AI Governance Template

Use this template to help an organization establish a practical AI governance framework.

Field Value
Organization [Organization Name]
Framework Name [AI Governance Framework Name]
Version 0.1
Status Draft
Executive Sponsor [Name or Role]
Program Owner [Department or Person]
Audience Leadership, IT, legal, privacy, procurement, staff
Last Reviewed [Month Year]

This framework establishes how the organization evaluates, approves, uses, monitors, and governs artificial intelligence tools and AI-enabled services.

  • Human accountability remains in place.
  • AI outputs must be reviewed when they affect important decisions.
  • Sensitive information must be protected.
  • AI use should support transparency, fairness, accessibility, and public trust.
  • Approved tools and use cases must be documented.
  • Risks must be identified before deployment.
Role Responsibility
Executive Sponsor Provides strategic direction and executive accountability
AI Governance Lead Coordinates policy, approvals, and ongoing review
IT / Security Reviews technical security, access, and system integration
Legal / Privacy Reviews legal, records, privacy, and regulatory concerns
Procurement Reviews vendor requirements and contract protections
Department Owner Defines business need, implementation plan, and local controls
Staff User Uses approved tools responsibly and follows agency guidance

List the categories of AI use that are generally allowed.

  • Drafting and editing routine communications
  • Summarizing approved documents
  • Creating training outlines
  • Supporting internal knowledge search
  • Drafting checklists and workflow guides
  • Creating first drafts for human review

List activities that require elevated review or should not be used without formal authorization.

  • Eligibility or benefits determinations
  • Employment decisions
  • Enforcement or disciplinary decisions
  • Legal conclusions or legal advice
  • Safety-critical recommendations
  • Uploading confidential or protected information into unapproved tools
  • Fully automated public decisions without meaningful human review

Describe the problem, service, workflow, or outcome the proposed AI use case is intended to support.

Identify data, privacy, security, legal, operational, fairness, and public-trust considerations.

Confirm that the proposed tool meets security, privacy, accessibility, data ownership, and procurement requirements.

Document whether the use case is approved, denied, approved with conditions, or returned for revision.

Review performance, incidents, feedback, changes in vendor terms, and continued suitability over time.

  • AI use case description
  • Responsible owner
  • Risk assessment
  • Data categories involved
  • Approval decision
  • Required safeguards
  • Training requirements
  • Vendor review record
  • Review date
  • Incident or escalation record, if applicable
  • templates/ai_governance.txt
  • Last modified: 2026/06/26 04:29
  • by leonidas