THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T290
Template Title: Gender, Inclusion & Vulnerability Check Sheet for Policies
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
T290 – Gender, Inclusion & Vulnerability Check Sheet for Policies
Purpose:
Use this sheet to check if a policy protects vulnerable people and supports fairness. It helps prevent harm, exclusion, and silent fear.
When to use (tick):
New policy [ ] Policy update [ ] Annual policy review [ ] High-risk policy (security / access / HR / visitor rules) [ ]
Simple meaning (short):
Inclusion = people can access, understand, and use the policy fairly.
Vulnerability = a person may face higher risk due to age, disability, health, poverty, migration status, language, social power, or being targeted.
A) Policy details
Policy title: _______________________________________________
Policy code / version: _______________________________________
Policy owner (unit/person): __________________________________
Date drafted / revised: ____ / ____ / ______
Policy area (tick): Governance [ ] Finance [ ] Relic care [ ] Security [ ] HR [ ] Visitor/education [ ] Partnerships [ ] Other: ______
B) Groups affected (who may be impacted)
Tick all groups that may be affected by this policy. Add notes if needed.
B1. Gender and identity
Women [ ] Men [ ] Non-binary / gender diverse people [ ]
Pregnant people / new parents [ ]
LGBTQ+ people (if relevant in your context) [ ]
Notes: _______________________________________________________
B2. Age
Children / youth [ ]
Older persons [ ]
Notes: _______________________________________________________
B3. Disability and health
Physical disability / mobility needs [ ]
Hearing / vision needs [ ]
Neurodiversity / learning needs [ ]
Long-term illness [ ]
Notes: _______________________________________________________
B4. Social and economic vulnerability
Low income / financial stress [ ]
Migrants / refugees / stateless persons [ ]
People with limited legal documents (if relevant) [ ]
Notes: _______________________________________________________
B5. Language and literacy
Limited Thai/English/local language [ ]
Low literacy [ ]
Notes: _______________________________________________________
B6. Power imbalance (high risk)
Volunteers/interns [ ]
Contract workers [ ]
Junior staff [ ]
People dependent on housing/support from the institution [ ]
Notes: _______________________________________________________
Other group(s) not listed: ___________________________________________
C) Barrier check (what could block fairness?)
For each barrier, tick Yes/No and write a short note.
| Barrier type | Yes/No | What is the barrier in this policy? (short) |
|---|---|---|
| Access barrier (stairs, distance, limited opening hours) | Yes [ ] No [ ] | |
| Communication barrier (hard words, no translation, unclear steps) | Yes [ ] No [ ] | |
| Cost barrier (fees, transport, time off work) | Yes [ ] No [ ] | |
| Privacy barrier (reporting is not confidential, fear of exposure) | Yes [ ] No [ ] | |
| Safety barrier (risk of harassment, unsafe rooms, poor lighting) | Yes [ ] No [ ] | |
| Cultural/religious sensitivity barrier (dress, space use, ritual norms) | Yes [ ] No [ ] | |
| Digital barrier (online-only forms, no alternative) | Yes [ ] No [ ] | |
| Bias barrier (rules affect one group more than others) | Yes [ ] No [ ] | |
| Other: __________________________ | Yes [ ] No [ ] |
D) Risk and protection check
D1. Does this policy create extra risk for a vulnerable person?
Yes [ ] No [ ] Unsure [ ]
If yes/unsure, describe the risk (2–4 lines):
D2. Does the policy include protection steps?
Tick what is included:
Clear respectful behaviour rule [ ]
Safe reporting route (whistleblowing / safeguarding) [ ]
Confidential handling and privacy limits explained [ ]
No retaliation rule (protect reporters) [ ]
Alternative access method (offline option, support person, translation) [ ]
Reasonable adjustments for disability [ ]
Special steps for children / youth safety (if relevant) [ ]
Notes: _______________________________________________________
E) Fixes and improvements (what we will change)
List fixes to remove barriers and reduce risk.
| Barrier / risk found | Fix (what to change in the policy) | Owner (role/unit) | Deadline | Proof (revised text, training, signage, etc.) |
|---|---|---|---|---|
If no fixes are needed, write why (1–2 lines):
F) Decision (final)
Decision (tick one):
Approve (no changes needed) [ ]
Approve with minor changes [ ]
Return for revision (major changes needed) [ ]
Do not approve (harm risk too high) [ ]
Reason for decision (short, factual):
Conditions (if “approve with changes”):
G) Sign-off and archive
Prepared by: _______________________ Signature: ______________ Date: ____ / ____ / ______
Reviewed by (Ethics/Safeguarding or HR): __________________ Signature: ______________ Date: ____ / ____ / ______
Approved by (Policy owner / ED / Board): ___________________ Signature: ______________ Date: ____ / ____ / ______
Archive file code (T290): _______________________
Digital folder path: __________________________________________
