Form 8100-7 Quality System Audit Feedback Report

REV. 6/15/2000

Form Approved
OMB No. 2120-0605
04/30/2012

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. A federal agency may not conduct or
sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a
collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information
displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0605. Public
reporting for this collection of information is estimated to be approximately 30 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing
the collection of information. Although not mandatory, it is requested that this form be completed within thirty (30) days after
the completion of the evaluation. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to should be directed to the FAA at: 800 Independence Ave SW,
Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.
FAA Form 8100-7 (4-97)