# KOREA AI BASIC ACT — READINESS SELF-ASSESSMENT & OBLIGATIONS REGISTER

Document code: KR-AIA-01 · Version 1.0 · Classification: Internal
Organisation: [NAME]   Prepared by: [NAME/ROLE]   Date: ……/……/20……
Reference: Framework Act on AI (applies from 22 January 2026)

SECTION 1 — SYSTEM INVENTORY
For each AI system, record: name · purpose · provider/in-house · users ·
data categories · deployment area · Korean users (Y/N).

SECTION 2 — HIGH-IMPACT CLASSIFICATION TEST  (per system)
2.1 Is the system used in a listed area (health, energy, public services,
    biometrics, recruitment, lending, similar)?               [ ] Y  [ ] N
2.2 Can its use significantly affect life, safety or rights?   [ ] Y  [ ] N
2.3 CONCLUSION: High-impact AI?                                [ ] Y  [ ] N
    → If Y, Sections 3–4 apply.

SECTION 3 — HIGH-IMPACT OBLIGATIONS  (evidence reference for each)
[ ] Risk management across the life cycle — documented .......... ref: ……
[ ] Human oversight — who can intervene, and how ................ ref: ……
[ ] Explanation on request — basis of operation and results ..... ref: ……
[ ] User protection — advance notice of high-impact AI use ...... ref: ……
[ ] Safety measures for large-scale/high-compute systems ........ ref: ……

SECTION 4 — GENERATIVE AI TRANSPARENCY  (per generative system)
[ ] Users are told the output is AI-generated ................... ref: ……
[ ] Realistic synthetic content (deepfake) is clearly marked .... ref: ……
[ ] Placement/wording of the notice defined per medium .......... ref: ……

SECTION 5 — EXTRATERRITORIAL / DOMESTIC REPRESENTATIVE
5.1 Do you have an address in Korea?                            [ ] Y  [ ] N
5.2 If N, do you exceed the decree threshold (users/turnover)?  [ ] Y  [ ] N
5.3 If 5.2 = Y: domestic representative appointed in writing?   [ ] Y  [ ] N
    Representative: [NAME] · [CONTACT] · appointment date: ……

SECTION 6 — RECORDS
Retain: inventory, classification decisions, risk assessments, oversight
records, transparency evidence and the representative appointment.

Owner: [ROLE]   Review cycle: [PERIOD]   Next review: ……/……/20……

This template is general and does not constitute legal advice.