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CONSULTANT SITE VISIT FEEDBACK FORM<br />
This <strong>document</strong> acts as an on-site checklist for the moni<strong>to</strong>ring and evaluation (M&E)<br />
component <strong>of</strong> OPEN. Its objective is <strong>to</strong> provide a standardised format for recording<br />
observations during site visits.<br />
OFFICER REPORTING:<br />
CONSULTANCY:<br />
DATE:<br />
QUESTION ANSWER<br />
1 DETAILS OF LINE ITEM/PROJECT<br />
1.1 Chart <strong>of</strong> Accounts code:<br />
1.2 Description as in Budget:<br />
1.3 Ministry:<br />
1.4 Executing MDA:<br />
2 DATE OF SITE VISIT<br />
2.1 What is the date <strong>of</strong> the site visit?<br />
2.2 Approximate time <strong>of</strong> site visit:<br />
3 LOCATION<br />
3.1 What State is the project in?<br />
3.2 What LGA is the project in?<br />
3.3 What is the name <strong>of</strong> the village/<strong>to</strong>wn/city in<br />
which the project is located?<br />
3.4 Describe how <strong>to</strong> reach the project, and give the<br />
GPS location<br />
3.5 Was the project located where the Ministry<br />
stated?<br />
3.5.1 If no, please provide further comments (on<br />
location and possible reasons for the<br />
discrepancy)<br />
4 SAFETY:<br />
4.1 If there are any safety issues regarding the site<br />
visit that you would like <strong>to</strong> flag, please do so<br />
here<br />
5 DESCRIPTION OF THE PROJECT:<br />
YES / NO [delete as<br />
appropriate]<br />
5.1 Category <strong>of</strong> project ONGOING / NEW /<br />
REHABILITATION [delete as<br />
5.1.1 Does this concur with what you observed on the<br />
ground?<br />
5.1.2 If the project is rehabilitation, is/was the project<br />
site in need <strong>of</strong> rehabilitation? (please give<br />
discussion)<br />
5.1.3 Please add further comments as appropriate<br />
5.2 Given the description <strong>of</strong> the project given in the<br />
Budget, please give feedback on your site visit<br />
here:<br />
5.2.1 Generally, how well does the project/program<br />
meet the specifications in planning <strong>document</strong>s?<br />
Will the project achieve the goal/s set out for it?<br />
5.2.2 Accessibility <strong>of</strong> project site<br />
5.2.3 Availability <strong>of</strong> support infrastructure such as<br />
power and water provision, as well as details <strong>of</strong><br />
access roads<br />
5.2.4 Ownership and other issues relating <strong>to</strong><br />
appropriate]<br />
YES / NO [delete as<br />
appropriate]<br />
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