AI Security Wiki GitHub

Home / GCC AI Compliance / T02 AI Impact Assessment

T02 AI Impact Assessment

Verification required. This is a working template, not a regulator-approved form. Where it names a regional instrument, the claim comes from secondary sources and is a pointer to check, not a confirmed legal requirement. This is not legal advice.

How to use: This is a blank form. Copy it and fill in the empty cells and blanks for your system. To copy it, follow the "Suggest an edit to this page" link in the footer to reach its Markdown source.

A DPIA-style assessment extended for AI. Several GCC data protection regimes are reported to require an impact assessment for risky processing; confirm the trigger and format for your jurisdiction [Reported]. Wiki controls: AI-CTRL-013, AI-CTRL-037, AI-CTRL-039, AI-CTRL-041.

1. Summary

Field Entry
Use-case ID (T01)
Assessor
Date
Jurisdictions
Assessment trigger New / change / periodic

2. Description of processing

  • Purpose and legitimate aim:
  • Data categories and subjects:
  • Data flow (attach diagram) with countries:
  • Recipients, vendors, sub-processors:
  • Retention and deletion:
  • Model: type, vendor, version, training data origin:

3. Lawful basis and necessity

Question Answer Evidence
Lawful basis identified for each purpose?
Is consent used? If so, is it specific, informed and withdrawable?
Is each data element necessary?
Could the aim be met with less or anonymised data?
Is data reused for training? Basis?

4. Data subject rights

Right How supported Gap
Information / notice (Arabic and English, T06)
Access
Correction
Deletion
Objection
Review of automated decision by a human

5. Transfers and residency

Attach T04. State mechanism for each cross-border flow and legal view.

6. Risk register for individuals

# Risk to individuals Likelihood (1-4) Impact (1-4) Score Mitigation Residual
1 Unfair outcome for a group T10 test, threshold
2 Wrong output relied on Human review, confidence display
3 Unauthorised disclosure via prompts or outputs Redaction, access control
4 Re-identification
5 Lack of explanation Explanation record
6 Harmful or culturally inappropriate content Safety tests in Arabic and English
7 Loss of availability Fallback process

7. Fairness and explainability

  • Affected groups considered:
  • Bias test reference (T10):
  • Explanation method and where the person sees it:

8. Oversight and safeguards

  • Human oversight points:
  • Who can stop the system and how (kill switch, AI-CTRL-025):
  • Monitoring and drift checks:
  • Incident route (T05):

9. Consultation

Views of DPO, security, legal, affected business unit, and (if appropriate) representatives of affected people. Regulator consultation required? Record decision (T11).

10. Decision

Outcome Approve / Approve with conditions / Reject
Conditions
Approver and date
Next review