UK-T1 Automated Decision-Making Safeguards Record
Verification required. This is a working template, not a regulator-approved form. Where it names an instrument or a date, the claim comes from secondary sources or from memory of the law and is a pointer to check. 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.
Wiki controls: AI-CTRL-013, AI-CTRL-023, AI-CTRL-041. The article numbers 22A to 22D are as [Reported]; confirm them in the commenced text.
| Field | Entry |
|---|---|
| System ID | |
| Decision made | |
| Legal or similarly significant effect? | |
| Solely automated? Reasoning | |
| Special category data involved? Condition | |
| Lawful basis |
Safeguards
| Safeguard | How provided | Evidence |
|---|---|---|
| Meaningful information about the logic and the outcome | ||
| Route to obtain human review | ||
| Route to contest the decision | ||
| Human involvement is meaningful (authority, competence, time, information) | ||
| Fairness and discrimination testing (Equality Act) | ||
| DPIA completed before go-live |
Monitoring
Override rate, contest volume, outcome disparity and complaint themes. Review them every quarter.
Sign-off
Owner: __ DPO: _ Date: ___