Form Approved OMB Approval No.
0920-1050 Expiration Date:
02/18/2018
Unless otherwise indicated, please use the space provided at the end of the survey (question 19) to share any additional feedback or context that would help to explain your answers, and/or to provide further suggestions for FSAP program improvements. FSAP encourages the Responsible Official to work with entity staff to provide an inclusive response when completing the survey.
Was your recent site visit a joint (Agriculture Select Agent Services (AgSAS)/Division of Select Agents and Toxins (DSAT)), AgSAS only or DSAT only inspection?
Joint
DSAT only
AgSAS only
Don’t know
If a joint inspection, was DSAT or AgSAS the lead inspecting agency?
DSAT only
AgSAS only
Don’t know
What was the month and year of your inspection? ___________________________________
What was the purpose of FSAP's most recent site visit?
Renewal
Verification
Registration amendment
Compliance
New application
Don’t know
Were you given prior notice of FSAP's planned date of inspection?
Yes
No
N/A (Unannounced Inspection)
Public
reporting burden of this collection of information is estimated to
average 10 minutes
per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information.
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. Send comments regarding this
burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to
CDC/ATSDR Information Collection Review Office, 1600 Clifton Road
NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1050).
How would you rate pre-inspection communication by the DSAT and/or AgSAS inspection team? Please use the space provided in question 19 to explain your answers.
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
N/A (Unannounced)
Did the FSAP team arrive at your entity at the time indicated in your notice of inspection?
Yes
No
N/A (Unannounced)
Were you satisfied with the FSAP inspection team's briefing at the start of your inspection? Please use the space provided in question 19 to explain your answers.
Yes
No
Don’t know
Did the inspection team communicate with you prior to the inspection to clearly understand the laboratory containment entry requirements at your entity?
Yes
No
N/A
Do you feel that the FSAP inspection team correctly applied the select agent regulations and biosafety standards? If no, please describe your observation in the space provided.
Yes
No
If you answered no, please explain:__________________________________________________
Were you satisfied with the professionalism of the FSAP inspection team? Please use the space provided in question 19 to explain your answers.
Yes
No
Were you satisfied with the FSAP inspection team's technical expertise? Please use the space provided in question 19 to explain your answers.
Yes
No
Did the inspection team exit the containment laboratories and/or conclude the inspection prior to your entity’s end of business day?
Yes
No
Were you able to ask and receive responses for all your questions? Please use the space provided in question 19 to explain your answers.
Yes
No
Were you satisfied with the FSAP inspection team's out briefing at the conclusion of your inspection? Please use the space provided in question 19 to explain your answers.
Yes
No
Do you feel that the FSAP inspection team was adequately prepared to inspect your facility? Please use the space provided in question 19 to explain your answers.
Yes
No
Did we conduct our inspection in a manner so that your operations were minimally impacted? Please use the space provided in question 19 to explain your answers.
Yes
No
Based on our most recent site visit of your entity, how would you rate this inspection experience overall compared to your previous inspection? Please use space provided in question 19 to explain your answers.
Much improved
Improved
Same
Worse
Much worse
N/A (Your entity has not been inspected by FSAP previously)
Please provide any additional comments and/or examples.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Martin, Diane (CDC/OPHPR/DSAT) |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |