ISMS Access Control Policy

1. Purpose, Scope and Audience

1.1. Purpose

This policy ensures that the right people have access to the right information and resources at the right time.

1.2. Scope

This policy applies to:

  • All employees and third-party users

  • All systems and applications covered by the ISO 27001 Information Security Management System (ISMS)

Physical access to buildings and facilities is governed by the Physical and Environmental Policy.

1.3. Audience

This policy is binding for all employees, contractors, and external users with system access.

2. Principles of Access Control

2.1. Need-to-Know and Least Privilege

Access is granted only when it is necessary for a person’s job. Users receive access only to the information and systems they need to perform their specific tasks and roles. Nothing more.

2.2. Role-Based Access

Access to systems is managed through roles. Each role has specific permissions that match the user’s job function. The right to grant roles is held by:

  • The Business Owner

  • The System Owner

  • The Data Owner

They must formally approve each access request before it is granted.

The current list of roles and their permissions is not listed in this policy. Instead, it is documented in a separate Access Matrix that is kept up to date regularly. See Section 5 for details.

2.3. Confidentiality Agreements

Before anyone receives access to sensitive or confidential information, they must sign a confidentiality and non-disclosure agreement. This applies to:

  • All employees

  • All contractors and external service providers

  • All temporary workers

3. Processes

3.1. Creating and Removing User Accounts

Every new user must go through a documented onboarding process. Every departing user must go through a documented offboarding process.

What happens:

  • Accounts are created when users join

  • Accounts are deactivated when users leave

  • The timing must be as close as possible to the start or end date

  • All actions are recorded and documented

The technical details (which systems, which tools, how they are connected) are described in separate work instructions, not in this policy.

3.2. Granting Access Rights

All access requests go through a formal approval process:

  1. A request is submitted (by the user, manager, or system administrator)

  2. The appropriate owner (Business Owner, System Owner, or Data Owner) reviews it

  3. The owner approves or rejects the request

  4. If approved, Corporate IT implements the access

  5. The approval and implementation are documented

No access is granted without this formal process.

3.3. Managing Special Rights

Sometimes a person needs access beyond their normal role. Examples include:

  • Administrative access to a system

  • Temporary elevated permissions

  • Access to systems outside their normal department

These are called "Special Rights". Rules for Special Rights:

  • A business need must be documented and justified

  • Risk must be assessed (how sensitive is the data? How much damage could a misuse cause?)

  • The CISO (Information Security Officer) must formally approve it

  • The CISO must document who approved it, when, and why

  • The access is limited to the minimum time needed

3.4. Audit Trail for Access Changes

Every change to access rights must be documented and traceable:

  • Who requested the access?

  • Who approved it?

  • When was it approved?

  • What exactly was changed?

  • When did the change take effect?

This documentation must be kept for audit purposes.

The specific tool used to track this (for example, a ticketing system) is described in a separate work instruction.

3.5. Regular Review of Access Rights

At least once per year, the owners of systems and data must review who has access and why:

  1. The owner looks at all active accounts and their permissions

  2. The owner checks: Is this person still in this role? Do they still need this access?

  3. If access is no longer needed, it is removed immediately

  4. The review is documented

This prevents "access creep" - where people accumulate permissions over time that they no longer need.

3.6. Passwords and Authentication

The requirements for passwords and multi-factor authentication are described in the separate Password Policy. This includes:

  • Password complexity rules

  • Password change frequency

  • Multi-factor authentication where required

3.7. Remote and Third-Party Access

When access is granted to external people or from external locations, the same rules apply:

  • Least Privilege

  • Formal approval

  • Documentation

  • Risk assessment

In addition, access from outside is reviewed for extra risk before approval is given.

4. Responsibilities

4.1. CISO (Information Security Officer)

  • Approves all Special Rights

  • Documents approval of Special Rights

  • Oversees compliance with this policy

  • Ensures access reviews are performed

4.2. Corporate IT

  • Implements access requests that have been approved

  • Implements access changes that have been approved

  • Removes access when requested or when offboarding

  • Maintains the technical systems that enforce access control

  • Works with owners to perform access reviews

4.3. Business Owner, System Owner, Data Owner

  • Approves or rejects access requests for their area

  • Reviews access rights regularly (at least once per year)

  • Removes access that is no longer needed

  • Informs Corporate IT when access should be changed or removed

4.4. Risk Owner

The Risk Owner is responsible for assessing and accepting the risk associated with granting access rights. For normal, day-to-day access requests, the System Owner or Business Owner can approve.

For Special Rights or access to sensitive systems/data, the Risk Owner (typically the CISO) must also approve, based on a risk assessment.

This section describes roles and responsibilities. The specific job titles or organizational structure are not listed here. The actual mapping of people to these responsibilities is documented elsewhere in the organization.

5.1. Access Matrix

The Access Matrix contains the current, official list of:

  • All technical roles and groups

  • What permissions each role has

  • Who can request access to each role

  • Who must approve access to each role

The Access Matrix is kept up to date by Corporate IT and the CISO. It is reviewed and updated whenever systems change, but it does NOT require approval from the formal policy review board. This keeps it current and prevents it from becoming outdated.

The Access Matrix is the living, operational document. This policy contains only the principles. The two must be aligned.
  • Password Policy - requirements for passwords and authentication

  • Physical and Environmental Policy - physical access to buildings and facilities

  • Risk Assessment procedure - used to evaluate Special Rights

  • Incident Management Policy - how to respond to unauthorized access

5.3. Standards Reference

This policy addresses ISO/IEC 27001:2022 Annex A, specifically:

  • A.5.15 - Access Control

  • A.5.16 - Identity Management

  • A.5.17 - Authentication Information

  • A.5.18 - Access Rights

6. Policy Compliance

6.1. Compliance Measurement

  • Access reviews are performed at least once per year

  • All access grants are documented and traceable

  • All Special Rights are documented

  • Audit trails show all changes to access

6.2. Exceptions

Exceptions to this policy require written approval from the CISO and the relevant System Owner. All exceptions are documented with a business justification and an expiration date.

6.3. Non-Compliance

Violations of this policy are treated as security incidents and are handled according to the Incident Management Policy. Depending on severity, violations may lead to:

  • Disciplinary action

  • Removal of access

  • Termination of employment or contract

6.4. Continuous Improvement

This policy is reviewed at least once per year. Input is gathered from:

  • Internal audit results

  • Security incidents

  • Changes in organizational structure

  • Changes in technology

  • Feedback from system owners

Based on this input, the policy is updated if needed.

7. Document Information

Table 1. Review

Approval date

2026-08-31 with vshnwiki.atlassian.net/wiki/x/EwBBMw

Owner

CISO

Last Review

2026-08-31