THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T292
Template Title: Board Performance Self-Evaluation Sheet
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
T292 – Board Performance Self-Evaluation Sheet
Purpose:
The Board reviews its own work once per year. This is for learning and improvement, not blame.
A) Basic information
Review year: ________
Board term (start–end): ____ / ____ / ______ to ____ / ____ / ______
Total Board members: ________
Chair (name): ____________________________
Secretary (name): ________________________
Evaluation completed by: Whole Board [ ] Committee [ ] Chair + Secretary [ ] Other: ______
B) Scoring guide
Use one scale for all sections (tick one):
1–5 scale [ ] (1 = Poor, 3 = OK, 5 = Excellent)
Traffic light [ ] (Red = weak, Amber = medium, Green = strong)
Evidence rule: Write short proof (minutes, decision notes, attendance lists, policies).
C) Meetings (meetings)
C1) Meeting record
Meetings planned this year: ________
Meetings held this year: ________
Average attendance rate: ________ %
Quorum met for most meetings: Yes [ ] No [ ]
Minutes completed and approved on time: Yes [ ] No [ ]
Key decisions recorded clearly: Yes [ ] No [ ]
C2) Meeting quality (score each)
| Item | Score (1–5 or R/A/G) | Short evidence / comments |
|---|---|---|
| Meetings are regular and well-planned | ||
| Agenda shared in advance | ||
| Minutes are accurate and stored | ||
| Attendance is strong and fair | ||
| Time is used well (not too long, not rushed) |
Meeting improvements needed (max 3):
____________________ 2) ____________________ 3) ____________________
D) Decision-making (decision-making)
D1) How we decide
Voting rule used and followed: Yes [ ] No [ ]
Different views can be shared safely: Yes [ ] No [ ]
Conflicts of interest declared and managed: Yes [ ] No [ ]
D2) Decision-making quality (score each)
| Item | Score | Short evidence / comments |
|---|---|---|
| Decisions are based on facts and reports | ||
| Risks are discussed (people, relics, money, reputation) | ||
| Decisions are fair and not personal | ||
| Actions are assigned with owners and deadlines | ||
| Follow-up is checked in later meetings |
One example of a strong decision this year (1–3 lines):
One decision area that needs better process (1–3 lines):
E) Ethics, safeguarding, and culture (ethics)
E1) Ethics and trust checks
Tick what is true this year:
Board members follow respectful speech and behaviour. [ ]
The Board supports a safe reporting route for concerns. [ ]
The Board protects confidentiality for sensitive cases. [ ]
Gifts, donations, and benefits are declared when required. [ ]
E2) Ethics performance (score each)
| Item | Score | Short evidence / comments |
|---|---|---|
| Ethical tone is clear (no bullying, no threats) | ||
| Safeguarding is taken seriously | ||
| Corruption and misuse of funds are prevented | ||
| Complaints are handled fairly and calmly | ||
| Decisions protect the museum’s mission and public trust |
Ethics risks to watch next year (max 3):
____________________ 2) ____________________ 3) ____________________
F) Succession and continuity (succession)
F1) Succession plan status
Term limits or renewal rules are clear: Yes [ ] No [ ]
Plan to replace Chair/committee roles exists: Yes [ ] No [ ]
Skills needed are mapped (finance, law, conservation, education, security): Yes [ ] No [ ]
New member onboarding exists (briefing pack + training): Yes [ ] No [ ]
F2) Succession performance (score each)
| Item | Score | Short evidence / comments |
|---|---|---|
| Board has the right mix of skills | ||
| Recruitment/appointment is fair and transparent | ||
| Knowledge handover is done well | ||
| Future leaders are prepared | ||
| The Board avoids dependence on one person |
Next year’s succession actions (max 3):
____________________ Owner: ________ Due: //______
____________________ Owner: ________ Due: //______
____________________ Owner: ________ Due: //______
G) Overall score (overall score)
G1) Summary scoring table
| Area | Score | Notes |
|---|---|---|
| Meetings | ||
| Decision-making | ||
| Ethics & safeguarding | ||
| Succession & continuity |
Overall score (average or final judgement): ________
Overall rating: Strong [ ] Medium [ ] Weak [ ]
G2) Board learning (short)
Top 3 strengths this year:
____________________ 2) ____________________ 3) ____________________
Top 3 improvements needed:
____________________ 2) ____________________ 3) ____________________
G3) Action plan (next year)
| Action | Owner (Board role) | Deadline | Proof (minutes/report/policy update) |
|---|---|---|---|
H) Sign-off
Chair: _______________________ Signature: ______________ Date: ____ / ____ / ______
Secretary: ____________________ Signature: ______________ Date: ____ / ____ / ______
Board members present (optional list): __________________________________________
Archive
File code: _______________________
Digital folder path: __________________________________________
