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The CISO Decision Brief

Phishing Simulation Ethics & Approval Checklist

Confirms simulations avoid harmful lures, have HR and works-council clearance where required, and protect individual results.

Available soon

Format
Excel
Size
73 KB
Length
12 sheets
Version
1.0
Updated

What's inside

What changed

  1. 1.0

    Published.

Changes across this pack

Preview

The workbook's sheets as you will receive them, with its example rows and the values its formulas calculate. Highlighted [[text]] is for you to replace; rows marked EXAMPLE are for you to delete. Wide sheets scroll sideways. The cover, document control and changelog sheets are in the file.

Instructions

How to use this workbook

StepWhat to do
1Before the first campaign, take the programme through the Programme Approval sheet with Head of Information Security, HR, Data Protection Officer, Legal (AW-09). For each item, look at the evidence, record where it is, the signer's name, the date and the result: Pass, Fail, or N/A with a reason.
2Ask Legal whether national law or a collective agreement requires the works council or staff representatives to be informed, consulted or to agree (ET-03). Where it does, do that first, and record it as ET-04 before the others sign. Where it does not, ET-04 is N/A with Legal's reason.
3Agree the lawful basis with the Data Protection Officer (ET-05). Where it is legitimate interests, record the assessment. A public authority cannot use legitimate interests for its tasks: use the basis its law gives it.
4Set the platform to keep only the simulation record (ET-06), to reduce named results to group figures after 12 months (ET-07) and to show managers groups of at least 10 people only (ET-09). Check each line of 'Who sees what' on the Safeguards sheet in the platform, and record it.
5Tell staff before the first campaign what is recorded, who sees it and how support works, without saying when (ET-08). The programme approval is renewed every 12 months and whenever the method changes; the Summary shows the renewal date.
6For every campaign, screen the lure on the Lure Screening sheet first (ET-10): HR checks it against the six forbidden topics on the Safeguards sheet and that it names no real colleague, supplier, customer or partner. A rejected lure is replaced, never adjusted until it passes.
7Then add the campaign on the Campaign Checks sheet: send date, group, grade (from the progression rule in the Phishing Simulation Programme Method) and the accepted lure, and record the result of each campaign item, ET-10 to ET-15. Send only when the Decision says Cleared to send. A Grade 4 campaign needs the Head of Information Security's written approval and its date.
8Sign the Summary when the programme is approved and each time it is renewed. Delete the EXAMPLE rows before use. Do not type over the white calculated columns.

Legend

Yellow cells are inputs. Everything else is calculated or fixed — do not overwrite formulas.

EXAMPLERows marked EXAMPLE in the first column show how a completed row looks. Delete them before approval.

Rule AW-09: "No simulation may run until the programme has been approved on the ethics and approval checklist by the Head of Information Security, HR, the Data Protection Officer and Legal, and cleared with the works council or staff representatives where national law or a collective agreement requires it. The approval is renewed every [[12]] months and whenever the method changes."

Rule AW-10: "A simulation must never use a lure about pay, bonuses, benefits or gifts from the organisation; health or medical matters; redundancy, restructuring or disciplinary action; or a real emergency, disaster or appeal. It must never imitate the reporting route, the security team's own warnings, a real named colleague, or a real supplier or customer."

Rule AW-13: "Individual results are personal data. Only the minimum is recorded: sent, clicked, entered a credential, reported, and when. Never what was typed, and never whether an email was opened. Results by name go only to the person and to the awareness lead; everyone else sees group results of at least [[10]] people. Named results are kept for [[12]] months, then reduced to group figures. The lawful basis, and the legitimate interests assessment where that is the basis, are recorded with the Data Protection Officer before the first campaign, and staff are told in advance what is recorded and who sees it."

AW-10, AW-12, AW-13, AW-14 admit no exception (AW-18); any other departure is a P02 exception, and a Critical one is approved by the board or its equivalent.

EXAMPLE: a wholesale distributor with about 900 staff, three warehouses and an online ordering service that takes 60% of its orders. Staff representatives were consulted on 17 Jun 2026; the four signers approved the programme on 24 Jun 2026, on legitimate interests (GDPR Art 6(1)(f)), with the assessment recorded by the Data Protection Officer. Three campaigns ran in Q3. For September, HR rejected "Your September bonus statement is ready to view" on 8 Sep 2026 under FL-1, and it was replaced.

Tailoring — small organisation: the four sign-offs may be two or three people, but HR's and the Data Protection Officer's views are still recorded separately. Keep every campaign check.

Tailoring — regulated entity or public body: a public authority uses the lawful basis its law gives it, not legitimate interests (ET-05). Where national law gives staff representatives a say in monitoring at work, their agreement can be a condition of the whole programme (GDPR Article 88).

Tailoring — simulations run by a service provider: the provider's platform must meet ET-06, ET-07 and ET-09, and its contract must say so. Its staff never see names unless they run the platform for the awareness lead. The decisions on this checklist stay yours.

Summary

Summary and sign-off

Whether the programme is approved and in date, the lures screened and the campaigns cleared. Everything above the sign-off is calculated, except the As-at date.

As-at date30 Sep 2026EXAMPLE date (the example quarter end). Type the date you read it.

Where it stands

MeasureValueWhat it means
Programme items9ET-01 to ET-09, on the Programme Approval sheet.
Pass9The evidence shows the item is met.
Fail0Any Fail means no simulation may run (AW-09).
N/A0Each with its reason, such as no works council where none is required.
Not assessed0Items with no result yet.
Programme approvalApprovedApproved when every item is Pass, or N/A with a reason, signed and dated.
Approved on24 Jun 2026The last signature's date.
Renewal due24 Jun 202712 months after approval, or sooner if the method changes (AW-09).
Programme statusApprovedNo campaign is cleared unless this says Approved on its send date.
Lures screened4On the Lure Screening sheet (ET-10, AW-10).
Lures rejected1Each replaced by a new lure, never adjusted until it passes.
Campaigns checked3On the Campaign Checks sheet.
Cleared to send3Every campaign check passed, the lure accepted and the programme approval in date.
Results access set in the platform6 of 6'Who sees what' on the Safeguards sheet (ET-09).

Programme sign-off (AW-09)

RoleNameDateSignature or approval reference
Head of Information Security[[Name]]24 Jun 2026[[Reference]]
HR[[Name]]24 Jun 2026[[Reference]]
Data Protection Officer[[Name]]24 Jun 2026[[Reference]]
Legal[[Name]]24 Jun 2026[[Reference]]
Works council or staff representatives, where requiredEXAMPLE: [[the staff representatives]], consulted17 Jun 2026[[Minutes reference]]

Renew the approval by the renewal date above, and whenever the method changes (AW-09).

Programme Approval

Signed once before the first campaign, renewed every 12 months and when the method changes (AW-09). Yellow columns are yours; the Check column calculates.

RowItem IDCheckRuleSigned by (role)Evidence referenceNameDateResultReason (for Fail or N/A)Check (calc)
EXAMPLEET-01The purpose is written: to build reporting and to teach, never to catch people out or to rank them.AW-12Head of Information SecurityProgramme purpose, approved with the plan[[Name, Head of Information Security]]24 Jun 2026PassOK
EXAMPLEET-02HR has approved the programme, the support stages and the never-list.AW-09HRHR approval of the programme, the support stages and the never-list[[Name, HR]]24 Jun 2026PassOK
EXAMPLEET-03Legal has confirmed the national rules on monitoring at work and any duty to inform or consult staff representatives (GDPR Art 88).AW-09LegalLegal note on monitoring at work and the duty to consult[[Name, Legal]]24 Jun 2026PassOK
EXAMPLEET-04The works council or staff representatives have been consulted, or have agreed, where national law or a collective agreement requires it.AW-09HRConsultation with the staff representatives, minutes[[Name, HR]]17 Jun 2026PassOK
EXAMPLEET-05The lawful basis is recorded, with a legitimate interests assessment where that is the basis; a public authority uses the basis its law gives it, as Article 6(1)(f) does not apply to its tasks.AW-13Data Protection OfficerLegitimate interests (GDPR Art 6(1)(f)), with the assessment recorded by the Data Protection Officer[[Name, Data Protection Officer]]24 Jun 2026PassOK
EXAMPLEET-06Only the fields of the simulation record are kept; the platform is set never to store typed credentials or open tracking.AW-13Data Protection OfficerPlatform settings: no credential capture, no open tracking[[Name, Data Protection Officer]]24 Jun 2026PassOK
EXAMPLEET-07Named results are deleted or reduced to group figures after [[12]] months, and the platform supplier's contract says so.AW-13Data Protection OfficerPlatform supplier contract, deletion clause; platform retention setting[[Name, Data Protection Officer]]24 Jun 2026PassOK
EXAMPLEET-08Staff have been told that simulations happen, what is recorded, who sees it and how support works, without being told when.AW-13HRStaff notice on the intranet and in the induction[[Name, HR]]24 Jun 2026PassOK
EXAMPLEET-09The results access table is configured in the platform: managers see groups of at least the minimum size only.AW-13Awareness leadPlatform role settings: managers see groups onlyEXAMPLE: Information Security Manager24 Jun 2026PassOK

Campaign Checks

One row per campaign, before it is sent: the accepted lure, a result for each campaign item (ET-10 to ET-15, in full below the table) and the decision. Send only when it says Cleared to send.

RowCampaign IDSend dateGroupGradeLure IDLure (calc)Lure decision (calc)ET-10ET-11ET-12ET-13ET-14ET-15Grade 4 approved onProgramme approval in date (calc)Decision (calc)Cleared byNotes
EXAMPLESIM-2026-0714 Jul 2026Group A1L-01A parcel delivery could not be made; follow the link to rebookAcceptedPassPassPassPassPassPassYesCleared to sendAwareness lead
EXAMPLESIM-2026-0825 Aug 2026Group B1L-02A document has been shared with you; sign in to view itAcceptedPassPassPassPassPassPassYesCleared to sendAwareness lead
EXAMPLESIM-2026-0917 Sep 2026Group A2L-04A delivery note from a pallet carrier, with a link to the attached documentAcceptedPassPassPassPassPassPassYesCleared to sendAwareness leadThe first lure proposed (L-03) was rejected under FL-1 on 8 Sep 2026 and replaced.

The campaign items

ET-10 (AW-10, HR): The lure is on none of the forbidden topics, and names no real colleague, supplier, customer or partner.

ET-11 (AW-11, Awareness lead): The grade is the one the progression rule gives each group; a Grade 4 campaign has the Head of Information Security's written approval.

ET-12 (AW-11, Awareness lead): No Severity 1 or 2 incident is open, and the send avoids payroll day, the busiest trading days and any period of redundancy consultation.

ET-13 (AW-11, HR): Joiners in their first [[30]] days, people on long absence and anyone the person's manager has asked HR to exclude for personal circumstances are left out.

ET-14 (AW-08, Awareness lead): The teaching page is ready for this lure, and the service desk and incident manager know the campaign is running, so a report is thanked and not escalated.

ET-15 (AW-13, Awareness lead): The sending route is allowed through mail filtering for the campaign only, and the simulated domain cannot receive real replies.

Lure Screening

Every lure proposed, screened by HR against the forbidden topics on the Safeguards sheet before it is used (ET-10, AW-10). A rejected lure is replaced, never adjusted until it passes.

RowLure IDFor campaignThe lure (the story the email tells)Forbidden topicNames a real person or organisationScreened byScreened onDecision (calc)Replaced by
EXAMPLEL-01SIM-2026-07A parcel delivery could not be made; follow the link to rebookNoneNoHR7 Jul 2026Accepted
EXAMPLEL-02SIM-2026-08A document has been shared with you; sign in to view itNoneNoHR18 Aug 2026Accepted
EXAMPLEL-03SIM-2026-09Your September bonus statement is ready to viewFL-1NoHR8 Sep 2026Rejected: FL-1, Pay, bonuses, benefits, pensions, or gifts and vouchers from the organisationL-04
EXAMPLEL-04SIM-2026-09A delivery note from a pallet carrier, with a link to the attached documentNoneNoHR8 Sep 2026Accepted

Safeguards

Safeguards

What is never done (AW-10, AW-12 to AW-14). AW-10, AW-12, AW-13, AW-14 admit no exception (AW-18). Check 'Who sees what' in the platform before the first campaign and at each renewal.

Forbidden lures (AW-10)

TopicNever useWhy
FL-1Pay, bonuses, benefits, pensions, or gifts and vouchers from the organisationIt plays on what people are owed, damages trust in real pay messages, and has caused public backlash where it was used.
FL-2Health, medical results, illness or pandemicsIt plays on fear for oneself or one's family.
FL-3Redundancy, restructuring, performance reviews or disciplinary actionIt plays on fear for one's job, and can be mistaken for the real thing.
FL-4Real emergencies, disasters, threats to safety, bereavement or charity appealsIt exploits real suffering and trains people to distrust genuine emergency messages.
FL-5The reporting route, or the security team's own warningsIt teaches people to distrust the one channel the programme needs them to trust.
FL-6A real named colleague, or a real supplier, customer or partnerIt can harm the person or the relationship named; use fictional names and look-alike, not real, organisations.

What a simulation records, and what it never does (AW-13)

RecordedNever recorded
Sent: whenWhat was typed into the sign-in page
Clicked: whether and whenWhether the email was opened (opening counts are unreliable and say nothing about behaviour)
Entered a credential: whether and when, never whatLocation, device or browser details beyond what the platform needs to deliver the page

Reported: whether and when, through the reporting route

Who sees what (AW-13): set in the platform (ET-09)

WhoSeesSet in the platformChecked onNotes
The personTheir own results, at once, and on requestYes24 Jun 2026
Awareness leadResults by name, to send teaching and offer supportYes24 Jun 2026
Line managerTheir team's group result, if the team has at least [[10]] people; a name only at the third support stage, with the person told firstYes24 Jun 2026
HRNothing by name, except to arrange an adjustment the person agrees to at the third stageYes24 Jun 2026
Executive management and the boardGroup results and trends onlyYes24 Jun 2026
Everyone elseNothingYes24 Jun 2026

What the teaching page shows after a click (AW-12)

Shown at once

1This was a practice email from [[the security team]]. Nobody else will see that you clicked.
2The cues you could have spotted, marked on a picture of the email.
3How to report one next time, with the reporting route.
4One link to the module for this kind of email. No score, no test and no warning.

Never done to a repeat clicker (AW-14)

Never

1Naming them to colleagues, in a league table, or in any report above the person
2Sending extra or harder simulations as a penalty
3Removing access, pay or opportunities because of a simulation result
4Starting the disciplinary process because of simulation results

Support comes before any sanction, in the stages the Phishing Simulation Programme Method sets. A simulation result is never on its own a ground for disciplinary action (AW-14).

Lists

ResultYesNoForbiddenTopicFLIDFLTopicGradeGradeName
PassYesNoneFL-1Pay, bonuses, benefits, pensions, or gifts and vouchers from the organisation1Grade 1: obvious
FailNoFL-1FL-2Health, medical results, illness or pandemics2Grade 2: plausible
N/AFL-2FL-3Redundancy, restructuring, performance reviews or disciplinary action3Grade 3: targeted
FL-3FL-4Real emergencies, disasters, threats to safety, bereavement or charity appeals4Grade 4: tailored
FL-4FL-5The reporting route, or the security team's own warnings
FL-5FL-6A real named colleague, or a real supplier, customer or partner

FL-6

Definitions

Definitions

TermMeaning in this workbook
SimulationA harmless email, written to look like phishing, sent to people who know simulations happen but not when, to practise spotting and reporting it.
LureThe story a simulated email tells to get a click: a parcel, a shared document, an invoice.
CueA sign in an email that it is not genuine: an unexpected sender, a mismatched link, urgency, a request for a password or payment.
GradeHow hard a simulation is to spot, from Grade 1 (many cues) to Grade 4 (one cue, tailored to a role).
Teaching pageThe page a person sees at once after clicking a simulation: the cues they missed and how to report next time. No score and no warning.
Repeat clickerSomeone who clicked in two or more simulations within 12 months.
Group resultA simulation result for a group of at least the minimum size, with no name in it.
Works councilThe body that represents staff where national law or a collective agreement gives it a say in monitoring at work: a works council, staff representatives or a trade union.
Programme approvalThe 9 programme items signed by Head of Information Security, HR, Data Protection Officer, Legal before the first campaign, renewed every 12 months and when the method changes (AW-09).
PassThe evidence shows the item is met today.
FailThe evidence shows it is not, or there is no evidence. No simulation runs while a programme item fails.
N/AThe item does not apply, for example ET-04 where no law or agreement gives staff representatives a say. Give the reason.
Cleared to sendEvery campaign check passed, the lure was accepted, the programme approval is in date on the send date, and a Grade 4 campaign has its approval.
ET-nn, FL-n, AW-nnThe checks, forbidden topics and rules of this pack; the rules are in the Phishing Simulation Programme Method and the pack guide.
(calc)A column or cell the workbook calculates. Do not type or paste over it.
EXAMPLEA worked example: a wholesale distributor with about 900 staff, three warehouses and an online ordering service that takes 60% of its orders, as at 30 Sep 2026. Delete before use.

Framework References

Framework references

These references indicate relevance only and do not reproduce the text of any standard.

FrameworkReferenceSupported by
ISO/IEC 27001:2022Annex A 6.3 — Information security awareness, education and trainingThe checklist as a whole: simulations used for awareness and training, run so they teach
ISO/IEC 27001:2022Annex A 5.34 — Privacy and protection of PIIET-05 to ET-09 and Safeguards: privacy and protection of the personal data simulations create
NIST CSF 2.0PR.AT-01 — “Personnel are provided with awareness and training so that they possess the knowledge and skills to perform general tasks with cybersecurity risks in mind”The checklist as a whole: awareness provided through simulations that keep people's trust
GDPR — Regulation (EU) 2016/679Article 5(1)(c) — personal data shall be “adequate, relevant and limited to what is necessary in relation to the purposes for which they are processed (‘data minimisation’)”ET-06 and Safeguards: only the simulation record kept; never what was typed, never whether an email was opened
GDPR — Regulation (EU) 2016/679Article 5(1)(e) — personal data shall be “kept in a form which permits identification of data subjects for no longer than is necessary for the purposes for which the personal data are processed” (‘storage limitation’), with the exceptions the Article sets for archiving, research and statisticsET-07: named results reduced to group figures after 12 months
GDPR — Regulation (EU) 2016/679Article 6(1)(f) — processing is lawful where it “is necessary for the purposes of the legitimate interests pursued by the controller or by a third party, except where such interests are overridden by the interests or fundamental rights and freedoms of the data subject which require protection of personal data”. “Point (f) of the first subparagraph shall not apply to processing carried out by public authorities in the performance of their tasks.”ET-05: the lawful basis, with a legitimate interests assessment where that is the basis; not for a public authority's tasks
GDPR — Regulation (EU) 2016/679Article 88(1) — Member States “may, by law or by collective agreements, provide for more specific rules to ensure the protection of the rights and freedoms in respect of the processing of employees' personal data in the employment context”ET-03 and ET-04: national law or collective agreements on processing employees' data, checked before the first campaign
GDPR — Regulation (EU) 2016/679Article 88(2) — those rules “shall include suitable and specific measures to safeguard the data subject's human dignity, legitimate interests and fundamental rights, with particular regard to the transparency of processing, the transfer of personal data within a group of undertakings, or a group of enterprises engaged in a joint economic activity and monitoring systems at the work place”ET-03, ET-04 and ET-08: transparency and monitoring at work, with staff told in advance
GDPR — Regulation (EU) 2016/679Article 39(1)(b) — the data protection officer’s task “to monitor compliance with this Regulation, with other Union or Member State data protection provisions and with the policies of the controller or processor in relation to the protection of personal data, including the assignment of responsibilities, awareness-raising and training of staff involved in processing operations, and the related audits”ET-05 to ET-07: the Data Protection Officer signs the data protection items

Editions referenced: ISO/IEC 27001:2022 incl. Amd 1:2024; NIST CSF 2.0; Directive (EU) 2022/2555 (NIS2) and Implementing Regulation (EU) 2024/2690; Regulation (EU) 2022/2554 (DORA); Regulation (EU) 2016/679 (GDPR)

ISO/IEC 27001 references name the clause or control this document relates to. They do not say that meeting it meets any other framework's requirement.

Prepared by Zero One Cybersecurity · Published by CISO Times

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