AI Security & Governance Services | Classified Intelligence

1. Project Overview

Project Name *

Assessment Date *

Assessment Lead *

DPO/Privacy Lead Review

Describe the AI system's purpose and functionality:

Types of AI/ML being used:

Training data sources:

Deployment environment:

Systematic and extensive automated decision-making with significant effects

Large-scale processing of special category data

Systematic monitoring of publicly accessible areas

Use of novel technologies or innovative applications of AI

Processing that could prevent data subjects from exercising their rights

Training data bias assessment completed

Data quality measures implemented

Data minimization principles applied

Clear procedures for data refresh/model retraining

Process for identifying and handling outliers

Risk	Likelihood (1-3)	Impact (1-3)	Controls	Residual Risk	Actions
Discriminatory outcomes
Incorrect automated decisions
Privacy invasion
Loss of individual autonomy
Data inaccuracy propagation

Assessment Completed By

DPO/Privacy Lead Review

Technical Lead Review

Date Approved

Next Review Date