ISO 42001 AI System Impact Assessment Template

Decide which AI systems need an impact assessment, then complete one that stands up to scrutiny. Two fully worked examples show a non-specialist exactly what a good assessment looks like.

What you get

1. AI System Impact Assessment Template (Word, 17 pages): 15 sections covering intended use and foreseeable misuse, affected groups, data, benefits, impacts on individuals, groups and society, mitigations and human oversight, transparency, residual impact and a Go / Go with conditions / Stop decision, sign-off and review triggers. Includes a severity and likelihood scale and supports clauses 6.1.4 and 8.4 and controls A.5.2 to A.5.5.
2. Two worked examples (in the template): a full assessment of a CV-screening assistant and a light assessment of a customer support chatbot, both for fictional companies.
3. Screener and Log (Excel): 20 screening questions (8 full-assessment triggers and 12 indicators) that return Full, Light or Not required automatically, a Screening Matrix for many systems, an Assessment Log and a Dashboard.
4. Start Here guide (PDF): steps, time estimates and common mistakes.

Also included in the ISO 42001 Starter Bundle and the AIMS Implementation Toolkit.

How to use it

1. Read the introduction and the CV-screening example (30 minutes).
2. Screen each AI system, about 10 minutes per system, and log every result, including Not required.
3. For Full or Light results, complete the template with a small team and consult affected people where practical.
4. Agree mitigations, rate residual impact and get the decision signed by the right person.
5. Add significant impacts to your AI risk register and set review triggers.

Who it is for

AI system owners, product managers and HR or operations leads introducing AI that affects people, and organizations preparing for ISO/IEC 42001 that want a defensible record of how they considered those effects.

Good to know

• Instant download. Editable Word (.docx) and Excel (.xlsx), plus PDF. Works in Excel 2016 or later, Microsoft 365 and LibreOffice; no macros.
• Licensed for use within one organization.
• Requirements and controls are summarized in our own words and referenced by number; the templates do not reproduce ISO/IEC 42001. You need your own licensed copy of the standard.
• These templates help you prepare. They do not guarantee certification; your certification body decides based on how your AI management system works in practice.
• 5-day fit guarantee: if it does not fit your system, contact us within 5 days of purchase.