Create PCI Audit checklist form that can be used as a checklist to verify that a business is or is not PCI compliant. The form should contain the following items:

Item

1. A listing of all (12) PCI compliance audit points
2. A brief ((1) sentence/phrase please) explanation of all (12) PCI compliance audit points
3. A way of indicating whether an item has low, medium or high criticality in terms of its PCI compliance importance
4. A location for marking whether an item is PCI compliant or not
5. A location to leave a brief explanation of why a particular item is deficient
6. A place to leave the date of the audit, name of organization being audited, name and signature of the auditor