AI Provider Assessment Template

Appendix E — AI Provider Assessment Template

This template provides a structured framework for assessing the righteousness of AI platform and service delivery practices using the AI Provider Righteousness Index (RI‑P) . It evaluates providers across the Five Pillars of AI Righteousness and provides actionable insights for improvement.

Instructions: For each item, assess the AI provider or platform using the following scale:

  • ✅ Yes — Fully implemented and consistently practiced
  • ⚠️ Partial — Partially implemented or inconsistent
  • ❌ No — Not implemented or not yet addressed
  • N/A — Not applicable to this provider context

Assessment Overview

FieldDetails
Assessment Date___
Assessor Name___
Assessor Role___
Assessor Organization___
AI Provider/Platform___
RI‑P Version1.0
Organization___
Assessment TypeInitial / Follow-up
Assessment Scope___
Assessment Context___

Pillar 1: Integrity — Truthful and Transparent Service Delivery

Integrity requires that AI providers deliver truthful, transparent, and non‑deceptive services.

Section 1.1: Service Transparency

#Assessment ItemYesPartialNoN/AEvidence / Notes
1.1.1Are service capabilities and limitations clearly communicated to users?☐☐☐☐
1.1.2Are system performance metrics transparently reported?☐☐☐☐
1.1.3Are data usage and storage practices clearly disclosed?☐☐☐☐
1.1.4Are third‑party integrations and dependencies disclosed?☐☐☐☐
1.1.5Is pricing transparent and clearly communicated?☐☐☐☐

Section 1.2: Truthful Marketing

#Assessment ItemYesPartialNoN/AEvidence / Notes
1.2.1Do marketing claims accurately reflect actual service capabilities?☐☐☐☐
1.2.2Are limitations and risks disclosed in marketing materials?☐☐☐☐
1.2.3Are testimonials and case studies verifiably authentic?☐☐☐☐
1.2.4Is the provider transparent about AI‑generated content?☐☐☐☐
1.2.5Is there a process to correct misleading claims?☐☐☐☐

Section 1.3: No Deception

#Assessment ItemYesPartialNoN/AEvidence / Notes
1.3.1Are users clearly informed when interacting with AI systems?☐☐☐☐
1.3.2Does the provider avoid deceptive design patterns (dark patterns)?☐☐☐☐
1.3.3Is there a process for detecting and correcting deception?☐☐☐☐
1.3.4Are partners and vendors vetted for deceptive practices?☐☐☐☐
1.3.5Is there a mechanism for users to report deceptive behavior?☐☐☐☐

Pillar 2: Justice — Equitable Service Delivery

Justice requires that AI providers deliver services fairly, without discrimination, and with respect for human dignity.

Section 2.1: Equitable Access

#Assessment ItemYesPartialNoN/AEvidence / Notes
2.1.1Is service access equitable across different user groups?☐☐☐☐
2.1.2Are accessibility features available for users with disabilities?☐☐☐☐
2.1.3Is pricing structured to enable equitable access?☐☐☐☐
2.1.4Are language and cultural barriers addressed?☐☐☐☐
2.1.5Is there a process for addressing access disparities?☐☐☐☐

Section 2.2: Non‑Discrimination

#Assessment ItemYesPartialNoN/AEvidence / Notes
2.2.1Does the service discriminate against protected groups?☐☐☐☐
2.2.2Are bias tests conducted on service outputs?☐☐☐☐
2.2.3Are bias mitigation strategies implemented?☐☐☐☐
2.2.4Is discrimination monitoring in place?☐☐☐☐
2.2.5Is there a process for addressing discrimination complaints?☐☐☐☐

Section 2.3: Respect for Dignity

#Assessment ItemYesPartialNoN/AEvidence / Notes
2.3.1Does the service respect user privacy and autonomy?☐☐☐☐
2.3.2Is user consent obtained and respected?☐☐☐☐
2.3.3Is user data protected from misuse?☐☐☐☐
2.3.4Are user rights (access, correction, deletion) supported?☐☐☐☐
2.3.5Is there a process for addressing dignity concerns?☐☐☐☐

Pillar 3: Stewardship — Responsible Platform Governance

Stewardship requires that AI providers govern their platforms with care, accountability, and oversight.

Section 3.1: Platform Governance

#Assessment ItemYesPartialNoN/AEvidence / Notes
3.1.1Are there clear governance structures for platform operation?☐☐☐☐
3.1.2Are roles and responsibilities clearly defined?☐☐☐☐
3.1.3Is there an AI ethics or governance committee?☐☐☐☐
3.1.4Are governance policies documented and accessible?☐☐☐☐
3.1.5Is governance reviewed and updated regularly?☐☐☐☐

Section 3.2: User Protection

#Assessment ItemYesPartialNoN/AEvidence / Notes
3.2.1Are users protected from harm through the service?☐☐☐☐
3.2.2Are privacy protections in place and enforced?☐☐☐☐
3.2.3Is there a data breach response plan?☐☐☐☐
3.2.4Is there a mechanism for reporting abuse or concerns?☐☐☐☐
3.2.5Are user complaints investigated and addressed?☐☐☐☐

Section 3.3: Risk Management

#Assessment ItemYesPartialNoN/AEvidence / Notes
3.3.1Are platform risks identified and assessed?☐☐☐☐
3.3.2Is there a risk management process?☐☐☐☐
3.3.3Are risks monitored and reviewed regularly?☐☐☐☐
3.3.4Are risk mitigation strategies implemented?☐☐☐☐
3.3.5Are emerging risks proactively identified?☐☐☐☐

Pillar 4: Wisdom — Prudent Service Delivery

Wisdom requires that AI providers make wise decisions, anticipate consequences, and exercise sound judgment.

Section 4.1: Service Robustness

#Assessment ItemYesPartialNoN/AEvidence / Notes
4.1.1Is the service designed with appropriate safeguards?☐☐☐☐
4.1.2Are contingency plans in place for service disruptions?☐☐☐☐
4.1.3Are backup systems and redundancy in place?☐☐☐☐
4.1.4Is service resilience tested regularly?☐☐☐☐
4.1.5Are lessons learned from incidents incorporated?☐☐☐☐

Section 4.2: Continuous Improvement

#Assessment ItemYesPartialNoN/AEvidence / Notes
4.2.1Is the service regularly reviewed and improved?☐☐☐☐
4.2.2Are user feedback mechanisms in place?☐☐☐☐
4.2.3Is performance data collected and analyzed?☐☐☐☐
4.2.4Are improvement priorities identified and acted upon?☐☐☐☐
4.2.5Is continuous improvement documented?☐☐☐☐

Section 4.3: Long-Term Thinking

#Assessment ItemYesPartialNoN/AEvidence / Notes
4.3.1Are long-term implications of service decisions considered?☐☐☐☐
4.3.2Is the service designed for future adaptability?☐☐☐☐
4.3.3Are sustainability considerations in place?☐☐☐☐
4.3.4Are future regulatory changes anticipated?☐☐☐☐
4.3.5Is the service aligned with long‑term societal goals?☐☐☐☐

Pillar 5: Beneficence — Service for Human Flourishing

Beneficence requires that AI providers actively promote human and environmental well‑being.

Section 5.1: Well‑Being Contribution

#Assessment ItemYesPartialNoN/AEvidence / Notes
5.1.1Does the service contribute to user and societal well‑being?☐☐☐☐
5.1.2Are positive societal impacts identified and measured?☐☐☐☐
5.1.3Is there a process for maximizing positive impact?☐☐☐☐
5.1.4Are vulnerable users protected from harm?☐☐☐☐
5.1.5Are well‑being outcomes documented and shared?☐☐☐☐

Section 5.2: Environmental Stewardship

#Assessment ItemYesPartialNoN/AEvidence / Notes
5.2.1Is the environmental impact of the service managed?☐☐☐☐
5.2.2Are energy‑efficient practices in place?☐☐☐☐
5.2.3Is the environmental footprint measured and reported?☐☐☐☐
5.2.4Are environmental sustainability goals in place?☐☐☐☐
5.2.5Is environmental performance monitored and improved?☐☐☐☐

Section 5.3: Common Good

#Assessment ItemYesPartialNoN/AEvidence / Notes
5.3.1Does the service serve the broader public interest?☐☐☐☐
5.3.2Is the service accessible to diverse communities?☐☐☐☐
5.3.3Is there a commitment to social responsibility?☐☐☐☐
5.3.4Are community benefits identified and delivered?☐☐☐☐
5.3.5Is there stakeholder engagement for the common good?☐☐☐☐

RI‑P Score Summary

Score Calculation

PillarTotal ItemsYesPartialNoScore (%)
Integrity15____________%
Justice15____________%
Stewardship15____________%
Wisdom15____________%
Beneficence15____________%
RI‑P Total75____________%

Score Interpretation

Score RangeRatingDescription
80–100%RighteousExemplary provider practices; righteousness is embedded in service delivery
60–79%ProficientSolid provider practices; righteousness is considered but could be strengthened
40–59%DevelopingFoundational practices in place; significant improvement opportunities exist
20–39%EmergingBasic awareness exists; provider practices need substantial improvement
0–19%UnassessedNo systematic righteousness assessment has been conducted

Action Plan

PillarPriority GapsRecommended ActionsOwnerTarget DateStatus
Integrity
Justice
Stewardship
Wisdom
Beneficence

Strengths and Opportunities

Key Strengths:

Improvement Opportunities:


Assessment Notes

Observations:

Recommendations:


Next Steps

StepActionOwnerTimeline
1Review assessment findings with provider team
2Prioritize action items
3Assign owners and target dates
4Implement improvements
5Schedule follow‑up assessment

Sign‑Off

RoleNameSignatureDate
Assessor
Provider Lead
Governance Lead