# AI Initiative Evidence Record

## Decision header

- Initiative:
- Workflow:
- Population and scope:
- Intervention mode: assist / recommend / route / execute / replace
- Decision sought: scale / constrain / redesign / hold / retire / exception
- Accountable decision owner:
- Review date or trigger:
- Record version:

## Value hypothesis

> For [population] doing [workflow], [intervention] will change [outcome] by [direction/range] without exceeding [countermetric boundary], at [full cost boundary], compared with [baseline], over [period].

- Hypothesis status: supported / weakened / refuted / unresolved
- Expected benefit:
- Enabled capacity:
- Operational benefit:
- Realized economic or mission benefit:
- Benefit realization mechanism:
- Human-control boundary:
- Authority proposed for next slice:

## Evidence comparison

- Baseline:
- Comparison design:
- Treatment period:
- Comparison period:
- Inclusion and exclusion rules:
- Known selection effects:
- Concurrent changes:
- Quality measurement limitations:
- Statistical or causal analysis owner:

| Claim | Evidence class | Source and scope | What it supports | What it does not support | Open challenge | Permitted interpretation |
|---|---|---|---|---|---|---|
| | observed / causal / inferred / vendor-reported / asserted / normative | | | | | |

## Outcome and countermetrics

| Metric | Type | Definition and denominator | Baseline | Observed | Target/boundary | Owner | Evidence source |
|---|---|---|---:|---:|---|---|---|
| | primary / leading / countermetric / adoption | | | | | | |

## Segment review

| Slice | Adoption or exposure | Outcome | Quality/countermetric | New burden or benefit | Decision implication |
|---|---:|---:|---:|---|---|
| | | | | | |

Slices not available and why:

## Cost boundary

### Billing truth

- Provider/infrastructure source:
- Billing period and version:
- Reconciliation status:

### Allocated cost

- Allocation target:
- Shared-cost rule:
- Allocation owner:

### Economic cost

- Meaningful unit:
- Model/inference:
- Tools and APIs:
- Retrieval/storage/networking:
- Human review and exception handling:
- Incremental capacity:
- Engineering, evaluation, observability, governance, training, support, and exit:
- Fixed, variable, step-function, avoided, transferred, and uncertain costs:
- Calculation and allocation method:
- Range or sensitivity:

## Findings and gaps

### Supported findings

1.

### Unresolved or conflicting findings

1.

### Missing evidence

| Gap | Why it matters | Owner | Next evidence | Due date or trigger |
|---|---|---|---|---|
| | | | | |

## Governance evidence packet

- Intended use and risk tier:
- System/model/prompt/policy/tool/provider/version inventory:
- Acceptable-use, refusal, escalation, and human-oversight rules:
- Pre-deployment evaluation and release threshold:
- Third-party/provider assessment and contractual evidence:
- Incident, override, and near-miss record:
- Change/revalidation trigger:
- Retention, dependency, leakage, user-impact, and decommissioning plan:

## Decision and controls

- Disposition:
- Scope of approval:
- Authority limit:
- Budget or quota limit:
- Human review or escalation rule:
- Stop trigger:
- Rollback, containment, or retirement path:
- Exception approver, if applicable:
- Revisit condition:

## Learning closure

- Expected versus observed outcome:
- Expected versus observed cost:
- Countermetric and subgroup result:
- Incidents, overrides, or near misses:
- Changes since prior record:
- Hypothesis update:
- Follow-up artifact or owner: