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Sample deliverable: AI risk register and gap matrix

An excerpt of what an AI governance readiness review produces, shown on a fictional organization so you can judge the depth before you commit to anything.

Illustrative only. Northwind Health is a fictional organization. Nothing on this page comes from a client engagement, and no results are implied. Ratings and findings are examples of format and reasoning.

Each risk names the scenario in plain language, rates it, records what exists today, and recommends a treatment with a named owner role.

IDScenarioCategoryRatingTodayRecommended treatmentOwner role
R‑01A clinical note summarizer sends patient information to a third-party model with no data-use restrictions in the contractData and third partyHighVendor signed a standard agreement; no AI terms reviewedAdd data-use, retention, and training restrictions to the contract; confirm the vendor attestations; restrict inputs to approved fieldsPrivacy lead
R‑02Staff paste confidential documents into a public chatbotData leakageHighNo acceptable-use policy for AI; no inventory of tools in usePublish an AI acceptable-use policy; run a short staff briefing; offer an approved alternativeSecurity lead
R‑03A triage assistant gives different quality of advice to different patient groups and nobody noticesBias and harmMediumNo monitoring of outputs; vendor testing results not requestedRequest the vendor testing data; define a quarterly sample review with a named reviewerSystem owner
R‑04Prompt injection through an uploaded document changes what a patient-facing assistant saysSecurityMediumNo adversarial testing; no input filtering describedAdd the scenario to the next independent security test scope; add human review for high-impact outputsSecurity lead
R‑05A new AI feature launches with no impact assessment because there is no intake stepGovernanceMediumProjects start in departments; approval is informalCreate a one-page AI intake and impact assessment; assign an approving committeeGovernance lead

Each row ties a requirement area to what the organization has, what evidence exists, and the gap. The ISO/IEC 42001 references are to its Annex A control areas, and the NIST AI RMF references are to its four functions.

Requirement areaFramework referenceStatusEvidence seenGap and next step
AI policy and rolesISO/IEC 42001 Annex A (policies, internal organization); NIST AI RMF GovernPartialA draft policy; no named accountable executiveApprove the policy; name the executive owner; define review cadence
Assessing impacts of AI systemsISO/IEC 42001 Annex A (assessing impacts); NIST AI RMF MapGapNoneCreate the impact assessment template and run it on the two highest-risk systems first
Data for AI systemsISO/IEC 42001 Annex A (data for AI systems); NIST AI RMF Map and MeasurePartialData classification policy exists; no provenance records for AI inputsRecord data sources and quality checks for each system
Third-party and customer relationshipsISO/IEC 42001 Annex A (third-party relationships); NIST AI RMF GovernPartialVendor register exists; AI terms not reviewedAdd AI questions to vendor review; update contracts at renewal
Monitoring and improvementISO/IEC 42001 performance evaluation; NIST AI RMF Measure and ManageGapNoneDefine metrics, owners, and an internal review cycle
  • An AIMS Scope and Context Summary, stating what is in and out of scope and why
  • A prioritized roadmap with owners and sequence, so you know what to do first
  • A 60-minute executive briefing, with the AI Readiness Report as the written record

A review is an advisory assessment, not a certification or attestation. See how an engagement runs.

Ready when you are.