ISO/IEC 27001

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  5. ISO 27001 Annex A 5.37 Documented operating procedures

ISO 27001 Annex A 5.37 Documented operating procedures

What is ISO 27001 Annex A 5.37?

ISO 27001 Annex A 5.37 requires operating procedures for information processing facilities to be documented and made available to personnel who need them.

In simple terms, an organization should not depend entirely on someone’s memory or informal instructions for important security-related activities.

Important operational activities should have clear, documented procedures that explain:

  • What needs to be done.
  • Who is responsible.
  • How it should be done.
  • What security requirements must be followed.
  • What records or evidence should be created.
  • What to do when something goes wrong.

Simple explanation

If an important security-related activity happens regularly, people should know the correct way to perform it — and the organization should document that way of working.


Why is Annex A 5.37 Important?

Organizations often depend on a few experienced employees.

For example:

“Only Rahul knows how to restore the production database.”

This creates a significant operational and security risk.

If Rahul leaves the company or is unavailable during an incident, the organization may not know:

  • How to perform the recovery.
  • Which credentials are required.
  • Which systems need to be restored first.
  • Who needs to approve the action.
  • How to verify that recovery was successful.

Documented operating procedures reduce this dependency.

They also help ensure that important activities are performed consistently and securely.

Benefits

A good operating procedure can help with:

  • Consistent execution.
  • Reduced human error.
  • Faster onboarding.
  • Business continuity.
  • Incident response.
  • Audit readiness.
  • Knowledge transfer.
  • Reduced dependency on individuals.
  • Better security control operation.
  • Repeatable processes.

Simple principle

Important operational activities should not depend on tribal knowledge.


What Does Annex A 5.37 Require?

The organization should determine which operational activities need documented procedures based on their:

  • Business needs.
  • Information security risks.
  • Technology environment.
  • Complexity.
  • Regulatory requirements.
  • Customer requirements.
  • Operational dependencies.

The procedures should be:

  1. Documented.
  2. Appropriate for the activity.
  3. Available to people who need them.
  4. Kept current.
  5. Protected from unauthorized modification where appropriate.
  6. Reviewed when processes, technology or risks change.

Not every minor activity requires a lengthy document.

The objective is useful and controlled documentation, not documentation for its own sake.


What is an Operating Procedure?

An operating procedure is a documented description of how a specific activity should be performed.

For example:

Policy

Production changes must be authorized and tested.

Procedure

  1. Developer creates change request.
  2. Change is reviewed.
  3. Testing is completed.
  4. Authorized person approves deployment.
  5. Change is deployed.
  6. Deployment is verified.
  7. Evidence is retained.

The policy defines the requirement.

The procedure explains how people actually perform the activity.

The evidence demonstrates that the procedure was followed.


Examples of Operating Procedures

Depending on the organization, documented procedures may include:

IT Operations

  • User account creation.
  • User account modification.
  • User account termination.
  • Access reviews.
  • Privileged access management.
  • Password/MFA administration.
  • Backup operations.
  • Backup restoration.
  • System monitoring.
  • Log review.
  • Vulnerability management.
  • Patch management.

Security

  • Security incident response.
  • Security event triage.
  • Evidence collection.
  • Security alert handling.
  • Vulnerability remediation.
  • Security monitoring.
  • Security testing.

Development

  • Secure software development.
  • Code review.
  • Security testing.
  • Production deployment.
  • Emergency changes.
  • Release management.
  • Vulnerability handling.

Business Continuity

  • Disaster recovery.
  • System recovery.
  • Failover.
  • Backup restoration.
  • Emergency access.
  • Business continuity activation.

Supplier and Cloud Operations

  • Cloud account administration.
  • Supplier onboarding.
  • Supplier security assessment.
  • Supplier access management.
  • Cloud configuration review.
  • Cloud service exit.

What Should an Operating Procedure Contain?

There is no need for every procedure to be identical, but a useful procedure can include:

SectionWhat it Covers
PurposeWhy the procedure exists
ScopeSystems, teams or activities covered
RolesWho performs and approves the activity
PreconditionsWhat must be available before starting
ProcedureStep-by-step instructions
Security RequirementsSecurity controls that must be followed
ExceptionsWhat to do when normal steps cannot be followed
EscalationWhen and how to escalate
RecordsEvidence that must be retained
ReviewHow often the procedure is reviewed
OwnerPerson responsible for maintaining it
VersionDocument version and revision history

Activities Required to Implement A.5.37

Step 1 — Identify Critical Operational Activities

Start by identifying activities where incorrect execution could create significant security or operational risk.

For example:

  • Employee onboarding.
  • Employee offboarding.
  • Production deployment.
  • Backup.
  • Restore.
  • Access management.
  • Incident response.
  • Vulnerability remediation.
  • Security monitoring.
  • Disaster recovery.

Step 2 — Determine Which Activities Need Documentation

Not everything needs a 20-page SOP.

Prioritize activities that are:

  • Security-sensitive.
  • Performed frequently.
  • Business-critical.
  • Complex.
  • Difficult to perform correctly without instructions.
  • Performed by multiple people.
  • Required for regulatory or contractual compliance.
  • Important during emergencies.
  • Dependent on specific technical knowledge.

Step 3 — Assign an Owner

Every important procedure should have an accountable owner.

Example:

ProcedureOwner
Access ManagementIT Manager
Incident ResponseSecurity Lead
Backup & RestoreInfrastructure Lead
Secure DeploymentEngineering Lead
Vulnerability ManagementSecurity Team
Employee OffboardingHR + IT
Disaster RecoveryCTO/IT

The owner is responsible for keeping the procedure accurate and current.


Step 4 — Document the Actual Process

Document how the activity is actually performed.

Avoid creating a procedure that describes an ideal process that nobody follows.

For example:

Backup Procedure

  1. Identify systems requiring backup.
  2. Verify backup schedule.
  3. Check backup completion.
  4. Investigate failures.
  5. Protect backup storage.
  6. Monitor backup status.
  7. Perform restoration testing.
  8. Record test results.
  9. Escalate recurring failures.

The procedure should be practical enough that another qualified employee can follow it.


Step 5 — Include Security Requirements

The procedure should explain important security considerations.

For example, a production deployment procedure might require:

  • Authorized change ticket.
  • Code review.
  • Security testing where applicable.
  • Approval.
  • Controlled deployment.
  • Logging.
  • Rollback capability.
  • Post-deployment verification.

Step 6 — Define Evidence

Determine what evidence should be generated.

For example:

ProcedurePossible Evidence
Access ManagementAccess request/approval
OffboardingTermination checklist
BackupBackup report
RestoreRestore test report
Change ManagementChange ticket
Incident ResponseIncident record
Vulnerability ManagementVulnerability report
Security MonitoringMonitoring logs
Disaster RecoveryDR test report

This makes the procedure useful for both operations and audits.


Step 7 — Make Procedures Available

Personnel who need a procedure should be able to access it.

For example:

  • Company knowledge base.
  • Document management system.
  • GRC platform.
  • Controlled SharePoint/Google Drive.
  • Internal wiki.
  • Secure documentation platform.

Access should be controlled where procedures contain sensitive information.

For example, a document containing privileged recovery information should not necessarily be available to every employee.


Step 8 — Review and Update Procedures

Procedures should be reviewed when:

  • Technology changes.
  • Systems change.
  • Responsibilities change.
  • Security incidents occur.
  • Audit findings identify weaknesses.
  • Regulations or contractual requirements change.
  • The business changes.
  • A procedure proves ineffective.
  • Significant process changes occur.

A periodic review schedule can also be established.


Startup Example

Consider a 40-person SaaS startup.

The company has a small infrastructure team.

Only one engineer currently knows how to restore the production database.

This creates a key-person dependency.

The company creates a Production Database Backup & Restoration Procedure.

The procedure documents:

  1. When backups are performed.
  2. Where backups are stored.
  3. Who can access backups.
  4. How restoration is initiated.
  5. Who approves production restoration.
  6. How the restore environment is prepared.
  7. How data integrity is checked.
  8. How the application is reconnected.
  9. How recovery is validated.
  10. What evidence must be recorded.
  11. Who should be contacted if restoration fails.

The procedure is stored in the company’s controlled knowledge repository.

The team then performs a restoration test.

Flow

Document Procedure

↓

Train Relevant Personnel

↓

Perform Activity

↓

Record Evidence

↓

Test

↓

Review

↓

Update Procedure

This is much stronger than simply telling employees:

“We have backups.”


Startup-Focused Quick Summary

A startup does not need hundreds of complicated SOPs.

Start with the activities that could cause significant security or business impact if performed incorrectly.

Priority procedures for a SaaS startup

1. Joiner / Mover / Leaver

2. Access Management

3. Backup & Restore

4. Incident Response

5. Vulnerability Management

6. Change Management

7. Production Deployment

8. Security Monitoring

9. Disaster Recovery

10. Supplier / Cloud Management

Then expand the documentation as the organization grows.


Example Operating Procedure Register

A simple register can be maintained:

ProcedureOwnerFrequencyLast ReviewNext ReviewStatus
Access ManagementITQuarterly01-Jul01-OctCurrent
Backup & RestoreInfrastructureQuarterly15-Jun15-SepCurrent
Incident ResponseSecurityAnnual / After Incident10-May10-MayCurrent
Vulnerability ManagementSecurityQuarterly20-Jun20-SepCurrent
Production DeploymentEngineeringQuarterly05-Jul05-OctCurrent
Disaster RecoveryCTOAnnual01-Apr01-AprCurrent

This gives management and auditors visibility into the operating procedures supporting the ISMS.


Example: Access Management Procedure

A simple access management procedure could look like:

1. Access Request

Employee or manager submits access request.

2. Business Justification

The requested access must have a legitimate business requirement.

3. Approval

Appropriate manager/system owner approves the request.

4. Provisioning

IT provisions the required access.

5. Verification

Access is verified against the approved request.

6. Recording

Access request and approval evidence are retained.

7. Periodic Review

Access rights are reviewed periodically.

8. Removal

Access is removed when no longer required.

This procedure supports several other ISO 27001 controls.


Audit Evidence for A.5.37

An auditor may review:

Documented Procedures

  • Access Management Procedure.
  • Joiner/Mover/Leaver Procedure.
  • Backup Procedure.
  • Restore Procedure.
  • Incident Response Procedure.
  • Vulnerability Management Procedure.
  • Change Management Procedure.
  • Production Deployment Procedure.
  • Disaster Recovery Procedure.
  • Security Monitoring Procedure.
  • Supplier Management Procedure.

Document Control

  • Procedure owner.
  • Version number.
  • Approval.
  • Effective date.
  • Review date.
  • Revision history.

Operational Evidence

  • Completed checklists.
  • Tickets.
  • Logs.
  • Backup reports.
  • Restore test reports.
  • Access requests.
  • Change records.
  • Incident records.
  • Vulnerability reports.
  • DR test reports.

Training / Awareness

Where appropriate:

  • Training records.
  • Procedure acknowledgement.
  • Staff competency records.
  • Exercise records.

What an Auditor May Ask

About the procedures

“Show me your documented operating procedures.”

“Which procedures are considered critical?”

“How did you determine which activities require documentation?”

About ownership

“Who owns this procedure?”

“Who approves changes to it?”

About actual implementation

“Show me evidence that this procedure is actually being followed.”

“Show me the most recent backup restoration test.”

“Show me an example of a completed access request.”

“Show me a recent production change.”

About maintenance

“When was this procedure last reviewed?”

“What caused the last update?”

“What happens when the underlying technology changes?”


Common Mistakes in Implementing A.5.37

1. Creating procedures only for the audit

A procedure that exists only in a document repository but is not used operationally provides limited value.


2. Procedures are too generic

For example:

“Backups should be performed regularly.”

This does not tell an employee:

  • What is backed up?
  • How often?
  • Where?
  • Who checks it?
  • What happens if it fails?
  • How is restoration tested?

3. Procedures do not match reality

The documented procedure says one thing while employees perform the activity differently.

This can create audit findings.


4. No document owner

Nobody is responsible for maintaining the procedure.


5. Procedures become outdated

Technology changes but the procedure remains unchanged.

For example:

The company moves from one cloud platform to another, but the backup procedure still describes the old platform.


6. Sensitive information is included unnecessarily

Operational procedures should not unnecessarily contain:

  • Passwords.
  • API secrets.
  • Private keys.
  • Recovery credentials.

Secrets should be managed using appropriate secure mechanisms.


7. No evidence is generated

A procedure should identify what records should be created when the process is performed.


8. Employees cannot find the procedures

Documentation is not useful if the people who need it cannot locate it.


9. One person knows everything

If only one employee knows how to perform critical operational activities, the organization has a significant knowledge and continuity risk.


Practical Startup Implementation Model

A practical startup model is:

Identify

Identify critical and security-sensitive operational activities.

↓

Prioritize

Focus first on activities with high business or security impact.

↓

Document

Create simple, practical procedures.

↓

Assign

Give each procedure an owner.

↓

Train

Ensure relevant personnel understand the procedure.

↓

Operate

Use the procedure during actual operations.

↓

Evidence

Retain appropriate records.

↓

Test

Test critical procedures where appropriate.

↓

Review

Update procedures when technology, people, risks or processes change.


Policy vs. Procedure vs. Evidence

This distinction is particularly important for A.5.37.

TypeExample
PolicyAccess must be controlled according to business need.
StandardPrivileged accounts must use MFA.
ProcedureSteps for requesting, approving, provisioning and removing access.
Work InstructionDetailed technical instructions for performing a specific task.
EvidenceAccess request, approval and provisioning record.

Simple rule

Policy = What and why

Standard = Required security level

Procedure = How

Evidence = Proof that it happened


A.5.37 and Knowledge Transfer

One of the most valuable benefits of A.5.37 for startups is reducing key-person dependency.

Suppose:

“Only the CTO knows how to recover production.”

That is a business continuity risk.

Instead:

Document

→ Train

→ Cross-train

→ Test

→ Improve

The goal is not to eliminate expert knowledge.

The goal is to ensure that critical operations can continue even when a particular person is unavailable.


Relationship with Other ISO 27001 Controls

A.5.37 supports many other controls.

ControlRelationship
A.5.1Information security policies provide the requirements that procedures operationalize
A.5.15Access control procedures explain how access is managed
A.5.18Access-right procedures support provisioning and review
A.5.24Incident management preparation requires documented processes
A.5.26Incident response procedures define operational actions
A.5.28Evidence collection procedures support incident investigations
A.5.29Disruption procedures support secure operations during disruption
A.5.30ICT continuity procedures support recovery
A.5.36Compliance reviews can verify that procedures are being followed
A.8.8Vulnerability management procedures support remediation
A.8.13Backup procedures support information backup
A.8.15Logging procedures support operational monitoring
A.8.32Change-management procedures support controlled changes

Useful Documents for A.5.37

Organizations may create:

  • [Insert Draft Document Link] — Documented Operating Procedures Policy
  • [Insert Draft Document Link] — Operating Procedure Template
  • [Insert Draft Document Link] — IT Operations Procedure
  • [Insert Draft Document Link] — Access Management Procedure
  • [Insert Draft Document Link] — Joiner, Mover and Leaver Procedure
  • [Insert Draft Document Link] — Backup and Restore Procedure
  • [Insert Draft Document Link] — Incident Response Procedure
  • [Insert Draft Document Link] — Vulnerability Management Procedure
  • [Insert Draft Document Link] — Change Management Procedure
  • [Insert Draft Document Link] — Production Deployment Procedure
  • [Insert Draft Document Link] — Disaster Recovery Procedure
  • [Insert Draft Document Link] — Operating Procedure Register
  • [Insert Draft Document Link] — Procedure Review Checklist

A.5.37 Audit Readiness Checklist

Before an ISO 27001 audit, ask:

  • Have we identified critical information-security-related operational activities?
  • Are important operating procedures documented?
  • Does each procedure have an owner?
  • Are procedures approved where appropriate?
  • Are procedures version controlled?
  • Are procedures available to relevant personnel?
  • Do procedures reflect actual working practices?
  • Do procedures define security requirements?
  • Do procedures identify required evidence?
  • Are critical procedures tested where appropriate?
  • Are employees trained or made aware where necessary?
  • Are procedures reviewed periodically?
  • Are procedures updated after significant changes?
  • Are outdated versions controlled?
  • Can the organization demonstrate that procedures are actually being followed?

Questions a Startup Should Ask

Before finalizing an operating procedure, ask:

Can another qualified employee follow this document without having to ask the original author what to do?

Does the procedure reflect what we actually do?

Does it clearly identify security requirements?

Does it explain what happens when something goes wrong?

Does it identify the evidence that should be retained?

Has the procedure been tested where appropriate?

If the answer is yes, the procedure is much more likely to be useful both operationally and during an ISO 27001 audit.


Startup-Focused Final Takeaway

ISO 27001 Annex A 5.37 is about making important operations repeatable, understandable and controlled.

A startup should not create documentation simply because an auditor might ask for it.

The real objective is to make sure that critical activities can be performed:

  • Consistently
  • Securely
  • Correctly
  • By more than one person where appropriate
  • With appropriate evidence
  • Even when key employees are unavailable

A practical approach is:

Identify critical activities

↓

Document how they should be performed

↓

Assign ownership

↓

Make procedures available

↓

Use them in daily operations

↓

Generate evidence

↓

Test critical procedures

↓

Review and update

The key question for A.5.37 is:

“If the person who normally performs this important security activity is unavailable tomorrow, do we have a documented and reliable way for another qualified person to perform it securely?”

If the answer is yes, the organization is moving beyond informal knowledge and toward a more mature, repeatable and auditable ISMS.

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