# AI human-review evaluation

Test whether the complete review workflow delivers the risk reduction being claimed.

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

## Field instructions

- **Task and proposed reliance:** Define what reviewers must decide and what AI output may influence.

- **Reviewer prerequisites:** Record process knowledge, source access, AI limitations, time, authority and procedural training.

- **Cases and expected results:** Identify representative cases, independently adjudicated reference results and scoring rubric.

- **Design and independence:** Record users, conditions, assignments, order and measures against answer leakage.

- **Acceptance criteria:** Set outcome and critical-failure rules before testing; justify them for the intended use.

- **Observed outcome:** Score final correct/false/missed findings, source verification and escalation.

- **Limits and deviations:** Retain dependency/coverage limits, failures and open corrective actions.

- **Decision and retest:** State reliance restrictions and the fresh evidence needed after changes.

## Blank worksheet

System / record ID: ____________________

Prepared by / date: ____________________

Required review / approval under local procedure: ____________________

| Field | Your entry |
| --- | --- |
| Task and proposed reliance | ____________________ |
| Reviewer prerequisites | ____________________ |
| Cases and expected results | ____________________ |
| Design and independence | ____________________ |
| Acceptance criteria | ____________________ |
| Observed outcome | ____________________ |
| Limits and deviations | ____________________ |
| Decision and retest | ____________________ |

### Blank results or assessment rows

| Measure | Assisted final review | Unassisted final review |
| --- | --- | --- |
| ____________________ | ____________________ | ____________________ |
| ____________________ | ____________________ | ____________________ |
| ____________________ | ____________________ | ____________________ |