Third-Party GBV Risk Assessment Form
Assess the gender-based violence risk profile of a third party by providing the organization details, activity context, key risk factors, mitigation measures, and final recommended risk classification.
Risk Context
Third-Party Organization/Entity Name
*
Relationship to Your Organization
*
Please Select
Vendor
Supplier
Contractor
Distributor
Partner
Agent
Consultant
Other
Country/Region of Operation
*
Please Select
Afghanistan
Bangladesh
Brazil
Burkina Faso
Cambodia
Colombia
Democratic Republic of the Congo
Ethiopia
Guatemala
Haiti
India
Indonesia
Kenya
Lebanon
Mali
Myanmar
Nepal
Nigeria
Pakistan
Philippines
Rwanda
South Africa
South Sudan
Sudan
Tanzania
Uganda
Ukraine
Venezuela
Yemen
Other
Nature of Activities/Services
*
Assessment Inputs
Estimated Interaction with Vulnerable Populations or Communities
*
Very Low
1
2
3
4
Very High
5
1 is Very Low, 5 is Very High
Key GBV Risk Factors for Third-Party Work
*
Rows
Present / Relevant
Field presence
1
Subcontracting
2
Community-facing operations
3
Security personnel
4
Travel requirements
5
Accommodation arrangements
6
Local labor recruitment
7
Overall GBV Risk Rating for the Third Party
*
Low
Moderate
High
Very High
Mitigation and Follow-up
Existing mitigation measures currently in place
*
Needed follow-up actions or safeguards
*
Enhanced monitoring
Supplier code of conduct update
Additional staff training
Incident reporting channel review
Community engagement measures
Contractual risk clauses
Third-party audit
Referral pathway verification
Other
Final assessment / recommended risk classification
*
Low
Moderate
High
Critical
Submit
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