Initial Impact Assessment Template (Page 2 of 3) in pdf

Initial Impact Assessment Template Page 2

Complete the table below, assessing the impact of your policy on people with

protected characteristics, including employees and customers. You should also

consider the elements of the above general duty.

Protected

Positive impact

Negative impact

Reasons/evidence

Characteristic

Yes

High *

Low #

Age

Disability

Gender (Sex)

Gender

reassignment

Marriage/civil

partnership

Pregnancy/maternity

Race

Religion/belief

Sexual Orientation

Deprivation (inc

rural/urban)

High – there is significant evidence of adverse impact or potential for adverse

impact. The policy etc has consequences for or affects significant numbers of

people and/or has the potential to make a significant contribution to advancing

equality.

Low – there is anecdotal or little evidence to suggest adverse impact. The

policy etc operates mainly within a small unit and affects few people.

Am I required to carry out an Community Impact Assessment?

If you have ticked negative impact as High, then a Community Impact Assessment

will need to be completed, available on the intranet.

If a Community Impact is not required, you are required to monitor and review the

proposed changes after implementation to check they work as planned and to

screen for unexpected equality impacts. Please provide details of how you will

Version 1.3

01/02/2011

Initial Impact Assessment Template Page 2