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pdfPaperwork Reduction Act Burden Statement
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.
All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.
Form Approved OMB No. 2120-0605
Expiration Date 04/30/2022
QUALITY SYSTEM AUDIT FEEDBACK REPORT
QSA No.
Name of Audited Facility:
Dates Audited:
As part of the Federal Aviation Administration (FAA) and industry continuous improvement efforts for the Quality
System Audit (QSA), this form is provided for your use in furnishing the FAA with comments regarding the conduct
of the audit 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-audit arrangements
• Timeliness
• Coordination/Planning
Unsatisfactory
Poor
Satisfactory
Good
Excellent
Unsatisfactory
Poor
Satisfactory
Good
Excellent
Comments/recommendations for improvement:
2. Pre-audit conference
•
•
•
Communication
Presentation
Purpose of audit explained
Comments/recommendations for improvement:
FAA Form 8100-7 (05/18)
FOR OFFICIAL USE ONLY
Public availability to be determined under 5 U.S.C. 552
Page 1 of 2
QUALITY SYSTEM AUDIT FEEDBACK REPORT, con’t
3. Daily meetings
•
•
Unsatisfactory
Poor
Satisfactory
Good
Excellent
Unsatisfactory
Poor
Satisfactory
Good
Excellent
Unsatisfactory
Poor
Satisfactory
Good
Excellent
Explanation of noncompliances
Resolution of issues
Comments/recommendations for improvement:
4. Post-audit conference
• Communication
• Explanation of executive summary
• Explanation of follow -up actions
Comments/recommendations for improvement:
5. Conduct of the audit
• Team professionalism
• Overall conduct of the QSA team
Comments/recommendations for improvement:
Please return completed form to:
FAA Form 8100-7 (05/18
FOR OFFICIAL USE ONLY
Public availability to be determined under 5 U.S.C. 552
Page 2 of 2
File Type | application/pdf |
File Title | FAA Form 8100-7 QSA Customer Feedback Form |
Subject | QSA Customer Feedback Form |
Author | AIR-600 |
File Modified | 2022-03-17 |
File Created | 2015-08-12 |