Form 8100-7 ACSEP Evaluation Customer Feedback Report

REV. 6/15/2000

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

U.S. Department of Transportation
Federal Aviation Administration

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

Unsatisfactory

Poor

Satisfactory

Good

Excellent

Unsatisfactory

Poor

Satisfactory

Good

Excellent

Timeliness
Coordination/Planning

Comments/recommendations for improvement:

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

Comments/recommendations for improvement:

FAA Form 8100-7 (4-97)

REV. 6/15/2000

ACSEP EVALUATION CUSTOMER FEEDBACK REPORT, con't.
3. Daily meetings

Unsatisfactory

Poor

Satisfactory

Good

Excellent

Unsatisfactory

Poor

Satisfactory

Good

Excellent

Unsatisfactory

Poor

Satisfactory

Good

Excellent

Explanation of findings/observations
Resolution of issues

Comments/recommendations for improvement:

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

Comments/recommendations for improvement:

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

Comments/recommendations for improvement:

Signature (optional)

Date

Please return completed form to:

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)