AI functional risk assessment

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Connect a specific failure to its consequences, controls, tests and residual-risk decision.

Adapt this worksheet to your applicable procedures, intended use and requirements. Fictional examples are teaching material, not execution evidence.

Field instructions

Completed fictional example

Fictional risk rows from PRA-01. No universal numerical risk score is implied.

Risk / requirementFailure and consequenceControl and evidenceResidual decision
R-01 / REQ-01AI omits critical alarm challenge; protocol coverage could be inadequateFull required review and T-01/T-03 evaluation; two AI critical misses and one final assisted critical missExpanded reliance withheld; DEV-01/02 open
R-02 / REQ-02Unsupported requirement misdirects reviewApproved-source verification; T-02 identifies six false AI findings, T-03 leaves two acceptedDEV-03 open; improve and retest
R-04 / REQ-04Unauthorized action or source disclosurePermission boundaries; T-04 blocks six of six planned attemptsSupported only for tested scope; retain technical restrictions

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System / record ID: ____________________

Prepared by / date: ____________________

Required review / approval under local procedure: ____________________

FieldYour entry
Requirement or function____________________
Failure and cause____________________
Consequence and severity____________________
Existing control____________________
Control evidence____________________
Remaining gap____________________
Residual-risk decision____________________
Owner and trigger____________________

Blank results or assessment rows

Risk / requirementFailure and consequenceControl and evidenceResidual decision
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