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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 />

Page 77 <strong>of</strong> 150

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