# Quarterly AI Governance Report Template

Audience: Board, Risk Committee, Audit Committee, ExCo  
Period: `Q__ 20__`  
Prepared by: `__________________`  
Date: `__________________`

## 1) Executive Summary (1 page max)
- Current AI governance status: `Red / Amber / Green`
- Top 3 changes this quarter:
  1. `________________________________`
  2. `________________________________`
  3. `________________________________`
- Key board decision(s) requested:
  - `________________________________`

## 2) AI Use Case Portfolio Snapshot
| Metric | Current Quarter | Previous Quarter | Trend |
|---|---:|---:|---|
| Total material AI use cases |  |  |  |
| High-risk use cases |  |  |  |
| Use cases with named owner |  |  |  |
| Use cases with complete controls |  |  |  |
| Use cases under remediation |  |  |  |

## 3) Risk and Controls Dashboard
### Data Risk
- Status: `R/A/G`
- Key issues: `________________________`
- Mitigations underway: `________________`

### Model Risk
- Status: `R/A/G`
- Key issues: `________________________`
- Mitigations underway: `________________`

### Operational Risk
- Status: `R/A/G`
- Key issues: `________________________`
- Mitigations underway: `________________`

### Reputational/Ethical Risk
- Status: `R/A/G`
- Key issues: `________________________`
- Mitigations underway: `________________`

## 4) Incidents and Escalations
| Incident ID | Date | Business Area | Severity | Description | Immediate Action | Board Notification Required (Y/N) | Status |
|---|---|---|---|---|---|---|---|
|  |  |  |  |  |  |  |  |

## 5) Regulatory and Disclosure Readiness
- Relevant obligations reviewed this quarter: `____________________`
- Disclosure-relevant events identified: `Yes / No`
- If yes, summary and action taken: `________________________`
- Assurance evidence quality: `Low / Medium / High`

## 6) Decisions, Dependencies, and Next Quarter Plan
- Decisions required from board:
  1. `________________________________`
  2. `________________________________`
- Critical dependencies:
  - `Data`
  - `Technology`
  - `People/Capability`
  - `Policy/Legal`
- Top 5 actions for next quarter:
  1. `________________________________`
  2. `________________________________`
  3. `________________________________`
  4. `________________________________`
  5. `________________________________`

## Appendix (Optional)
- Detailed use case register extract
- Control testing evidence summary
- External audit/legal input summary