Model Bias Assessment Form
Model Bias Assessment Form for documenting evaluation evidence, findings, mitigations, and deployment recommendations.
Model name and version
*
Intended use and decision context
*
Assessment date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluation data sources and representativeness
*
Population groups evaluated
*
Bias metrics and results by group
*
Rows
Metric
Group
Result
Interpretation or threshold
Enter one row per metric and group evaluated
Observed bias findings and evidence
*
Overall bias severity
*
1
2
3
4
5
Mitigation actions and owners
*
Deployment recommendation and rationale
*
Approve
Approve with conditions
Further evaluation required
Do not deploy
Submit Assessment
Should be Empty: