Combined Equality Impact Assessment
Are you assessing a: Policy Function Procedure
What is its title?
Briefly describe its aims, objectives and purpose:
Who are the main stakeholders - i.e. who does the policy, function or procedure affect?
Who owns this policy, function or procedure?
Who implements it?
Screening Equality Group Yes No Not sure Reason or Comment
Step 2 Is there potential for adverse Age
(negative) or differential
impact on the following groups Disability
Does this policy, function or Age
procedure have the potential to
positively promote equality of Disability
opportunity for the following
Evidence Yes No None available Details or comment
Step 3 What evidence or data are you Demographic
using to measure the impact? Results of surveys
Insert Yes, No or Unsure in the boxes below
Summary of Findings - Initial Age Disability Race Gender
Step 4 Does the policy, function, procedure have
any equality relevance with regards to:
Can the policy, function or procedure be
used to help meet our positive duties?
Evidence of adverse impact?
(Note this question this is not applicable if
not equality relevant)
Step 5 Do you need to proceed to a FULL Impact Assessment? Yes No If No, please provide comment as to what
evidence you have to support your
Not sure? – contact Claire Bell ext 6919 to discuss. decision?
Continue to Step 6 to complete Full Impact Assessment Exit EIA Process Here & return a
copy of this form directly to
Claire Bell, Equality &
Diversity Advisor, Human
Full Impact Assessment
Step 6 Which equality group(s) is adversely affected by this policy/procedure?
Age Disability Race Gender
Can the adverse impact identified so far be justified? Yes No If Yes on what grounds?
What is the level of priority to mitigate this adverse impact?
1 – high 2 – medium 3 – low
Monitoring & Actions Details or Comment
Step 7 Where adverse impact has been justified what steps will be taken to monitor the impact?
List the actions be taken to mitigate the adverse impact identified?
When will these actions be implemented?
Who and how will these actions be monitored?
Step 8 Assessed by: Agreed by: Date:
Return a copy of this form directly to Claire Bell, Equality & Diversity Advisor,
Human Resources. Version 1.0 February 2008