AI Pilot Safety, Ethics & Impact Checklist

{ "Title": "AI Pilot Safety, Ethics & Impact Checklist", "IntroductionHtml": "

This interactive checklist helps teams evaluate safety, ethics, human-in-the-loop boundaries, data readiness, operational impact, and measurable success criteria before launching an AI pilot. Save responses to create a record of decisions, required mitigations, and approval status.

", "SubmitLabel": "Save assessment", "SuccessMessage": "Assessment saved. Use this record to track follow-up actions, approvals, and pilot outcomes.", "DataType": "ai-pilot-safety-assessment", "SchemaVersion": 1, "Fields": [ { "Key": "pilot_name", "FieldType": "text", "Label": "Pilot name / short description", "HelpText": "Enter a concise pilot name that identifies the system, line, or problem (e.g., 'Vision QC for Line 3 - Defect Detection').", "Required": true }, { "Key": "pilot_id", "FieldType": "text", "Label": "Pilot ID (optional)", "HelpText": "Internal tracking ID or ticket number if available.", "Required": false }, { "Key": "pilot_lead", "FieldType": "text", "Label": "Pilot lead / sponsor", "HelpText": "Name and role of the person accountable for the pilot.", "Required": true }, { "Key": "date", "FieldType": "text", "Label": "Date", "HelpText": "Assessment date (YYYY-MM-DD).", "Required": true }, { "Key": "use_case_clarity", "FieldType": "textarea", "Label": "Use-case: problem statement and expected outcome", "HelpText": "Briefly describe the operational problem the AI will address and the expected benefit (quality, throughput, reduced downtime, safety, etc.).", "Required": true }, { "Key": "business_value_estimate", "FieldType": "textarea", "Label": "Estimated business impact", "HelpText": "Quantify expected benefits (e.g., estimated % OEE improvement, cost savings, % fewer defects, time saved). Provide ranges if uncertain.", "Required": false }, { "Key": "use_case_confidence", "FieldType": "scale", "Label": "Team confidence that AI can solve this problem", "HelpText": "1 = low confidence, 5 = high confidence based on prior evidence or prototypes.", "Required": true, "Min": 1, "Max": 5 }, { "Key": "data_sources_and_quality", "FieldType": "textarea", "Label": "Data sources (list) and current quality", "HelpText": "List each data source, owner, sample size, known gaps, and typical data quality issues (missing data, noise, label quality).", "Required": true }, { "Key": "data_completeness", "FieldType": "scale", "Label": "Data completeness / representativeness", "HelpText": "1 = poor (major gaps), 5 = excellent (representative, labeled, consistent).", "Min": 1, "Max": 5, "Required": true }, { "Key": "pii_or_sensitive", "FieldType": "yesno", "Label": "Does the pilot involve personal, protected, or safety-critical data?", "HelpText": "If yes, list controls and compliance requirements in the mitigation field below.", "Required": true }, { "Key": "data_privacy_mitigation", "FieldType": "textarea", "Label": "Data privacy / protection controls", "HelpText": "Describe encryption, anonymization, access controls, retention limits, and approvals required.", "Required": false }, { "Key": "human_decision_boundary", "FieldType": "radio", "Label": "Intended human-automation decision boundary", "HelpText": "Choose the mode of operation and ensure appropriate controls for each.", "Options": [ { "Value": "assist", "Label": "Assist / augment (human remains decision-maker)" }, { "Value": "recommend", "Label": "Recommend (system suggests action; human approves)" }, { "Value": "autonomous", "Label": "Autonomous action (system acts without routine human approval)" } ], "Required": true }, { "Key": "criticality_level", "FieldType": "select", "Label": "Operational criticality if the AI fails or misbehaves", "HelpText": "Assess potential impact: from nuisance to safety-critical outcomes.", "Options": [ { "Value": "low", "Label": "Low (minor inconvenience or inefficiency)" }, { "Value": "moderate", "Label": "Moderate (rework, delays, cost)" }, { "Value": "high", "Label": "High (safety, regulatory, major financial impact)" } ], "Required": true }, { "Key": "required_human_actions", "FieldType": "textarea", "Label": "Required human actions and escalation", "HelpText": "Describe exactly what operators or supervisors must do in normal operation and when the system flags uncertainty or anomalies.", "Required": true }, { "Key": "failure_mode_assessment", "FieldType": "textarea", "Label": "Failure modes and likely impacts", "HelpText": "List credible failure modes (false positives, false negatives, data drift, connectivity loss) and the operational impact for each.", "Required": true }, { "Key": "safety_risk", "FieldType": "yesno", "Label": "Could a failure cause a safety incident?", "HelpText": "If yes, a higher level of verification and physical safeguards are required.", "Required": true }, { "Key": "failure_mitigation_plan", "FieldType": "textarea", "Label": "Mitigations for failure modes", "HelpText": "Technical and procedural mitigations (fallback modes, alarms, manual overrides, redundancy, training).", "Required": true }, { "Key": "operator_impact", "FieldType": "textarea", "Label": "Operator and frontline impact", "HelpText": "Which operator roles are affected? How will workflows change? What new responsibilities are introduced?", "Required": true }, { "Key": "operators_affected_count", "FieldType": "number", "Label": "Estimated number of operators affected", "HelpText": "Helps scale training and communication plans.", "Required": false, "Min": 0 }, { "Key": "training_plan_ready", "FieldType": "yesno", "Label": "Is a training plan in place for affected staff?", "HelpText": "Training should include normal operation, error states, and rollback procedures.", "Required": true }, { "Key": "training_summary", "FieldType": "textarea", "Label": "Training scope and completion criteria", "HelpText": "Describe format (hands-on, e-learning), who must complete it, and how completion is verified.", "Required": false }, { "Key": "guardrails_and_monitoring", "FieldType": "textarea", "Label": "Operational guardrails and monitoring plan", "HelpText": "List automatic checks, thresholds, dashboards, alerts, and frequency of human review.", "Required": true }, { "Key": "rollback_ready", "FieldType": "yesno", "Label": "Is there a tested rollback / disable plan?", "HelpText": "Rollback should be quick and safe with clear ownership.", "Required": true }, { "Key": "rollback_steps", "FieldType": "textarea", "Label": "Rollback / disable steps (brief)", "HelpText": "Provide step-by-step actions and contact points for emergency rollback.", "Required": false }, { "Key": "performance_metrics", "FieldType": "textarea", "Label": "Success metrics and acceptance criteria", "HelpText": "List exact metrics, baseline values, targets, and statistical confidence required for success (e.g., precision, recall, reduction in defects).", "Required": true }, { "Key": "evaluation_period_days", "FieldType": "number", "Label": "Planned evaluation period (days)", "HelpText": "How long will you run the pilot before making a go/no-go decision?", "Required": true, "Min": 1 }, { "Key": "stop_criteria", "FieldType": "textarea", "Label": "Stop criteria", "HelpText": "Define automatic or manual conditions that will terminate the pilot early.", "Required": true }, { "Key": "stakeholders_and_communication", "FieldType": "textarea", "Label": "Stakeholders, reporting cadence and communication plan", "HelpText": "Who receives regular updates, what data is reported, and how incidents are escalated.", "Required": true }, { "Key": "self_assessed_risk", "FieldType": "scale", "Label": "Team self-assessed overall risk (1 low - 5 high)", "HelpText": "A quick summary risk check that combines safety, data, and operational concerns.", "Min": 1, "Max": 5, "Required": true }, { "Key": "reviewer_name", "FieldType": "text", "Label": "Reviewer / approver name", "HelpText": "Person who reviews this assessment for approval.", "Required": false }, { "Key": "reviewer_decision", "FieldType": "select", "Label": "Reviewer decision", "HelpText": "Approve, defer until mitigations are complete, or reject.", "Options": [ { "Value": "approve", "Label": "Approve" }, { "Value": "defer", "Label": "Defer (needs actions)" }, { "Value": "reject", "Label": "Reject" } ], "Required": false }, { "Key": "reviewer_notes", "FieldType": "textarea", "Label": "Reviewer notes and required follow-up actions", "HelpText": "List outstanding actions, owners and deadlines if decision is defer/reject.", "Required": false } ] }