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ISO/IEC 42001 Statement of Applicability Template (AIMS Annex A)

AIMS SoA: scope, risk treatment link, all 38 Annex A controls with basis, justification, status, owner, evidence, Annex B ref, extra controls, traceability

ISO та комплаєнсПовнийISO/IEC 42001:2023 clause 6.1.3, Annex Aiso42001statementapplicability

Як використовувати: Use it after the AI risk assessment and impact assessment to record which ISO/IEC 42001 Annex A controls are needed and why. Fill the scope, the risk treatment inputs and the basis codes first, then one row per control. The main pitfall is marking controls Implemented when no dated evidence shows them operating. Honest current-state scores matter more than target ambitions.

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Statement of Applicability: [Organisation name] AI management system

Statement of Applicability (SoA) for an AI management system (AIMS), structured on clause 6.1.3 of ISO/IEC 42001:2023 (Information technology, Artificial intelligence, Management system). It records every Annex A control (A.2 to A.10), whether it is included or excluded, why, how far it is implemented, who owns it and what evidence shows it works, together with additional controls taken from other sources such as the NIST AI RMF and ISO/IEC 27001. Replace every [bracketed] value and every row or cell marked Example. Control numbers are cited for reference; the short descriptions are original paraphrases, so read the standard for the normative control text.

Document control

FieldValue
Document ID[SOA-AIMS-001]
Version[0.1]
Status[Draft / In review / Approved / Superseded]
Owner[@aims-manager]
Approvers / reviewers[@ai-governance-board], [@ciso], [@dpo], [@legal]
Last updatedYYYY-MM-DD
Classification[Internal / Confidential]
AIMS scope statement[SCOPE-AIMS-001, version]
AI risk assessment[AIRA-REG-001, version, date]
AI risk treatment plan[AIRTP-001, version, date]
Standard editionISO/IEC 42001:2023 [plus amendments, if any]
Certification body (if any)[Name, accreditation]
Next scheduled reviewYYYY-MM-DD

Approvals

RoleNameDecisionDate
AIMS manager[@name][Prepared]YYYY-MM-DD
AI governance board chair[@name][Approve / Approve with conditions / Reject]YYYY-MM-DD
Top management representative[@name][Approve residual risk and treatment plan]YYYY-MM-DD

Revision history

VersionDateAuthorChange summary
0.1YYYY-MM-DD[@name]First draft from the initial risk treatment plan
1.0YYYY-MM-DD[@name]Example: Approved for stage 1 certification audit
1.1YYYY-MM-DD[@name]Example: A.7.5 status changed to Implemented after data lineage tool rollout; added AC-004

Contents

1. Purpose and scope

This Statement of Applicability records the controls [Organisation name] has determined to be necessary to treat its AI risks within the AIMS scope defined in [SCOPE-AIMS-001]. It is the reference that internal auditors, the certification body and the AI governance board use to check that each Annex A control was considered, that inclusions and exclusions are justified, and that implementation is evidenced.

1.1 AIMS scope summary

ItemValue
Organisational units[Example: Product engineering, data science, customer operations]
Locations[Example: Berlin (HQ), remote staff in the EU]
AI roles of the organisation[AI provider / AI producer / AI customer / AI partner / AI subject] (role terms as described in ISO/IEC 22989)
Out of scope[Example: HR recruitment tools bought as SaaS and covered by the procurement process only]

1.2 AI systems in scope

System IDAI systemRole of the organisationLife cycle stageImpact assessment
AIS-001 (Example)Customer support assistant (LLM with retrieval)Provider and deployerOperationAIIA-001
AIS-002 (Example)Invoice anomaly detection modelDeveloper and deployerVerification and validationAIIA-002
AIS-003 (Example)Third-party code assistant used by engineersCustomer (user)OperationNot required (internal, low impact)

2. Link to risk assessment and treatment

The SoA was produced from the AI risk treatment process in the following sequence. Controls may come from Annex A or from any other source; Annex A is used as a completeness check rather than as the only menu.

InputReferenceDateHow it was used
AI risk register[AIRA-REG-001]YYYY-MM-DDExample: 27 risks rated, 9 above tolerance; each above-tolerance risk maps to at least one control in sections 4 and 6
AI system impact assessments[AIIA-001], [AIIA-002]YYYY-MM-DDExample: Impacts on applicants and customers drove inclusion of A.5.4, A.8.2 and A.8.3
Legal and regulatory register[AI regulatory applicability register]YYYY-MM-DDExample: EU AI Act provider and deployer duties drove A.6.2.8 and A.8.5
Contractual requirements[Customer contracts register]YYYY-MM-DDExample: Two enterprise contracts require incident notice within 72 hours
Risk criteria[Risk methodology, section x]YYYY-MM-DDLikelihood and impact scales and tolerance

3. How to read the applicability tables

Included is Yes when the control is necessary to treat at least one risk or to meet a requirement, and No when it is excluded (see section 5).

Basis codes explain why a control is included:

CodeMeaning
RANeeded to treat a risk in the AI risk register
IANeeded because of a finding in an AI system impact assessment
LRNeeded to meet a legal or regulatory requirement
CONeeded to meet a contractual or customer requirement
BPAdopted as good practice or an internal objective without a specific risk

Status scale:

StatusMeaning
PlannedApproved in the treatment plan; work not started
In progressPartly in place; gaps tracked in the treatment plan
ImplementedIn place and operating; evidence available
EffectiveImplemented and verified by internal audit or monitoring results
Not applicableExcluded; justification in section 5

Guidance gives the matching Annex B clause, which carries the standard's implementation guidance for each Annex A control (for example B.2.2 for A.2.2). Annex C (potential AI-related objectives and risk sources) and Annex D (use across domains and sectors) are informative and can support justifications.

4. Annex A control applicability

Annex A of ISO/IEC 42001:2023 groups its controls into nine control areas, A.2 to A.10 (A.6 has two objectives, A.6.1 and A.6.2). Public summaries consistently count 38 controls; confirm the count against the edition you hold. The descriptions below are short original paraphrases of each control's subject.

4.1 A.2 Policies related to AI

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.2.2Documented policy for developing or using AI systemsYesLR, BPExample: Required to set direction for all AIS in scope and to anchor AI objectivesImplemented[@ciso]POL-AI-001 v1.0B.2.2
A.2.3Alignment of other organisational policies with AI objectivesYesRAExample: Security, privacy and procurement policies affect AI risk R-07In progress[@aims-manager]Policy alignment logB.2.3
A.2.4Planned and event-driven review of the AI policyYesBPExample: AI law and technology change faster than the annual policy cycleImplemented[@aims-manager]Board minutes YYYY-MM-DDB.2.4

4.2 A.3 Internal organization

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.3.2Defined and assigned AI roles and responsibilitiesYesRA, LRExample: Unclear ownership was the root cause of risk R-02Implemented[@coo]AI RACI v2B.3.2
A.3.3Process for raising concerns about AI systemsYesIA, LRExample: Impact assessment AIIA-001 found no channel for staff concernsIn progress[@ethics-officer]Speak-up procedure updateB.3.3

4.3 A.4 Resources for AI systems

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.4.2Identification and documentation of resources per life cycle stageYesRAExample: Needed to plan capacity and dependencies for AIS-001Implemented[@ml-platform-lead]AI system inventoryB.4.2
A.4.3Documentation of data resources usedYesRA, LRExample: Data origin gaps rated high in R-05In progress[@data-governance-lead]Dataset registerB.4.3
A.4.4Documentation of tooling resourcesYesRAExample: Unreviewed training and evaluation libraries (R-11)Implemented[@ml-platform-lead]Tooling register, AI-BOMB.4.4
A.4.5Documentation of system and computing resourcesYesBPExample: Needed for cost, resilience and environmental reportingImplemented[@infra-lead]Capacity planB.4.5
A.4.6Documentation of human resources and competencesYesRA, LRExample: Skills gaps in model validation (R-08); AI literacy measuresIn progress[@hr-lead]Competence matrix, AI literacy planB.4.6

4.4 A.5 Assessing impacts of AI systems

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.5.2Process for assessing potential consequences of AI systemsYesLR, RAExample: Clause 6.1.4 requirement; AI Act fundamental rights duties for some deploymentsImplemented[@ai-governance-lead]Impact assessment procedureB.5.2
A.5.3Documentation and retention of impact assessment resultsYesLRExample: Results must be available to auditors and regulatorsImplemented[@ai-governance-lead]AIIA recordsB.5.3
A.5.4Assessment of impacts on individuals or groupsYesIAExample: AIS-001 interacts with consumers, including vulnerable usersImplemented[@product-owner]AIIA-001 section 5B.5.4
A.5.5Assessment of societal impactsYesIAExample: Scale of AIS-001 and environmental footprint of hostingIn progress[@sustainability-lead]AIIA-001 section 5.3B.5.5

4.5 A.6 AI system life cycle

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.6.1.2Objectives that guide responsible developmentYesBPExample: Translates AI policy principles into engineering targetsImplemented[@head-of-ml]Responsible development objectivesB.6.1.2
A.6.1.3Defined processes for responsible design and developmentYesRAExample: Ad hoc development caused R-03 (untested prompts in production)In progress[@head-of-ml]ML development standardB.6.1.3
A.6.2.2Requirements and specification for new or enhanced AI systemsYesRAExample: Missing acceptance criteria in R-03Implemented[@product-owner]Requirement specs, prompt specificationsB.6.2.2
A.6.2.3Documentation of design and developmentYesLRExample: Technical documentation duties for provider roleIn progress[@tech-lead]Design recordsB.6.2.3
A.6.2.4Verification and validation measures and criteriaYesRA, COExample: Hallucination and safety risks R-04, R-09; customer acceptance testsImplemented[@qa-lead]Evaluation plans and reportsB.6.2.4
A.6.2.5Deployment planning and release criteriaYesRAExample: Releases without gates caused incident INC-14Implemented[@release-manager]Launch review recordsB.6.2.5
A.6.2.6Running and watching the system in production, with upkeepYesRAExample: Drift and degradation risk R-10In progress[@sre-lead]Monitoring plan, dashboardsB.6.2.6
A.6.2.7Technical documentation for each relevant interested partyYesLR, COExample: Deployer customers need instructions for usePlanned[@tech-writer]Documentation setB.6.2.7
A.6.2.8Deciding when event logs are kept, always including live useYesLR, RAExample: Traceability and incident investigation needs; AI Act logging duties for high-risk systemsImplemented[@sre-lead]Logging standard, log retention settingsB.6.2.8

4.6 A.7 Data for AI systems

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.7.2Data management processes for development and enhancementYesRAExample: Uncontrolled reuse of support tickets for fine-tuning (R-05)In progress[@data-governance-lead]Data management procedureB.7.2
A.7.3Acquisition and selection of dataYesRA, LRExample: Licensing and lawful basis of acquired datasets (R-06)Implemented[@legal]Data acquisition recordsB.7.3
A.7.4Data quality requirements and checksYesRAExample: Label noise affecting AIS-002 recall (R-12)Implemented[@data-science-lead]Data quality rules, validation reportsB.7.4
A.7.5Recording of data provenanceYesLR, RAExample: Needed to answer data subject and copyright queriesIn progress[@data-governance-lead]Lineage tool, datasheetsB.7.5
A.7.6Criteria and methods for data preparationYesRAExample: Inconsistent PII redaction before training (R-05)Implemented[@data-engineering-lead]Pipeline specificationB.7.6

4.7 A.8 Information for interested parties of AI systems

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.8.2System documentation and information for usersYesLR, IAExample: Users must know they interact with AI and understand limitsImplemented[@product-owner]In-product notices, help centre articleB.8.2
A.8.3Means for interested parties to report adverse impactsYesIAExample: AIIA-001 required an external reporting routeIn progress[@support-lead]Feedback form, triage procedureB.8.3
A.8.4Plan for communicating incidents to usersYesLR, COExample: Contractual 72-hour notice; serious incident reporting dutiesImplemented[@incident-manager]AI incident response planB.8.4
A.8.5Determination of information to report to interested partiesYesLRExample: Regulator and customer reporting obligations identified in the legal registerPlanned[@legal]Reporting obligations registerB.8.5

4.8 A.9 Use of AI systems

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.9.2Processes for responsible use of AI systemsYesRAExample: Staff use of third-party assistants (AIS-003, R-13)Implemented[@ciso]AI acceptable use policyB.9.2
A.9.3Objectives that guide responsible useYesBPExample: Sets measurable targets for review of AI-assisted outputIn progress[@ai-governance-lead]AI objectives registerB.9.3
A.9.4Use according to intended use and accompanying documentationYesLR, RAExample: Deployer duty to follow provider instructions; off-label use risk R-14Implemented[@business-owner]Use case intake recordsB.9.4

4.9 A.10 Third-party and customer relationships

ControlSubject (paraphrase)IncludedBasisJustificationStatusOwnerEvidenceGuidance
A.10.2Splitting life cycle duties across the value chainYesLR, COExample: AI Act value chain roles and Article 25 written agreementsIn progress[@legal]Responsibility matrix in contractsB.10.2
A.10.3Checking that supplied AI inputs fit the organisation's responsible AI approachYesRAExample: Dependence on an external foundation model provider (R-15)Implemented[@procurement-lead]AI vendor risk questionnairesB.10.3
A.10.4Consideration of customer expectations and needsYesCOExample: Enterprise customers require transparency reports and opt-outsImplemented[@account-director]Customer requirements logB.10.4

5. Excluded controls

Exclusions are rare in an AIMS because most controls apply to any organisation that develops or uses AI. Record each one with the condition that would bring it back into scope.

ControlReason for exclusionEvidence for the reasonCondition to re-includeApproved byReview date
A.7.3 (Example)The organisation acts only as an AI customer for AIS-003 and acquires no data for AI development in that scopeScope statement section 2; AI system inventoryAny plan to fine-tune or train a model on acquired data[@ai-governance-board]YYYY-MM-DD
A.6.2.7 (Example)No external interested parties receive the internal-only system, so only internal documentation is required (covered by A.6.2.3)System inventory shows internal users onlySystem offered to customers or partners[@ai-governance-board]YYYY-MM-DD

The two rows above illustrate a narrower scope than section 4. If you keep them, change the matching rows in section 4 to Included: No and Status: Not applicable so the document stays consistent.

6. Additional controls from other sources

IDControl (original wording)SourceBasisTreatsStatusOwnerEvidence
AC-001 (Example)Run adversarial testing against prompt injection, data leakage and excessive agency before each major release of an LLM applicationNIST AI 600-1, MEASURE 2.7 suggested actions; OWASP Top 10 for LLM ApplicationsRAR-09Implemented[@security-lead]Red team reports
AC-002 (Example)Keep a generative AI risk profile per system covering the 12 GAI risk categoriesNIST AI 600-1 section 2RAR-04, R-09, R-16In progress[@ai-risk-lead]GenAI risk profiles
AC-003 (Example)Manage access rights to models, prompts, vector stores and evaluation data on least privilegeISO/IEC 27001:2022 Annex A 5.15 and 8.2RAR-17Implemented[@iam-lead]Access review records
AC-004 (Example)Record model, dataset and component inventory in a machine-readable AI bill of materialsCycloneDX ML-BOM; NIST AI 600-1 GOVERN 6.1 actionsRA, COR-11, R-15Planned[@ml-platform-lead]AI-BOM files
AC-005 (Example)Process personal data in prompts and training sets under documented privacy controls and DPIAISO/IEC 27701:2025; GDPR Article 35LRR-05Implemented[@dpo]DPIA records
AC-006 (Example)Label or mark AI-generated content where transparency obligations applyEU AI Act Article 50LRR-18In progress[@product-owner]Content transparency plan
AC-007 (Example)Map each AI system to NIST AI RMF GOVERN, MAP, MEASURE and MANAGE outcomes for customers who require that frameworkNIST AI RMF 1.0 (AI 100-1)COR-19Implemented[@ai-governance-lead]AI risk assessment

7. Implementation summary

ObjectiveControlsIncludedExcludedImplemented or EffectiveIn progressPlanned
A.2 Policies related to AI3Example: 30210
A.3 Internal organization220110
A.4 Resources for AI systems550320
A.5 Assessing impacts of AI systems440310
A.6 AI system life cycle990531
A.7 Data for AI systems550320
A.8 Information for interested parties440211
A.9 Use of AI systems330210
A.10 Third-party and customer relationships330210
Additional controls (section 6)770421

Figures in the Included to Planned columns are Example values that match the sample rows in sections 4 and 6. The "Controls" column for A.2 to A.10 follows the public count of 38; check it against your copy of the standard.

Open gaps are tracked in the AI risk treatment plan [AIRTP-001] with a target date and owner. Management reviews the gap list at each management review (clause 9.3).

8. Traceability matrix

Risk or requirementDescriptionControlsTreatment plan itemEvidenceResidual rating
R-03 (Example)Untested prompt changes reach productionA.6.1.3, A.6.2.2, A.6.2.5TP-04Change records with evaluation resultsMedium
R-05 (Example)Personal data in support tickets used for fine-tuningA.7.2, A.7.6, AC-005TP-02Redaction test report, DPIALow
R-09 (Example)Prompt injection leads to data exposureA.6.2.4, AC-001, AC-003TP-07Red team report RT-2026-03Medium
R-15 (Example)Foundation model provider changes behaviour without noticeA.10.2, A.10.3, AC-004TP-09Vendor questionnaire, contract clause 12Medium
LR-01 (Example)EU AI Act transparency for chatbots and generated contentA.8.2, AC-006TP-11Notice screenshots, marking testLow
CO-02 (Example)Customer contract requires incident notice within 72 hoursA.8.4, A.10.4TP-12Incident plan, notification templateLow

9. Maintenance and review

The SoA is a controlled document under clause 7.5. Update it and record a new version in the revision history when any of these occur:

TriggerActionOwner
New AI system enters scope or an existing one changes roleRe-run risk and impact assessment; review all rows[@aims-manager]
Risk register changes a rating above or below toleranceReview controls linked to that risk[@ai-risk-lead]
New or amended law, standard or contract termReview Basis LR and CO rows[@legal]
Internal audit or certification audit findingCorrect status, justification or evidence[@aims-manager]
Incident or near miss involving an AI systemReview controls that should have prevented or detected it[@incident-manager]
Scheduled reviewFull review at least [annually] and before each management review[@ai-governance-board]

10. Audit readiness

Before an audit, confirm that:

  • Every Annex A control has a row, a decision and a justification, and the count matches the standard you hold.
  • Each Implemented or Effective status has at least one evidence item that is dated, controlled and retrievable within a working day.
  • Exclusions reference scope or role facts that the auditor can verify in the scope statement or AI system inventory.
  • The SoA version matches the risk treatment plan version approved by management, and the approval record shows acceptance of residual risk.
  • Additional controls in section 6 have owners and are covered by the internal audit programme.
CheckResultChecked byDate
Row count against standard[Pass / Fail][@internal-auditor]YYYY-MM-DD
Evidence sample (10 controls)[Pass / Fail, findings][@internal-auditor]YYYY-MM-DD
Approval and version alignment[Pass / Fail][@aims-manager]YYYY-MM-DD

11. Glossary and references

TermMeaning
AIMSAI management system: the policies, objectives, processes and controls an organisation uses to manage AI responsibly
Statement of ApplicabilityRecord of the necessary controls, why they are included or excluded and their implementation status
Control objectiveGrouping heading in Annex A that states what a set of controls is meant to achieve
Risk treatment planPlan that assigns actions, owners and dates to implement the selected controls
AI system impact assessmentAssessment of potential consequences of an AI system for individuals, groups and society
Residual riskRisk remaining after treatment, accepted by management

References:

Standard and licence note

Structure aligned with ISO/IEC 42001:2023, clause 6.1.3 and Annex A. ISO/IEC standards are copyrighted: this template cites clause and control numbers only, and all descriptions, justifications and examples are original text. No control text, table or definition from the standard is reproduced. The count of 38 controls in nine control areas follows reputable public summaries; obtain the standard from ISO or your national standards body for the normative requirements and check the current edition and any amendment before use. References to NIST publications (public domain) and the EU AI Act (EU legislative text, free to reuse) are summarised in original wording. This is a documentation format, not legal or certification advice. Template licence: MIT.

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