AI Control Assessment Template
This template is used to assess whether the required AI controls are defined, implemented, operating, evidenced, and sufficient for the assigned AI risk tier.
It should be completed after the AI Use Case Intake Template and AI Risk Assessment Template.
The purpose of this template is to evaluate control readiness across the ten AI Control Architecture pillars.
1. Assessment Information
AI Use Case Name
[Enter use case name]
Assessment Date
[Enter date]
Assessor
Name:
Function:
Email:
Business Owner
Name:
Function:
Email:
Technical Owner
Name:
Function:
Email:
Assigned Risk Tier
Select one:
[ ] Tier 1: Low-risk productivity or public-data use
[ ] Tier 2: Internal productivity with enterprise data
[ ] Tier 3: Decision-supporting AI
[ ] Tier 4: Action-capable AI
[ ] Tier 5: High-impact autonomous or regulated AI
Assessment Scope
[Describe what is in scope for this control assessment]
2. Control Assessment Rating Scale
Use the following rating scale for each control area.
3. Pillar 1: AI Inventory and Classification
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference inventory record, owner record, classification record, lifecycle status, risk tier, or control mapping]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
4. Pillar 2: AI Identity and Access Control
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference identity model, access approval, delegated authority record, access review, PAM record, revocation record, or logs]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
5. Pillar 3: Data Boundary Control
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference data source map, classification record, data owner approval, retrieval configuration, retention rule, training/reuse restriction, or data access logs]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
6. Pillar 4: Prompt and Input Control
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference input policy, prohibited input rules, prompt version, prompt change record, prompt injection test, context isolation design, or input logs]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
7. Pillar 5: Output and Decision Control
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference output classification, validation rule, review record, approval record, decision evidence, generated record metadata, or correction record]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
8. Pillar 6: Tool and Action Control
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference tool inventory, action classification, tool approval, approval gate, action boundary, tool log, kill switch design, or rollback plan]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
9. Pillar 7: Human Accountability Model
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference owner records, decision owner mapping, approval records, escalation path, override records, exception records, or RACI]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
10. Pillar 8: AI Assurance and Testing
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference test plan, test results, findings, remediation records, retest records, assurance sign-off, or risk acceptance]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
11. Pillar 9: Monitoring, Logging, and Evidence
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference logging standard, AI event taxonomy, log records, SIEM integration, retention schedule, evidence package, or reconstruction test]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
12. Pillar 10: Incident Containment and Recovery
Control Questions
Control Rating
[Not Applicable / Not Started / Designed / Implemented / Operating / Needs Improvement / Failed]
Evidence
[Reference incident playbook, severity model, revocation path, kill switch design, evidence checklist, recovery plan, vendor escalation process, or post-incident review record]
Gaps
[Describe gaps or weaknesses]
Required Actions
[Describe remediation actions, owner, and due date]
13. Overall Control Readiness
Overall Rating
Select one:
[ ] Ready for approved use
[ ] Ready with minor conditions
[ ] Ready for pilot only
[ ] Not ready until remediation is complete
[ ] Requires exception approval
[ ] Rejected
[ ] Deferred
Summary of Key Gaps
Required Conditions Before Approval
[List mandatory conditions before approval, production use, scaling, or continued operation]
Residual Risk
[Describe remaining risk after controls and remediation]
14. Control Exceptions
Are Exceptions Required?
[ ] No
[ ] Yes
[ ] Unknown
Exception Summary
15. Approval
Business Owner Decision
Name:
Decision:
Date:
Notes:
Control Owner / Architecture Decision
Name or forum:
Decision:
Date:
Notes:
Risk / Governance Decision
Name or forum:
Decision:
Date:
Notes:
16. Summary
Use case:
Risk tier:
Overall control readiness:
Highest control gaps:
Required remediation:
Exceptions required:
Residual risk:
Approval decision:
Next review date: