Template
Impact assessment — public-safe template
Copy/paste skeleton for regulated partners. Every claim should point to a receipt (DSSE, packet, reason codes) that a reviewer can replay offline.
Minimum sections (one page)
A public-safe impact assessment is short, consistent, and defensible. Keep this version non-sensitive.
- System + scope: what it does, where it runs, and what it is allowed to affect.
- Affected stakeholders: who can be impacted (patients, customers, employees, public).
- Top 5 impact scenarios: harms + severity + likelihood (public-safe).
- Controls: which gate prevents each harm (Verify / Permit / Gate) + reason codes.
- Evidence pointers: URLs to receipts (DSSE, packet, transparency, policies).
How it ties to gates
Impact assessment is not a document for its own sake — it must change outcomes.
- Missing assessment → HOLD (fail‑closed).
- Assessment present but inconsistent → FAIL.
- Assessment + evidence valid → PASS (GO).
Machine-readable template (public-safe)
CopyThis is a starting point. Keep sensitive details in a private addendum; keep this version safe to publish.
{
"schema": "mvg.impact_assessment@1",
"issued_utc": "YYYY-MM-DDThh:mm:ssZ",
"system": {
"name": "…",
"version": "…",
"intended_use": "…",
"deployment_context": "…",
"allowed_actions": ["…"],
"disallowed_actions": ["…"]
},
"affected_stakeholders": ["patients", "customers", "employees", "public"],
"top_impact_scenarios": [
{
"id": "IA-1",
"scenario": "…",
"harm": "…",
"severity": "low|medium|high",
"likelihood": "low|medium|high",
"gate": "verify|permit|gate",
"reason_codes": ["…"],
"mitigations": ["…"],
"evidence": ["https://meridianverity.com/.well-known/mvg-procurement-ticket-pack.dsse.json"]
}
],
"evidence_pointers": {
"ticket_pack_dsse": "https://meridianverity.com/.well-known/mvg-procurement-ticket-pack.dsse.json",
"security_review_packet": "https://meridianverity.com/trust/security-review/",
"transparency_log": "https://meridianverity.com/trust/transparency/",
"governance_receipt": "https://meridianverity.com/.well-known/mvg-governance.json"
},
"signoff": {
"roles_only": true,
"owner_role": "Safety owner",
"stop_authority_role": "Release stop authority",
"date_utc": "YYYY-MM-DD"
}
}
Tip: publish a public-safe assessment and keep a private addendum for NDA-bound details. The public-safe version proves the method exists and is replayable.