# Owner warning evidence worksheet

Blank original template, version 2026-10-25. Licence: CC BY 4.0.

Keep a completed copy in controlled incident storage. This file is a template, not a provider form or a site verdict. It performs no requests, scans, reports or reviews. Use UTC times and private evidence references. Preserve originals separately from redacted sharing copies. Leave unknowns explicit; do not include passwords, session tokens, private keys or raw personal logs.

## 1. Incident and authority

- Internal case reference:
- Authorized owner or responder role:
- Redacted affected scope:
- Opened at UTC:
- Updated at UTC:

## 2. Warning as reported

- Provider and browser family:
- Exact warning wording, redacted where necessary:
- Provider category:
- Object: page/site, download, certificate/connection, or unknown:
- Affected address, redacted:
- Existing release/file identifier, if relevant:
- Certificate error code, if relevant:
- Observation time UTC:
- Existing screenshot or report evidence reference:

## 3. Provider owner report

- Independently reached provider console or official guidance:
- Access status:
- Reported issue and first-detected time UTC:
- Sample affected scope, kept inert:
- Completeness of sample list: unknown unless established:
- Check time UTC and retained evidence reference:

## 4. Evidence inventory

Repeat per record. Protect originals and share only a separate reviewed copy.

- Evidence reference and kind:
- Event time UTC / collection time UTC:
- Scope and source:
- Original SHA-256, if recorded:
- Authorized custodian role:
- Redacted sharing-copy reference:
- Redactions and limits:

## 5. Release and integrity comparison

- Approved baseline reference and reason for choosing it:
- Deployed release reference:
- Templates compared:
- Configuration compared:
- Content stores and uploaded artifacts considered:
- Unexpected additions or modifications:
- Evidence references:
- Missing logs, retention gaps and items not checked:

## 6. Embedded resources and outgoing relationships

Repeat per resource or rule. Do not open a suspect destination from this record.

- Redacted resource or rule reference:
- Relationship: link, embedded component, automatic redirect, other:
- Included routes/templates:
- Configuration owner role:
- Retained version or hash:
- Evidence period and references:
- Observed finding:
- Hypotheses and unknowns:

## 7. Visitor-context evidence

Use only existing authorized reports and logs; no new browsing campaign is implied.

- Evidence reference:
- Reported browser family / language / visit state:
- Approximate region, only if relevant and already available:
- Redacted entry route:
- Observed variation:
- Rule or configuration associated with the variation:
- What is only a hypothesis:
- Contexts without evidence:

## 8. Findings and remediation

Repeat per finding. Separate provider statements, observations and hypotheses.

- Finding reference:
- Provider statement:
- Owner observation and evidence:
- Hypothesis and open questions:
- Affected scope:
- Change and responsible role:
- Change time UTC and release reference:
- Verification method, scope and time UTC:
- Actual verification result and evidence:
- Remaining limits:

## 9. Provider-review history

Repeat per event. Leave submission and receipt fields blank until they exist.

- Provider, authority group and documented route:
- Status: not submitted, submitted, acknowledged, information requested, decided, or other:
- Submission time UTC:
- Exact sharing-copy reference:
- Receipt reference:
- Response time UTC, wording and scope:
- Follow-up record reference:

## 10. Separate closure decisions

- Remediation status:
- Verification status:
- Provider-review status:
- Unresolved scope:
- Decision time UTC and responsible role:

A completed provider review is not a certificate of safety. This worksheet contains no default claim that any correction, check or submission occurred.