Complete this report before any AI system goes live. Deployment must not proceed until the Executive Accountable Official has signed off on the testing outcomes. Retain this report as permanent audit documentation for the system's lifecycle.
1. System Under Test
System name, version, vendor
[System name] · [Version] · [Vendor]
Intended use and deployment environment
[Describe what the system will do and where it will operate]
Testing period
[DD/MM/YYYY] to [DD/MM/YYYY]
Testing conducted by
[Name, role — internal or external tester]
2. Test Results by Acceptance Criterion
| Test Category | Acceptance Criterion | Test Method | Result | Pass / Fail | Defects Identified |
|---|
| Accuracy | [e.g. >95% accuracy on validation dataset] | [e.g. Holdout test set — 500 samples] | [e.g. 96.2%] | [ Pass / Fail ] | [None / Describe] |
| Robustness | [e.g. Stable outputs under data quality degradation up to 15%] | [e.g. Noise injection testing] | [Result] | [ Pass / Fail ] | [None / Describe] |
| Bias | [e.g. No statistically significant disparity in outcomes across protected groups] | [e.g. Fairness audit — [tool/methodology]] | [Result] | [ Pass / Fail ] | [None / Describe] |
| Security | [e.g. No critical vulnerabilities; prompt injection testing passed] | [e.g. OWASP AI security assessment] | [Result] | [ Pass / Fail ] | [None / Describe] |
| Usability | [e.g. 80% of target users able to complete standard tasks without error] | [e.g. User acceptance testing — 10 participants] | [Result] | [ Pass / Fail ] | [None / Describe] |
3. Deployment Authorisation
Deployment recommendation
[ Approved for deployment | Approved for deployment with conditions | Not approved — remediation required ]
Conditions (if applicable)
[List any conditions, monitoring requirements, or limitations on deployment scope]
Testing Lead
[Name] · [Date]
Executive Accountable Official — Deployment Sign-Off
[Name] · [Date]