Dpia Template v1

Sample DPIA template
This template is an example of how you can record your DPIA process and
outcome. It follows the process set out in our DPIA guidance, and should be read
alongside that guidance and the Criteria for an acceptable DPIA set out in European
guidelines on DPIAs.
You should start to fill out the template at the start of any major project involving
the use of personal data, or if you are making a significant change to an existing
process. The final outcomes should be integrated back into your project plan.
Step 1: Identify the need for a DPIA

Explain broadly what project aims to achieve and what type of processing it
involves. You may find it helpful to refer or link to other documents, such as a
project proposal. Summarise why you identified the need for a DPIA.
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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?
You might find it useful to refer to a flow diagram or other way of describing data
flows. What types of processing identified as likely high risk are involved?
Describe the scope of the processing: what is the nature of the data, and does
it include special category or criminal offence 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?
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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? Do they include children or other vulnerable groups? Are
there prior concerns over this type of processing or security flaws? Is it novel in any
way? 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?
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Step 3: Consultation process
Consider how to consult with relevant stakeholders: 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

Describe compliance and proportionality measures, in particular: 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? How do you safeguard
any international transfers?
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Step 5: Identify and assess risks
Describe source of risk and nature of Likelihood Severity Overall
potential impact on individuals. Include of harm of harm risk
associated compliance and corporate risks as
necessary.
Remote, Minimal, Low,

possible or significant medium
probable or severe or high
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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
Risk Options to reduce or Effect on Residual Measure

eliminate risk risk risk approved
Eliminated Low Yes/no

reduced medium
accepted high
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Step 7: Sign off and record outcomes
Item Name/date Notes
Measures approved by: Integrate actions back into

project plan, with date and
responsibility for completion
Residual risks If accepting any residual high

approved by: risk, consult the ICO before going
ahead
DPO advice provided: DPO should advise on

compliance, step 6 measures and
whether processing can proceed
Summary of DPO advice:
DPO advice accepted If overruled, you must explain

or overruled by: your reasons
Comments:
Consultation responses If your decision departs from

reviewed by: individuals’ views, you must
explain your reasons
Comments:
This DPIA will kept The DPO should also review

under review by: ongoing compliance with DPIA
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Sample DPIA template

Step 1: Identify the need for a DPIA

Step 4: Assess necessity and proportionality

Remote, Minimal, Low,

Risk Options to reduce or Effect on Residual Measure

Eliminated Low Yes/no

Measures approved by: Integrate actions back into

Residual risks If accepting any residual high

DPO advice provided: DPO should advise on

Summary of DPO advice:

DPO advice accepted If overruled, you must explain

Consultation responses If your decision departs from

This DPIA will kept The DPO should also review

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