164.308(a)(7)(ii)(A) Data Backup Plan (Required)
Establish procedures to create and maintain retrievable exact copies of ePHI. NIST recommends offline or immutable backups, encryption, and regular restoration testing.
4
artefacts
1
held by a system
2
at each review
moderate
to go live
Backup / DR tooling
where the evidence lives
teal = a system already holds it · olive = produced at each review
system holds itEvidence a system already holds
- Backup completion logs · Backup / DR tooling
periodic reviewEvidence produced at each review
- Restoration test results · Backup / DR tooling
- Immutable or offline backup evidence · Backup / DR tooling
governing documentDocuments that govern the control
- Backup policy and schedule · Policy repository / GRC workspace
First move
Start with the 1 of 4 artefacts that already live in a system (Backup / DR tooling); keep the periodic reviews but log each one as a dated record with a named reviewer.
Common gaps auditors find
- Backups exist but never restored
- No air-gapped or immutable copy for ransomware
- Encryption of backups not verified
Do this for your whole sheet
Paste the rows you run your controls from and get this mapping for every control at once, with the periodic-review ones flagged and a first move per row. No account for the first run.
Build my evidence sheet164.308(a)(7)(i) Contingency Plan (Standard) · 164.308(a)(7)(ii)(B) Disaster Recovery Plan (Required)