How do we…
How do we make sure we can notify a regulator before an incident happens?
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The short answer
- Recommendation
- Prepare before any incident: keep an approved applicability profile, name a signatory and a deputy for every channel and test their sign-in, give the decider and approvers reachable deputies, and keep the fact base and log reachable in an outage. Run the readiness check at least every 6 months, the pack's default, and at once on a change.
- Reasoning
- A report can fall due at night or at a weekend, and nothing can be set up then. Reports fail for reasons fixed in advance: nobody can sign in to the portal, the approver has no deputy, or the facts sit on a system the incident has taken down. The pack's checklist has eighteen checks, six of them blocking. Any blocking check that is Not ready means a report may not be made on time, whatever else is in place.
- Considerations
- Test access by signing in to the portal, not by confirming that an account exists, at least every 12 months in the pack's default. In the pack's example, a deputy with no account made the whole result Not ready.
- Supplier contracts should require notice of their incidents early enough for your own reports: within 24 hours in the pack's default clause.
- A financial entity may outsource its DORA reporting, and stays fully responsible for every report and its timing.
- A small team keeps every blocking check. One person may own several checks, but every channel still needs a deputy with tested access.
The decision, step by step
Select any step for the reasoning behind it and where the pack covers it.
- Start
- Step
- Decision
- Outcome
Keyboard: Tab to a step, arrow keys move along the flow, Enter pins its explanation, + and − zoom, 0 fits the diagram, Esc closes. The text version below has the same content.
Where a step quotes a number, it is the default in the CISO Times pack. Your own standard may set a different one.
Read as text
The same flow written out: each step, its reasoning and where the pack covers it. 20 steps.
Start
No incident yet: could we report on time tonight?
Reporting clocks run through nights, weekends and public holidays, and the first deadline can be hours away. A report fails at that point for reasons fixed in advance: nobody can sign in to the portal, the approver has no deputy, or the facts sit on a system the incident has taken down. The readiness checklist names eighteen checks, six of them blocking.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureWorking out of hours
- P18-A08 Notification Readiness ChecklistInstructions
- P18-A01 P18-A01
Step
Approve the applicability profile
The profile records, before any incident, whether NIS2, DORA and the GDPR can apply, in which role, which authority receives each report and through which channel, and any shorter clock or extra report national law sets. In the pack it is approved by executive management, reviewed at least once a year and whenever your status, services or authorities change. This check is blocking.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureInputs (rule RN-01)
- P18-A08 Notification Readiness ChecklistChecklist (rules RC-01, RC-02, RC-03)
Step
Name a signatory and a deputy for every channel
A signatory is a person named in writing in advance, with the authority to submit reports in the organisation's name. Every channel needs a primary and a deputy. A small team still needs a deputy per channel: one person may own several checks, but not be the only way in. This check is blocking.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureSignatories and deputies (rule RN-08)
- P18-A08 Notification Readiness ChecklistSignatories
- P18-A08 Notification Readiness ChecklistChecklist (rule RC-07)
Step
Test every signatory's sign-in, at least every 12 months
Test access by signing in to the portal, not by confirming that an account exists, and record the date. The pack's default is at least every 12 months, ideally at an awkward hour. Sign-in must not depend on one person's device. In the pack's example the deputy for the NIS2 portal had no account, which made the whole result Not ready. This check is blocking.
In the pack
- P18-A08 Notification Readiness ChecklistSignatories
- P18-A08 Notification Readiness ChecklistChecklist (rule RC-08)
- P18-A04 Regulatory Notification Operating ProcedureWorking out of hours (rule RN-17)
Step
Give the decider and every approver a reachable deputy
The executive incident lead decides whether to report, and the approver your incident response plan names for each template approves the report. Each needs a named deputy reachable out of hours (blocking). Agree Legal's out-of-hours contact and the review time limit too; external counsel on a retainer can cover nights and weekends.
In the pack
- P18-A08 Notification Readiness ChecklistChecklist (rules RC-09, RC-10)
- P18-A04 Regulatory Notification Operating ProcedureWho decides (rule RN-06)
- P18-A04 Regulatory Notification Operating ProcedureLegal review: the time-box
Step
Prefill the report and notice templates
Keep the NIS2 and personal data breach templates current, with the entity's details already filled in, so the drafter writes only the incident's facts. Have the templates for notices to customers and individuals approved in advance, as the incident response plan names.
In the pack
- P18-A08 Notification Readiness ChecklistChecklist (rules RC-11, RC-13)
Step
Make the fact base and log reachable in an outage
Every report is drafted from one fact base and recorded in one log. Set both up in advance somewhere you can reach when the main systems are down, for example an out-of-band incident site, and prove it by opening them from a spare device. This check is blocking.
In the pack
- P18-A08 Notification Readiness ChecklistChecklist (rule RC-12)
- P18-A04 Regulatory Notification Operating ProcedureWhy one fact base (rule RN-11)
Step
Put the notification clause in supplier contracts
A supplier that holds your data or runs your services must tell you of its incidents early enough for your own reports: within 24 hours in the pack's default clause. You screen its notice as your own incident, so a slow notice delays every report you owe. Check the clause is in each such contract.
In the pack
- P18-A08 Notification Readiness ChecklistChecklist (rule RC-14)
- P06-A07 Supplier Contract Security Clause LibraryCL-07 Security incident notification
- P18-A04 Regulatory Notification Operating ProcedureWhen a supplier tells us of an incident
Decision
Do we process personal data for another controller?
Where you act as a processor, you notify the controller, not the authority, within 24 hours of awareness in the pack's default, or sooner where the contract says so. If you are not sure whether any contract makes you a processor, treat it as yes until the profile says otherwise.
- Yes, or not known: Record each controller's breach contact and notice period
- No: Does a third party submit DORA reports for us?
In the pack
- P18-A04 Regulatory Notification Operating ProcedureWhen we are the processor (rule RN-15)
- P18-A08 Notification Readiness ChecklistChecklist (rule RC-15)
Step
Record each controller's breach contact and notice period
For each controller, record the breach contact its contract names and the notice period it sets. The Data Protection Officer notifies the controller; the controller decides whether to notify its authority and the people affected.
In the pack
- P18-A08 Notification Readiness ChecklistChecklist (rule RC-15)
- P18-A04 Regulatory Notification Operating ProcedureWhen we are the processor
Decision
Does a third party submit DORA reports for us?
A financial entity may outsource its DORA reporting, and stays fully responsible for every report and its timing. If DORA cannot apply to you, the answer is no and the check is Not applicable, with the reason from the profile.
- Yes: Confirm the reporting contract and the third party's access
- No, or DORA does not apply: Rehearse a reporting decision and a report in an exercise
In the pack
- P18-A04 Regulatory Notification Operating ProcedureOutsourced DORA reporting (rule RN-16)
Step
Confirm the reporting contract and the third party's access
The contract names the third party as reporter, sets the times it must meet and gives it your fact base and log as its only sources. Tell the authority of the arrangement before the first notification. The decision to report and the approval stay with your own people; the third party submits and logs.
In the pack
- P18-A04 Regulatory Notification Operating ProcedureOutsourced DORA reporting (rule RN-16)
- P18-A08 Notification Readiness ChecklistChecklist (rule RC-16)
Step
Rehearse a reporting decision and a report in an exercise
Within the last 12 months, an exercise should have made people take a reportability decision and produce a report, for example a NIS2 early warning inject in a tabletop. In the pack's example, a tabletop that never rehearsed a report left this check Partly ready. Check too that the log holds every decision and report since the last check.
In the pack
- P18-A08 Notification Readiness ChecklistChecklist (rules RC-17, RC-18)
- P18-A08 Notification Readiness ChecklistGap Actions
Step
Rate each check on its evidence
For each check, look at the evidence and choose Ready, Partly ready, Not ready or Not applicable. Not ready includes a check with no evidence. The Head of Information Security gathers the answers and signs off the result, and the executive incident lead accepts it.
In the pack
- P18-A08 Notification Readiness ChecklistInstructions
- P18-A08 Notification Readiness ChecklistResult
Decision
Is any blocking check Not ready?
Six checks are blocking: the approved profile, the authorities and channels, named signatories with deputies, tested access, deputies for the decider and approvers, and a fact base and log reachable in an outage. Without any one of them a report cannot be made on time, whatever else is in place. A check with no evidence counts as Not ready.
- Yes, or no evidence: Not ready: fix the blocking check first, then re-check
- No: Is any check short of Ready?
In the pack
- P18-A08 Notification Readiness ChecklistInstructions
- P18-A08 Notification Readiness ChecklistChecklist
Decision
Is any check short of Ready?
Partly ready means some of it is met, or met for some authorities or channels but not all. A blocking check that is only Partly ready gives Ready with gaps, and it is the next thing to fix.
- Yes, or not checked: Ready with gaps: one action, owner and date per gap
- No: Ready: check again within 6 months, or at once on a change
In the pack
- P18-A08 Notification Readiness ChecklistInstructions
- P18-A08 Notification Readiness ChecklistResult
Outcome
Not ready: fix the blocking check first, then re-check
Give the blocking gap one owner and a due date in your own action list, ahead of everything else, and re-check as soon as it is fixed. Until then, a report due tonight could be missed.
In the pack
- P18-A08 Notification Readiness ChecklistInstructions
- P18-A08 Notification Readiness ChecklistGap Actions
Outcome
Ready with gaps: one action, owner and date per gap
Every check that is Partly ready or Not ready gets an action with one owner and a due date, blocking checks first. Report the readiness measure to executive management with the other headline measures every quarter. Run the full check again within 6 months in the pack's default, and at once when an authority, channel, signatory or the profile changes.
In the pack
- P18-A08 Notification Readiness ChecklistGap Actions
- P18-A08 Notification Readiness ChecklistResult
- P18-A04 Regulatory Notification Operating ProcedureMeasures
Outcome
Ready: check again within 6 months, or at once on a change
Every check is Ready or Not applicable. Keep the signed-off result with the profile and the log. Readiness decays as people leave and portals change, so run the full check again within 6 months in the pack's default, and at once when an authority, channel, signatory or the profile changes.
In the pack
- P18-A08 Notification Readiness ChecklistResult
- P18-A04 Regulatory Notification Operating ProcedureSignatories and deputies (rule RN-17)
Practical checklist
- Approve the applicability profile, and review it at least once a year and on any change.
- Record each authority's channel, address, telephone number and out-of-hours contact, and ring the number.
- Name a signatory and a deputy for every channel, and test each sign-in at least every 12 months.
- Name reachable out-of-hours deputies for the decider and every report approver, and agree Legal's review time limit.
- Prefill the report templates, and keep the fact base and log reachable during an outage.
- Check supplier notification clauses, any processor obligations and any outsourced DORA reporting.
- Rehearse a reporting decision and a report in an exercise at least every 12 months.
- Rate each check on its evidence, and fix any blocking check that is Not ready first.
Evidence to have ready
- The approved applicability profile and the date of its last review.
- The signatories list, with each deputy and the date each sign-in was tested.
- The authorities list, with each channel and the date each out-of-hours contact was checked.
- The completed readiness checklist and its result, with the evidence for each check.
- One gap action per check short of Ready, with an owner and a due date.
- The exercise record showing a reporting decision and a report rehearsed.
Assumptions
- At least one of NIS2, DORA or the GDPR can apply to you. The authority, its portal, forms and out-of-hours contact come from your national law and the authority itself, confirmed with counsel.
- You have an incident response plan that names an executive incident lead, an incident manager and a Data Protection Officer or privacy lead, and names who approves each report template.
- The intervals shown are the pack's defaults. Your own procedure may set shorter ones, and national law may add a shorter clock or an extra report, which belongs in the profile.
Not covered here
- Who approves and submits each report once an incident is running. That is “Who approves and submits a regulatory notification, including out of hours?”.
- Whether a given incident must be reported, and under which regime. That is “When do we have to notify a regulator, and under which regime?”.
- How to run an exercise that tests decisions instead of a script. That is “How do we run a tabletop that tests decisions rather than rehearsing a script?”.
- Whether you are in scope of NIS2 at all, and as essential or important. That is “Is our organisation in scope of NIS2, and as essential or important?”.
Related questions
- Who approves and submits a regulatory notification, including out of hours?
- When do we have to notify a regulator, and under which regime?
- How do we run a tabletop that tests decisions rather than rehearsing a script?
- Is our organisation in scope of NIS2, and as essential or important?
- If a supplier tells us they've had a breach, then how do we respond?