Organization Assessment Template

Appendix F — Organization Assessment Template

This template provides a structured framework for assessing the righteousness of organizational AI governance using the Organization Righteousness Index (RI‑O) . It evaluates organizations across the Five Pillars of AI Righteousness and provides actionable insights for improvement.

Instructions: For each item, assess the organization’s AI governance practices 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 organization context

Assessment Overview

FieldDetails
Assessment Date___
Assessor Name___
Assessor Role___
Assessor Organization___
Organization Name___
RI‑O Version1.0
Industry/Sector___
Organization Size___
Assessment TypeInitial / Follow-up
Assessment Scope___
Assessment Context___

Pillar 1: Integrity — Honest and Transparent Organizational Governance

Integrity requires that organizations govern AI with honesty, transparency, and accountability.

Section 1.1: Policy Transparency

#Assessment ItemYesPartialNoN/AEvidence / Notes
1.1.1Are AI governance policies transparent and accessible to all stakeholders?☐☐☐☐
1.1.2Are policies clearly communicated to employees and stakeholders?☐☐☐☐
1.1.3Are policy updates and changes communicated in a timely manner?☐☐☐☐
1.1.4Are policies available in multiple languages as needed?☐☐☐☐
1.1.5Is there a process for stakeholders to provide feedback on policies?☐☐☐☐

Section 1.2: Honest Communication

#Assessment ItemYesPartialNoN/AEvidence / Notes
1.2.1Does the organization communicate honestly about its AI systems?☐☐☐☐
1.2.2Are AI capabilities and limitations disclosed to stakeholders?☐☐☐☐
1.2.3Are AI incidents and failures disclosed transparently?☐☐☐☐
1.2.4Is there a process for correcting miscommunications?☐☐☐☐
1.2.5Are communications consistent across all channels?☐☐☐☐

Section 1.3: No Misleading Statements

#Assessment ItemYesPartialNoN/AEvidence / Notes
1.3.1Does the organization avoid making misleading claims about its AI systems?☐☐☐☐
1.3.2Are marketing materials truthful and accurate?☐☐☐☐
1.3.3Are public statements about AI verified for accuracy?☐☐☐☐
1.3.4Is there a process for correcting misleading statements?☐☐☐☐
1.3.5Are third‑party claims about the organization’s AI verified?☐☐☐☐

Pillar 2: Justice — Fair Organizational AI Deployment

Justice requires that organizations deploy AI fairly, equitably, and with respect for human dignity.

Section 2.1: Fair Deployment

#Assessment ItemYesPartialNoN/AEvidence / Notes
2.1.1Are AI systems deployed fairly across the organization and to stakeholders?☐☐☐☐
2.1.2Are deployment decisions assessed for fairness?☐☐☐☐
2.1.3Are affected stakeholders consulted before deployment?☐☐☐☐
2.1.4Is fairness monitoring in place post‑deployment?☐☐☐☐
2.1.5Are fairness concerns escalated and addressed?☐☐☐☐

Section 2.2: Equitable Outcomes

#Assessment ItemYesPartialNoN/AEvidence / Notes
2.2.1Do AI systems produce equitable outcomes across different groups?☐☐☐☐
2.2.2Are outcomes disaggregated by demographic groups?☐☐☐☐
2.2.3Are disparities identified and addressed?☐☐☐☐
2.2.4Is there a process for correcting inequitable outcomes?☐☐☐☐
2.2.5Are equitable outcomes monitored over time?☐☐☐☐

Section 2.3: Stakeholder Fairness

#Assessment ItemYesPartialNoN/AEvidence / Notes
2.3.1Are all stakeholders treated fairly in AI‑related decisions?☐☐☐☐
2.3.2Are vulnerable stakeholders protected from AI‑related harm?☐☐☐☐
2.3.3Is there a process for addressing stakeholder fairness concerns?☐☐☐☐
2.3.4Are stakeholder rights respected in AI systems?☐☐☐☐
2.3.5Is stakeholder fairness monitored and reported?☐☐☐☐

Pillar 3: Stewardship — Responsible Organizational AI Governance

Stewardship requires that organizations govern AI with care, accountability, and effective oversight.

Section 3.1: Governance Structure

#Assessment ItemYesPartialNoN/AEvidence / Notes
3.1.1Is there a clear governance structure for AI oversight?☐☐☐☐
3.1.2Is there a designated AI governance lead or committee?☐☐☐☐
3.1.3Are governance roles and responsibilities clearly defined?☐☐☐☐
3.1.4Are governance structures documented and communicated?☐☐☐☐
3.1.5Are governance structures reviewed and updated regularly?☐☐☐☐

Section 3.2: Accountability

#Assessment ItemYesPartialNoN/AEvidence / Notes
3.2.1Are roles and responsibilities for AI governance clearly defined?☐☐☐☐
3.2.2Is there clear accountability for AI outcomes?☐☐☐☐
3.2.3Is accountability documented and communicated?☐☐☐☐
3.2.4Is there a process for addressing accountability failures?☐☐☐☐
3.2.5Is accountability reviewed and improved regularly?☐☐☐☐

Section 3.3: Oversight Mechanisms

#Assessment ItemYesPartialNoN/AEvidence / Notes
3.3.1Are there oversight mechanisms for AI systems?☐☐☐☐
3.3.2Are independent audits conducted on AI systems?☐☐☐☐
3.3.3Is there a process for reporting AI-related concerns?☐☐☐☐
3.3.4Are oversight findings reviewed and acted upon?☐☐☐☐
3.3.5Are oversight mechanisms evaluated for effectiveness?☐☐☐☐

Pillar 4: Wisdom — Strategic and Prudent AI Governance

Wisdom requires that organizations govern AI with sound judgment, foresight, and strategic thinking.

Section 4.1: Strategic Governance

#Assessment ItemYesPartialNoN/AEvidence / Notes
4.1.1Is AI governance aligned with long‑term organizational strategy?☐☐☐☐
4.1.2Are strategic goals for AI governance established?☐☐☐☐
4.1.3Is AI governance integrated into organizational planning?☐☐☐☐
4.1.4Are strategic AI governance decisions documented?☐☐☐☐
4.1.5Is strategic alignment reviewed regularly?☐☐☐☐

Section 4.2: Risk Management

#Assessment ItemYesPartialNoN/AEvidence / Notes
4.2.1Are AI risks identified, assessed, and managed?☐☐☐☐
4.2.2Is there a risk management process for AI systems?☐☐☐☐
4.2.3Are risks prioritized based on severity?☐☐☐☐
4.2.4Are risk mitigation strategies implemented?☐☐☐☐
4.2.5Is risk management reviewed and updated regularly?☐☐☐☐

Section 4.3: Long‑Term Thinking

#Assessment ItemYesPartialNoN/AEvidence / Notes
4.3.1Are long‑term consequences of AI decisions considered?☐☐☐☐
4.3.2Is the organization prepared for future AI developments?☐☐☐☐
4.3.3Are sustainability considerations integrated into AI strategy?☐☐☐☐
4.3.4Are future regulatory changes anticipated?☐☐☐☐
4.3.5Is there a process for scenario planning in AI governance?☐☐☐☐

Pillar 5: Beneficence — AI for Organizational Mission and Public Good

Beneficence requires that organizations use AI to serve their mission and promote the common good.

Section 5.1: Mission Alignment

#Assessment ItemYesPartialNoN/AEvidence / Notes
5.1.1Does AI serve the organization’s mission and public good?☐☐☐☐
5.1.2Is AI deployment aligned with organizational values?☐☐☐☐
5.1.3Is there a process for evaluating mission alignment?☐☐☐☐
5.1.4Are mission alignment concerns escalated and addressed?☐☐☐☐
5.1.5Is mission alignment monitored over time?☐☐☐☐

Section 5.2: Stakeholder Well‑Being

#Assessment ItemYesPartialNoN/AEvidence / Notes
5.2.1Does AI deployment consider stakeholder well‑being?☐☐☐☐
5.2.2Are stakeholders consulted about AI impacts?☐☐☐☐
5.2.3Is there a process for addressing well‑being concerns?☐☐☐☐
5.2.4Are well‑being impacts measured and reported?☐☐☐☐
5.2.5Is well‑being monitoring integrated into AI governance?☐☐☐☐

Section 5.3: Social Responsibility

#Assessment ItemYesPartialNoN/AEvidence / Notes
5.3.1Does the organization demonstrate social responsibility in AI use?☐☐☐☐
5.3.2Is there a commitment to ethical AI practices?☐☐☐☐
5.3.3Are social responsibility goals established and tracked?☐☐☐☐
5.3.4Is there stakeholder engagement on social responsibility?☐☐☐☐
5.3.5Is social responsibility performance reported?☐☐☐☐

RI‑O Score Summary

Score Calculation

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

Score Interpretation

Score RangeRatingDescription
80–100%RighteousExemplary organizational governance; righteousness is embedded in organizational culture
60–79%ProficientSolid governance practices; righteousness is considered but could be strengthened
40–59%DevelopingFoundational practices in place; significant improvement opportunities exist
20–39%EmergingBasic awareness exists; organizational governance needs 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 leadership team
2Prioritize action items
3Assign owners and target dates
4Implement improvements
5Schedule follow‑up assessment

Sign‑Off

RoleNameSignatureDate
Assessor
Organization Lead
Governance Lead