THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T287
Template Title: Monitoring & Evaluation Plan for New Project
Related Research Case IDs / Cluster: _______
Linked Templates / Policies: _______________
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
T287 – Monitoring & Evaluation Plan for New Project
Purpose:
This form plans Monitoring & Evaluation (M&E) for any new project. It helps us track results, learn, and report clearly.
A) Project identification
Project name: _______________________________________________
Project code (if any): ________________________________________
Project lead (name/role): _____________________________________
Departments involved: ________________________________________
Location(s): _________________________________________________
Start date: ____ / ____ / ______ End date: ____ / ____ / ______
Main partners (if any): _______________________________________
Total budget (optional): ______________________________________
B) Objectives (what we want to change)
Write 2–6 objectives. Use simple, clear sentences.
Main beneficiaries / users (who benefits):
Staff [ ] Monastic community [ ] Lay community [ ] Visitors [ ] Students [ ] Partners [ ] Other: ______
C) Outputs and outcomes (simple results chain)
Outputs = what we deliver. Outcomes = what changes because of it.
C1) Key outputs (deliverables)
Output 1: _________________________________________________
Output 2: _________________________________________________
Output 3: _________________________________________________
C2) Expected outcomes (change)
Outcome 1: ________________________________________________
Outcome 2: ________________________________________________
Outcome 3: ________________________________________________
Main assumptions (what must be true for success):
D) Indicator plan (core table)
Fill at least 1–3 indicators per objective.
| Objective (link to B) | Indicator (what we measure) | Baseline (value + date) | Target (value + date) | Data source (where data comes from) | Method (how we collect) | Frequency (weekly/monthly/quarterly) | Responsible person (role/unit) |
|---|---|---|---|---|---|---|---|
| Obj 1 | |||||||
| Obj 1 | |||||||
| Obj 2 | |||||||
| Obj 2 | |||||||
| Obj 3 | |||||||
| Obj 3 |
(Add rows as needed.)
Notes (optional):
Disaggregation needed? (example: staff/volunteer, site, gender where relevant) Yes [ ] No [ ]
If yes, explain: ______________________________________________Indicator quality check: Is it clear, measurable, and realistic? Yes [ ] No [ ]
E) Data sources and tools (detail)
Tick what will be used:
Attendance lists [ ] Training tests/quiz [ ] Surveys [ ] Interviews [ ] Observation checklist [ ]
Inventory / logbooks [ ] Security logs [ ] Conservation logs [ ] Financial reports [ ]
Complaint/feedback log [ ] Partner letters / MoUs [ ] Photos (if allowed) [ ] Other: ______
Data storage location (folder/path/file code): ________________________________
Access level: Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive [ ]
F) M&E schedule (when we measure and report)
F1) Key dates
Baseline completed by: ____ / ____ / ______
Mid-term review (if project > 6 months): ____ / ____ / ______
Endline / final measurement: ____ / ____ / ______
Final report due: ____ / ____ / ______
F2) Regular reporting cycle (tick)
Monthly update [ ] Quarterly report [ ] End of project only [ ] Other: ______
G) Roles and responsibility
M&E focal person (name/role): ___________________________________
Data collectors (roles): ________________________________________
Data verifier / quality check (role): ______________________________
Report writer (role): ___________________________________________
Approval authority (role): ______________________________________
If a responsible person changes, handover must be written and stored. Yes [ ] No [ ]
H) Risks, safeguards, and ethics
H1) Main risks to results (tick and note)
Low participation [ ] Note: ____________________________________
Data is missing / not reliable [ ] Note: _________________________
Conflict / rumours [ ] Note: ___________________________________
Budget delay [ ] Note: ________________________________________
Safety/security risk [ ] Note: _________________________________
Other: __________________ [ ] Note: ____________________________
H2) Safeguards (tick)
Do no harm: we avoid actions that create fear, shame, or conflict. [ ]
Confidentiality: personal data is protected. [ ]
Consent: surveys/interviews are voluntary (when used). [ ]
Sensitive topics: handled only by trained staff. [ ]
I) Learning and improvement plan
How will we use M&E findings? (tick + short note)
Improve procedures during the project [ ] Note: __________________
Improve training and staff support [ ] Note: _____________________
Improve relic care / conservation practice [ ] Note: ______________
Improve partnership work [ ] Note: _____________________________
Share lessons internally (short briefing) [ ] Note: _______________
J) Sign-off
Prepared by: _______________________ Signature: ______________ Date: ____ / ____ / ______
Reviewed by (Dept Head / M&E focal person): __________________ Signature: ______________ Date: ____ / ____ / ______
Approved by (ED/Board if needed): ____________________________ Signature: ______________ Date: ____ / ____ / ______
Attachments (tick): Project plan [ ] Budget [ ] Risk note [ ] Indicator list [ ] Survey/tools [ ] Other: ______
