 — Working in secure areas
    • A.7.7 — Clear desk and clear screen
    • A.7.8 — Equipment siting and protection
    • A.7.9 — Security of assets off-premises
    • A.7.10 — Storage media
    • A.7.11 — Supporting utilities
    • A.7.12 — Cabling security
    • A.7.14 — Secure disposal or re-use of equipment
    • A.8.1 — User end point devices
    • A.8.2 — Privileged access rights
    • A.8.3 — Information access restriction
    • A.8.4 — Access to source code
    • A.8.5 — Secure authentication
    • A.8.6 — Capacity management
    • A.8.7 — Protection against malware
    • A.8.8 — Management of technical vulnerabilities
    • A.8.9 — Configuration management
    • A.8.10 — Information deletion
    • A.8.12 — Data leakage prevention
    • A.8.13 — Information backup
    • A.8.14 — Redundancy of information processing facilities
    • A.8.15 — Logging
    • A.8.16 — Monitoring activities
    • A.8.17 — Clock synchronization
    • A.8.19 — Installation of software on operational systems
    • A.8.20 — Networks security
    • A.8.21 — Security of network services
    • A.8.22 — Segregation of networks
    • A.8.23 — Web filtering
    • A.8.24 — Use of cryptography
    • A.8.25 — Secure development life cycle
    • A.8.26 — Application security requirements
    • A.8.27 — Secure system architecture and engineering principles
    • A.8.28 — Secure coding
    • A.8.29 — Security testing in development and acceptance
    • A.8.31 — Separation of development, test and production environments
    • A.8.32 — Change management
    • A.8.33 — Test information
    • CIR 2024/2690 Annex 1 — Security policy and responsibilities
    • CIR 2024/2690 Annex 2 — Risk management, compliance monitoring and independent review
    • CIR 2024/2690 Annex 3 — Incident handling, monitoring and logging
    • CIR 2024/2690 Annex 4 — Continuity plan, backups and crisis management
    • CIR 2024/2690 Annex 5 — Supply chain policy and supplier register
    • CIR 2024/2690 Annex 6 — Secure acquisition, development and maintenance
    • CIR 2024/2690 Annex 7 — Measuring the effectiveness of security measures
    • CIR 2024/2690 Annex 8 — Awareness and security training
    • CIR 2024/2690 Annex 9 — Cryptography policy and key management
    • CIR 2024/2690 Annex 10 — Personnel security
    • CIR 2024/2690 Annex 11 — Access rights, privileged accounts and authentication
    • CIR 2024/2690 Annex 12 — Asset classification, handling and inventory
    • CIR 2024/2690 Annex 13 — Utilities, environmental threats and physical access
    • Cyberbeveiligingswet art. 21 — Duty of care (Mandatory)
    • Cyberbeveiligingsbesluit art. 6 — Security policy and responsibilities
    • Cyberbeveiligingsbesluit art. 7 — Risk management policy
    • Cyberbeveiligingsbesluit art. 8 — Incident handling and logging
    • Cyberbeveiligingsbesluit art. 9 — Business continuity and crisis management
    • Cyberbeveiligingsbesluit art. 10 — Supply chain security
    • Cyberbeveiligingsbesluit art. 11 — Secure acquisition, development and maintenance
    • Cyberbeveiligingsbesluit art. 12 — Cyber hygiene and training
    • Cyberbeveiligingsbesluit art. 13 — Cryptography policy
    • Cyberbeveiligingsbesluit art. 15 — Access policy
    • Cyberbeveiligingsbesluit art. 16 — Asset management
    • Cyberbeveiligingswet art. 24 — Board approval and training (Mandatory)
    • Cyberbeveiligingswet art. 25 — Duty to report significant incidents (Mandatory)
    • Cyberbeveiligingswet art. 26 — Early warning within 24 hours (Mandatory)
    • Cyberbeveiligingswet art. 27 — Notification within 72 hours (Mandatory)
    • Cyberbeveiligingswet art. 28 — Interim report (Mandatory)
    • Cyberbeveiligingswet art. 29 — Progress report and final report (Mandatory)
    • Cyberbeveiligingswet art. 30 — Informing the recipients of your services (Mandatory)
    • Cyberbeveiligingswet art. 44 — Registration in the national register (Mandatory)

    Nothing found that matches the search criteria.
    Linked requirements show this document as a coverage source on each requirement's Details page.
    Implements policies
    • POL-002 — Acceptable Use Policy
    • POL-003 — Access Control Policy
    • POL-006 — Business Continuity and Disaster Recovery Policy
    • POL-010 — Cryptography Policy
    • POL-013 — Human Resources Security Policy
    • POL-005 — Incident Response Policy
    • POL-009 — Information Classification and Retention Policy
    • POL-001 — Information Security Policy
    • POL-008 — Personal Data Protection Policy
    • POL-012 — Physical and Environmental Security Policy
    • POL-014 — Remote Working and Mobile Devices Policy
    • POL-004 — Risk Management Policy
    • POL-011 — Secure Development and Change Policy
    • POL-007 — Supplier Security Policy

    Nothing found that matches the search criteria.
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