THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T225
Template Title: External Expert Peer Review Request Form
Related Research Case IDs / Cluster: Cluster E (Science, Testing, Misinformation), Cases 46–65 (add C for partnerships/MoUs; add H for ethics model)
Linked Templates / Policies: T218 (Partner Reputation & COI Check), T216 (Ethics & Consent Review), T217 (Data Storage & Access Register), T214 (Risk Assessment for Testing Proposal), T173 (Records Classification), Communication Policy / T190 (Media Approval if public mention)
Date of form: ____ / ____ / ______
Prepared by / Role: _______________________
Office / Unit: ____________________________
Country / Location: _______________________
Confidentiality Level:
Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive [ ]
Use of this form (tick):
New case / action [ ] Follow-up [ ] Annual review [ ] Archive only [ ]
1) Purpose (why we use this form)
This form requests a peer review from an external expert.
It records who we asked, what question we asked, what documents we sent, the deadline, and the reply.
2) Request summary (basic details)
Request ID / code: ______________________________
Date sent: ____ / ____ / ______
Requested by (HSWAGATA name/role): ______________________________
Project / dossier title (if any): ____________________________________
Project / dossier ID (if any): _____________________________________
Related item/object ID (internal, if any): ___________________________
Reason for peer review (tick):
Science accuracy [ ] Conservation advice [ ] Risk review [ ] Report clarity [ ] Misinformation risk [ ] Ethics/faith-sensitive wording [ ] Other: ____
3) External expert details (expert name)
Expert full name: ________________________________________________
Title / position: ________________________________________________
Institution / organisation: _______________________________________
Field of expertise (tick): Conservation [ ] Materials science [ ] Chemistry [ ] Forensics [ ] Museum studies [ ] Buddhist studies [ ] Other: ____
Country/city: _________________________________________________
Email: __________________________ Phone (optional): _______________
How we found the expert (tick): Recommendation [ ] Publication [ ] Partner list [ ] Conference [ ] Other: ____
4) Ethics and conflict-of-interest check (quick)
COI (conflict of interest) asked? Yes [ ] No [ ]
COI declared? None [ ] Yes (details below) [ ] Pending [ ]
COI details (short):
Expert agrees to confidentiality? Yes [ ] No [ ] Pending [ ]
Method (tick): Email confirmation [ ] Signed NDA/MoU clause [ ] Other: ____
Classification of what we will share (T173): Internal [ ] Restricted [ ] Sacred-Restricted [ ]
5) Review question (question)
Write the exact question(s) for the expert. Keep it clear and limited.
Main question (1–3 lines):
Sub-questions (optional):
Scope boundaries (must tick):
No Sacred-Restricted security/access details will be shared. [ ]
No “how-to” instructions requested for harmful use. [ ]
Expert should note limits/uncertainty clearly. [ ]
6) Documents sent (documents sent)
List every document/file shared.
Document 1
Title/file name: ______________________________________________
Version/date: ____________________
File code / location (internal): _________________________________
Classification (T173): Internal [ ] Restricted [ ] Sacred-Restricted [ ]
Document 2
Title/file name: ______________________________________________
Version/date: ____________________
File code / location: __________________________________________
Document 3 (optional)
Title/file name: ______________________________________________
Version/date: ____________________
How documents were sent (tick): Secure email [ ] Secure link/folder [ ] Printed copy [ ] Other: ____
Access end date (if temporary): ____ / ____ / ______
(If shared via folder access, update T217.)
7) Deadline and reply method (deadline)
Reply deadline requested: ____ / ____ / ______
Time zone (if needed): ____________________
Preferred reply method (tick): Email [ ] Signed letter [ ] Review form [ ] Marked-up document [ ] Call/meeting summary [ ] Other: ____
Expected length (tick): Short notes [ ] 1–2 pages [ ] Detailed review [ ]
8) What we asked the expert to include (simple checklist)
Tick what we want back.
Main findings (what is correct / not correct) [ ]
Any unclear wording or misleading claims [ ]
Limits and uncertainty (what we cannot say) [ ]
Risks (faith/heritage/peace) and mitigation ideas [ ]
Suggested improved wording (simple, respectful) [ ]
References (optional) [ ]
9) Reply received (reply)
(Complete when a reply arrives.)
Reply received? Yes [ ] No [ ] Pending [ ]
Date received: ____ / ____ / ______
Received by (name/role): ________________________________________
Summary of expert reply (5–10 lines):
Expert recommendation (tick):
Approve as is [ ] Approve with edits [ ] Do not approve [ ] Needs more tests/info [ ] Other: ____
Key required changes (list):
Attachments received (tick): Marked-up document [ ] Notes [ ] Call minutes [ ] Other: ____
File location/path: ________________________________________________
10) HSWAGATA follow-up actions
Action 1: _________________________________________________
Owner: __________________________ Deadline: //____
Action 2: _________________________________________________
Owner: __________________________ Deadline: //____
Update needed (tick): T212 FAQ [ ] T223 display text [ ] T214 risk assessment [ ] T216 consent notes [ ] Staff training (T222) [ ] Other: ____
11) Sign-off and filing
Prepared by (name/role): _______________________ Signature: __________ Date: //____
Reviewed by (Science/Verification lead): ________ Signature: __________ Date: //____
Reviewed by (Doctrinal/Ethics, if needed): ______ Signature: __________ Date: //____
Approved by (Director/Authority, if needed): ____ Signature: __________ Date: //____
File code / reference ID: ____________________
Classification recommended (T173): Internal [ ] Restricted [ ] Sacred-Restricted [ ]
File location (cabinet/folder + digital path): __________________________
Retention period: 3 years [ ] 5 years [ ] 10 years [ ] Other: ____
