AI That Works  ·  AI6 Guidance
AI6-T02.3
Register — Pillar 02
Systemic Issue Review Log
Document No.AI6-T02.3Version[1.0]
Document Owner[Name / Role]Date[DD/MM/YYYY]
Review Date[DD/MM/YYYY]Status[ Draft / In Review / Approved ]
Organisation[Organisation Name]
Record every stakeholder contestation or feedback event in this log. Review quarterly. If three or more events share the same root cause or AI system, escalate to the Executive Accountable Official as a potential systemic issue.
Issue Log
Log IDDate RaisedAI SystemIssue DescriptionRaised ByInitial ResponseEscalated?ResolutionRoot Cause CategoryDate Closed
SI-001[DD/MM/YYYY][System name][Brief description of the AI output or decision contested][ Staff / Contractor / Client / Public ][Immediate action taken][ Yes / No ][Outcome and final decision][ Data quality / Model bias / Process failure / Other ][DD/MM/YYYY]
          
          
Quarterly Review Summary
Quarter / period reviewed
[Q1 / Q2 / Q3 / Q4 — YYYY]
Total events logged this period
[Number]
Systemic issues identified (3+ events, same root cause)
[Describe or 'None identified']
Actions taken or recommended
[Describe remediation actions, model updates, process changes, or escalations]
Reviewed by
[Name]  ·  [Date]
Executive Accountable Official
[Name]  ·  [Date]

AI That Works  ·  AI6 Guidance — Compliance App  ·  aithatworks.com.au  ·  James Clements, AI Strategy & Governance Consultant

This template is provided as guidance only. It does not constitute legal advice. Customise for your organisation and seek qualified legal review where required.