# AI Change Record

> **Record role:** Document a material change to an existing AI-enabled workflow. This record does not authorize release, certify compliance, or replace accountable human review.

## 1. Record identity

- **Record ID:**
- **Status:** Proposed | Under review | Introduced | Paused | Reverted | Contained
- **Date opened:**
- **Accountable owner (person or role):**
- **Decision right:**
- **Related workflow or service:**

## 2. Change statement

Describe the before/after difference in one or two sentences. State what is known and mark what remains uncertain.

## 3. Change surface

Mark every affected surface and describe the material difference.

- [ ] Model or version
- [ ] System instruction or prompt
- [ ] External tool or connector
- [ ] Retrieval source, corpus, or embedding path
- [ ] Source data or data-handling route
- [ ] Permission, resource envelope, or action boundary
- [ ] Evaluation, test, or acceptance condition
- [ ] Human approval or escalation route
- [ ] Monitor, pause condition, rollback, or containment path
- [ ] Other:

## 4. Purpose and expected effect

Why is this change proposed? What specific effect is expected, and for whom? State any affected people, resources, or downstream decisions.

## 5. Boundary and accountable decision

- **What remains unchanged:**
- **What this record does not authorize:**
- **Accountable review or decision owner:**
- **Escalate before proceeding if:**

## 6. Evidence and re-check

- **Evidence available before the change:**
- **Re-check to perform:**
- **Who performs or reviews it:**
- **Pass/fail or review condition:**
- **Evidence location or permitted reference:**

## 7. Monitoring and pause condition

- **Observable condition to monitor:**
- **Pause condition requiring human review:**
- **Who receives the signal or report:**
- **Review cadence or trigger:**

## 8. Rollback or containment

- **Rollback path, if reversible:**
- **Containment path, if not immediately reversible:**
- **Known dependencies or prerequisites:**
- **Person or role who can initiate the path:**

## 9. Review outcome and open questions

- **Outcome:**
- **Open questions:**
- **Follow-up owner and date:**
- **Related records:**

## 10. Retention and correction

- **Retention location and period:**
- **Correction route:**
- **Sensitive-information review:**
