Brief Privacy Analysis Template - PDF Version
Brief Privacy Analysis Template - PDF Version
Page 1 of 8
[Project name]
Brief Privacy Analysis
<Day> <Month> <Year>
a) Describe your existing systems and the main changes that are proposed
b) Describe the purpose of the change, including any projected benefits to your
organisation or to the individuals affected
c) Identify the main stakeholders or entities involved, and their role in the project.
Page 2 of 8
2. Privacy assessment
2.1 Areas that are risky for privacy
Some types of projects are commonly known to create privacy risks. If the project
involves one or more of these risk areas, it’s likely that a PIA will be valuable.
Use this checklist to identify and record whether your proposal raises certain privacy
risks. Delete any that do not apply.
Collection
Page 3 of 8
Does the project involve Yes No If yes, explain your response
any of the following? (tick) (tick)
Use or disclosure
Identifying individuals
Page 4 of 8
Does the project involve Yes No If yes, explain your response
any of the following? (tick) (tick)
Page 5 of 8
2.2 Initial risk assessment
If you answered “Yes” to any of the questions above, use the table below to give a rating –
either Low (L), Medium (M), or High (H) – for each of the aspects of the project set out in
the first column.
For risks that you’ve identified as Medium or High, indicate (in the right-hand column) how
the project plans to lessen the risk (if this is known).
If you answered “No” to all the questions in 2.1 above, move on to section 3 below.
Page 6 of 8
Interaction with others
Public impact
The privacy impact for this project has been assessed as: Tick
Medium – Some personal information is involved, but any risks can be mitigated
satisfactorily
High – Sensitive personal information is involved, and several medium to high risks
have been identified
Briefly summarise your reasons for the rating you gave above.
Page 7 of 8
4. Recommendation
Do a full privacy impact assessment
Describe:
• the likely timing of the PIA
• the level of complexity that will be needed
• who will be responsible for doing the PIA
or
5. Sign off
_______________________________ _________________________________
Name Position (Project Manager)
_______________________________ _____/_____/_____
Signature Date
_______________________________ _________________________________
Name Position (Manager)
_______________________________ _____/_____/_____
Signature Date
Page 8 of 8