Site Assessment Feedback Form

Site Assessment Feedback Form

General Information

Laboratory ID:*

Laboratory Name:*

Site Assessor:*

Assessment Start Date:

Assessment End Date

Laboratory’s Feedback Regarding the Site Assessor/Site Assessment:

1. Laboratory assessment methods and techniques (examining, questioning, evaluation, and reporting)?*

Needs Improvement (Please explain below)

Satisfactory

Excellent

2. Audit management skills used during the assessment (preparation, organization, time management, direction)?*

Needs Improvement (Please explain below)

Satisfactory

Excellent

3. Technical knowledge of all aspects being audited (procedures/tests, records, equipment, facilities, QA/QC, calibration, personnel/organization)?*

Needs Improvement (Please explain below)

Satisfactory

Excellent

4. Personal attributes (e.g. judgement, objectivity, maturity, interpersonal skills)?*

Needs Improvement (Please explain below)

Satisfactory

Excellent

5. Oral and written communication skills?*

Needs Improvement (Please explain below)

Satisfactory

Excellent

6. Presentation of assessment findings and conclusions in logical and orderly sequence and in appropriate depth?*

Needs Improvement (Please explain below)

Satisfactory

Excellent

Thank you for completing this form. Please add any candid comments (specifically where improvement is suggested):

Feedback Follow-up:

May we contact you regarding feedback?*

If Yes, please complete the contact fields below.

Select

Contact Name:

Title:

Email Address:

Phone Number:

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