# AI Governance Worksheet

Use with Artebello's public guide: https://artebello.pro/resources/template-ai-governance-kit

## AI-use register

Identifier and task:
Business and technical owners:
Intended users and affected people:
Approved use and exclusions:
Inputs, source owners, and access boundary:
Provider, model, and configuration:
Review and escalation:
Approval status and conditions:
Review date and incident contact:

## Risk and control record

| Scenario | Consequence | Control | Owner | Evidence | Remaining issue |
| --- | --- | --- | --- | --- | --- |
| | | | | | |

## Approval decision

Version and scope reviewed:
Evidence considered:
Unresolved issues and conditions:
Decision and accountable approver:
Date and next review:

## Incident exercise

Scenario:
Reporting and triage route:
Who can pause the system:
Manual fallback:
Correction or recovery process:
Exercise result, owner, and date:
Actions: