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Data Protection SOP

Sub-procedure for Innovate pillar digital transformation

Overview

This sub-procedure defines the implementation of data protection controls based on data classification. It covers encryption, access management, data loss prevention, backup/recovery, and secure data disposal to protect data throughout its lifecycle.

Scope

Pillar: Innovate (Digital Transformation) Service Area: Data Governance Related Services: Security Operations, Compliance

Prerequisites

  • Data inventory and classification completed
  • Data protection policy approved
  • Control mapping matrix finalized
  • Budget allocated for protection tools/controls
  • Technical resources assigned
  • Change management process established

Procedure

Step 1: Protection Requirements Analysis

Objective: Define specific protection controls per data class

  1. Review classified data inventory
  2. Identify high-value/high-risk data assets
  3. Map regulatory requirements to controls:
Regulation Encryption Requirement Access Control Logging Retention
HIPAA AES-256 at rest, TLS 1.2+ in transit Role-based + MFA 6+ years 6+ years
PCI DSS AES-256, tokenization Need-to-know 1+ year 1+ year after processing
GDPR Pseudonymization/encryption Consent-based Documented Minimization
SOC 2 Defined in policy Least privilege Defined Defined
  1. Document control requirements per asset
  2. Identify existing controls and gaps
  3. Prioritize gap remediation

Duration: 2-3 days Owner: Security Lead

Step 2: Encryption Implementation

Objective: Implement encryption for classified data

  1. Encryption at Rest:
  2. Identify storage systems requiring encryption
  3. Select encryption approach (native, application, third-party)
  4. Implement key management:
    • Centralized key management (KMS)
    • Key rotation procedures
    • Key backup and recovery
  5. Enable encryption on databases, file systems, backups
  6. Validate encryption is active
  7. Encryption in Transit:
  8. Inventory data transmission paths
  9. Implement TLS 1.2+ for all internal/external traffic
  10. Configure certificate management
  11. Disable legacy protocols (SSL, TLS 1.0/1.1)
  12. Validate with network scans

Duration: 5-10 days (varies by scope) Owner: Security Engineer

Step 3: Access Control Implementation

Objective: Implement least-privilege access controls

  1. Review current access configurations
  2. Implement role-based access control (RBAC):
  3. Define roles aligned to job functions
  4. Map roles to data access permissions
  5. Remove direct user-to-data access
  6. Implement privileged access management:
  7. Identify privileged accounts
  8. Implement just-in-time access
  9. Enable session recording for sensitive access
  10. Enable multi-factor authentication (MFA):
  11. Require MFA for Highly Confidential/Restricted data
  12. Implement MFA for remote access
  13. Configure access recertification:
  14. Quarterly review for sensitive data
  15. Annual review for all access

Duration: 5-10 days Owner: Identity & Access Management Lead

Step 4: Data Loss Prevention (DLP)

Objective: Prevent unauthorized data exfiltration

  1. Define DLP policies:
  2. Endpoint DLP (copy, print, USB)
  3. Network DLP (email, web, file transfer)
  4. Cloud DLP (SaaS, IaaS storage)
  5. Configure detection rules:
  6. PII patterns (SSN, credit card, PHI)
  7. Classification labels
  8. Keyword matching
  9. Define policy actions:
  10. Alert only (monitoring mode)
  11. Block with user justification
  12. Block with no override
  13. Deploy DLP agents and configure policies
  14. Tune rules to reduce false positives
  15. Enable reporting and dashboards

Duration: 5-10 days Owner: Security Engineer

Step 5: Backup and Recovery

Objective: Ensure data recovery capabilities

  1. Review backup coverage:
  2. All Confidential+ data backed up
  3. Backup frequency aligned to RPO
  4. Backup retention aligned to requirements
  5. Implement backup encryption:
  6. Encrypt backups at rest
  7. Secure key storage separate from backups
  8. Configure backup testing:
  9. Monthly backup validation
  10. Quarterly recovery testing
  11. Document recovery procedures:
  12. Recovery runbooks per system
  13. Contact lists and escalation
  14. Recovery time objectives (RTO)

Duration: 3-5 days Owner: Operations Lead

Step 6: Secure Data Disposal

Objective: Ensure secure data destruction

  1. Define disposal requirements:
Classification Disposal Method Verification
Public Standard delete None required
Internal Secure delete Log confirmation
Confidential DoD 5220.22-M wipe Certificate
Highly Confidential Cryptographic erasure or physical destruction Certificate + witness
Restricted Physical destruction Certificate + witness + audit
  1. Implement disposal procedures:
  2. Hardware disposal process
  3. Media sanitization process
  4. Cloud data destruction verification
  5. Maintain disposal certificates
  6. Update asset inventory upon disposal

Duration: 2-3 days Owner: Operations Lead

Step 7: Monitoring and Validation

Objective: Verify and maintain protection effectiveness

  1. Configure security monitoring:
  2. Data access logging
  3. Anomaly detection for sensitive data
  4. DLP incident alerts
  5. Establish validation procedures:
  6. Monthly encryption verification
  7. Quarterly access review
  8. Annual control assessment
  9. Document evidence for compliance:
  10. Control operation screenshots
  11. Audit log samples
  12. Test results
  13. Create protection dashboard

Duration: 2-3 days Owner: Security Lead

Deliverables

Deliverable Format Owner
Data Protection Plan Word/PDF Security Lead
Encryption Configuration Guide Word/Confluence Security Engineer
Access Control Matrix Excel IAM Lead
DLP Policy Documentation Word/PDF Security Engineer
Backup/Recovery Procedures Word/Confluence Operations Lead
Disposal Procedures Word/PDF Operations Lead
Protection Dashboard Splunk/SIEM Security Operations

Quality Gates

  • All Highly Confidential/Restricted data encrypted at rest
  • TLS 1.2+ enforced for all data in transit
  • Role-based access control implemented
  • MFA enabled for sensitive data access
  • DLP policies active and tuned
  • Backup coverage validated (100% of required data)
  • Recovery testing completed successfully
  • Disposal procedures documented and trained
  • Monitoring and alerting operational

Data Lifecycle Protection

Phase Protection Controls
Creation Classification at creation, encryption, access controls
Storage Encryption at rest, access logging, backup
Use Access controls, DLP, activity monitoring
Sharing DLP, encryption in transit, rights management
Archival Encryption, access restriction, integrity verification
Disposal Secure deletion, certificate, audit trail

Last Updated: February 2026