Title Page
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Prepared by
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Conducted on
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Company Name
Steps 1-4 of DPIA
Submitting controller details
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Name of controller
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Subject/title of DPO
Step 1: Identify the need for a DPIA
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Explain broadly what project aims to achieve and what type of processing it involves.
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Summarise why you identified the need for a DPIA.
Step 2: Describe the processing
Describe the nature of the processing:
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How will you collect, use, store and delete data?
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What is the source of the data?
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Will you be sharing data with anyone?
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What types of processing (identified as likely high risk) are involved?
Describe the scope of processing:
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What is the nature of the data, and does it include special category data?
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How much data will you be collecting and using?
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How often?
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How long will you keep it?
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How many individuals are affected?
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What geographical area does it cover?
Describe the context of the processing:
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What is the nature of your relationship with the individuals?
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How much control will they have?
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Would they expect you to use their data in this way?
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Are there prior concerns over this type of processing or security flaws?
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What is the current state of technology in this area?
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Are there any current issues of public concern that you should factor in?
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Are you signed up to any approved code of conduct or certification scheme (once any have been approved)?
Describe the purposes of the processing:
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What do you want to achieve? What is the intended effect on individuals?
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What are the benefits of the processing – for you, and more broadly?
Step 3: Consultation process
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Describe when and how you will seek individuals’ views – or justify why it’s not appropriate to do so.
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Who else do you need to involve within your organisation?
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Do you need to ask your processors to assist?
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Do you plan to consult information security experts, or any other experts?
Step 4: Assess necessity and proportionality
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What is your lawful basis for processing?
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Does the processing actually achieve your purpose?
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Is there another way to achieve the same outcome?
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How will you prevent function creep?
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How will you ensure data quality and data minimisation?
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What information will you give individuals?
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How will you help to support their rights?
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What measures do you take to ensure processors comply?
Steps 5-6 of DPIA
Step 5: Identify and assess risks
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Risk
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Describe source of risk and nature of potential impact on individuals. Include associated compliance and corporate risks as necessary.
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Likelihood of harm
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Severity of harm
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Overall risk
Step 6: Identify measures to reduce risk
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Identify additional measures you could take to reduce or eliminate risks identified as medium or high risk in step 5
Measure to Reduce Risk
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Risk
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Options to reduce or eliminate risk
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Effect on risk
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Residual risk
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Measure approved
Step 7 of DPIA
Step 7: Sign off and record outcomes
Measures approved by:
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Name and Signature
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Position
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Integrate actions back into project plan, with date and responsibility for completion.
Residual risks approved by:
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Name and Signature
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Position
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If accepting any residual high risk, consult the ICO before going ahead.
DPO advice provided:
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Name and Signature
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Position
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DPO should advise on compliance, step 6 measures and whether processing can proceed.
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Summary of DPO advice
DPO advice accepted or overruled by:
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Name and Signature
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Position
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If overruled, you must explain your reasons.
Consultation responses reviewed by:
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Name and Signature
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Position
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If your decision departs from individuals’ views, you must explain your reasons.
This DPIA will be kept under review by:
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Name and Signature
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Position
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The DPO should also review ongoing compliance with DPIA.