Data Breach Reporting Form

Data Breach Reporting Form

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Seascale Parish Council

Data Security Breach Reporting Form

A data security breach can happen for a number of reasons: Loss or theft of data or equipment on which data is stored, inappropriate access controls allowing unauthorised use, equipment failure, human error, unforeseen circumstances such as a fire or flood, hacking attack, ‘blagging’ offences where information is obtained by deceiving the organisation who holds it. Use this form to report such breaches.

The provider shall notify the personal data breach to the competent national authority no later than 24 hours after the detection of the personal data breach, where feasible. Detection of a personal data breach shall be deemed to have taken place when the provider has acquired sufficient awareness that a security incident has occurred that led to personal data being compromised, in order to make a meaningful notification as required under this Regulation.

Date and time of Notification of Breach
Notification of Breach to whom
Name
Contact Details
Details of Breach
Nature and content of Data Involved
Number of individuals affected:
Name of person investigating breach
Name
Job Title
Contact details
Email
Phone number
Address
Information Commissioner informed
Time and method of contact
https://report.ico.org.uk/security-breach/
Police Informed if relevant
and method of contact
Name of person contacted
Contact details
Individuals contacted
How many individuals contacted?
Method of contact used to contact?
Time
Does the breach affect individuals in other EU member states?
What are the potential consequences and adverse effects on those individuals?
Confirm that details of the nature of the risk to the individuals affected: any measures they can take to safeguard against it; and the likely cost to them of taking those measures is relayed to the individuals involved.
Staff briefed
Assessment of ongoing risk
Containment Actions: technical and organisational security measures have you applied (or were to be applied) to the affected personal data
Recovery Plan
Evaluation and response

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