Title Page

  • Prepared by

  • Conducted on

  • Company Name

Steps 1-4 of DPIA

Submitting controller details

  • Name of controller

  • Subject/title of DPO

Step 1: Identify the need for a DPIA

  • Explain broadly what project aims to achieve and what type of processing it involves.

  • Summarise why you identified the need for a DPIA.

Step 2: Describe the processing

Describe the nature of the processing:

  • How will you collect, use, store and delete data?

  • What is the source of the data?

  • Will you be sharing data with anyone?

  • What types of processing (identified as likely high risk) are involved?

Describe the scope of processing:

  • What is the nature of the data, and does it include special category data?

  • How much data will you be collecting and using?

  • How often?

  • How long will you keep it?

  • How many individuals are affected?

  • What geographical area does it cover?

Describe the context of the processing:

  • What is the nature of your relationship with the individuals?

  • How much control will they have?

  • Would they expect you to use their data in this way?

  • Are there prior concerns over this type of processing or security flaws?

  • What is the current state of technology in this area?

  • Are there any current issues of public concern that you should factor in?

  • Are you signed up to any approved code of conduct or certification scheme (once any have been approved)?

Describe the purposes of the processing:

  • What do you want to achieve? What is the intended effect on individuals?

  • What are the benefits of the processing – for you, and more broadly?

Step 3: Consultation process

  • Describe when and how you will seek individuals’ views – or justify why it’s not appropriate to do so.

  • Who else do you need to involve within your organisation?

  • Do you need to ask your processors to assist?

  • Do you plan to consult information security experts, or any other experts?

Step 4: Assess necessity and proportionality

  • What is your lawful basis for processing?

  • Does the processing actually achieve your purpose?

  • Is there another way to achieve the same outcome?

  • How will you prevent function creep?

  • How will you ensure data quality and data minimisation?

  • What information will you give individuals?

  • How will you help to support their rights?

  • What measures do you take to ensure processors comply?

Steps 5-6 of DPIA

Step 5: Identify and assess risks

    Risk
  • Describe source of risk and nature of potential impact on individuals. Include associated compliance and corporate risks as necessary.

  • Likelihood of harm

  • Severity of harm

  • Overall risk

Step 6: Identify measures to reduce risk

  • Identify additional measures you could take to reduce or eliminate risks identified as medium or high risk in step 5

  • Measure to Reduce Risk
  • Risk

  • Options to reduce or eliminate risk

  • Effect on risk

  • Residual risk

  • Measure approved

Step 7 of DPIA

Step 7: Sign off and record outcomes

Measures approved by:

  • Name and Signature

  • Position

  • Integrate actions back into project plan, with date and responsibility for completion.

Residual risks approved by:

  • Name and Signature

  • Position

  • If accepting any residual high risk, consult the ICO before going ahead.

DPO advice provided:

  • Name and Signature

  • Position

  • DPO should advise on compliance, step 6 measures and whether processing can proceed.

  • Summary of DPO advice

DPO advice accepted or overruled by:

  • Name and Signature

  • Position

  • If overruled, you must explain your reasons.

Consultation responses reviewed by:

  • Name and Signature

  • Position

  • If your decision departs from individuals’ views, you must explain your reasons.

This DPIA will be kept under review by:

  • Name and Signature

  • Position

  • The DPO should also review ongoing compliance with DPIA.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.