Free ACSEP Evaluation Customer Feedback Report - Federal

REV. 6/15/2000


U.S. Department of Transportation Federal Aviation Administration

Form Approved OMB No. 2120-0605 04/30/2009

ACSEP EVALUATION CUSTOMER FEEDBACK REPORT

ACSEP No. Name of Evaluated Facility: Dates Evaluated: As part of the Federal Aviation Administration (FAA) and industry continuous improvement efforts for the Aircraft Certification Systems Evaluation Program (ACSEP), this form is provided for your use in furnishing the FAA with comments regarding the conduct of the evaluation recently conducted at your facility. We sincerely encourage you to tell us how we did, and thank you for the time you will take to support our quality improvement and customer service objectives. Please check the appropriate rating in each of the tables below, and provide any comments that you deem appropriate.
1. Pre-evaluation arrangements Timeliness Coordination/Planning Unsatisfactory Poor Satisfactory Good Excellent

Comments/recommendations for improvement:

2. Pre-evaluation conference Communication Presentation Purpose of evaluation explained

Unsatisfactory

Poor

Satisfactory

Good

Excellent

Comments/recommendations for improvement:

FAA Form 8100-7 (4-97)

REV. 6/15/2000
ACSEP EVALUATION CUSTOMER FEEDBACK REPORT, con't.
3. Daily meetings Explanation of findings/observations Resolution of issues Unsatisfactory Poor Satisfactory Good Excellent

Comments/recommendations for improvement:

4. Post-evaluation conference Communication Explanation of executive summary Explanation of follow-up actions

Unsatisfactory

Poor

Satisfactory

Good

Excellent

Comments/recommendations for improvement:

5. Conduct of the evaluation Team professionalism Overall technical skills of the ACSEP team

Unsatisfactory

Poor

Satisfactory

Good

Excellent

Comments/recommendations for improvement:

Signature (optional) Please return completed form to:

Date

Paperwork Reduction Act Statement: The information that is submitted is used to improve the Aircraft Certification systems Evaluation Program (ACSEP) including the training associated with the program. Although not mandatory, it is requested that this form be completed within thirty (30) days after the completion of the evaluation. The information is submitted by the company evaluated, and is used only to improve the evaluation process, training and team make-up training/updating. The information is held in confidence. We estimate that it will take no longer than 30 minutes to complete the survey. Please note that an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB control number associated with this collection is 2120-0605.Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ABA-20
FAA Form 8100-7 (4-97)