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Home My WebLink AboutDEQ-CFW_00056175PROGRAM PERFORMANCE EVALUATION To improve our service to you and to maintain the quality of the laboratory inspection process, we request that you complete the following evaluation. Your comments are important to us. Please use the reverse side of this form to discuss issues not addressed in the items listed below or to go into more detail. Completing and returning this form is voluntary; however, we would appreciate your input. All data collected will be considered confidential. The feedback you provide will b e used to evaluate and improve program and auditor performance and target areas where additional training is needed. An electronic version of this form may be found at http://h2o.enr.state.nc.us/lab/ApplicationFornis.htni. Please return this evaluation to: Linda Chavis, Laboratory Section Processing Assistant - linda.chavis( k.nedenr.gov DENR/DWR Chemistry Laboratory 1623 Mail Service Center Raleigh, NC 27699-1623 Facsimile (919) 733-6241 Laboratory Auditor's Name (Circle One): Gary Francies Todd Crawford TonjaSpringer ChesterWhiting Jason Smith Nick Jones Dana Satterwhite Please provide the NC WW/GW LC with your evaluation by rating the following performance areas. If you would like to complete the survey for more than one staff member, you may complete a separate questionnaire for each staff member you would like to evaluate. Comments are appreciated for any items rated Poor or Fair; as well as, for items rated Excellent (space is provided on the reverse side of this form). Please circle 0 - No Evaluation if an item is not applicable to your laboratory. .................................................... ...... .................................................... ...... ..... .......................................... ......................... .......................................... .......... A : ..... .0. mance. IM:: ...................................................... ......... ..................................................... ............................................... ................... .............. . ...... . ....... .............. ...... ........................... ................................................................................ ... ............... ............... ... ............... ................ ............... bar ............... P ............ ............ ............ .................................... ..................................... .... ::: A M. d .. ............................. ... 1:.. :. t. 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Auditor Performance 1. The auditor contacted you in advance of your audit 0 1 2 3 4 5 and answered your questions. 2. The checklists were mailed to you prior to the 0 1 2 3 4 5 inspection in a timely manner. 3. The auditor arrived on time and at. the agreed place. 0 1 2 3 4 5 4. The auditor's questions and comments were 0 1 2 3 4 5 pertinent to laboratory operations. 5. The auditor interacted with your staff in a courteous 0 1 2 3 4 5 and professional manner. 6. The auditor was familiar with certification rules, 0 1 2 3 4 5 procedures and requirements. 7. The auditor was knowledgeable of quality 0 1 2 3 4 5 assurance issues. 8. The auditor was knowledgeable of envirom-nental 0 1 2 3 4 5 laboratory methods within the scope of your laboratory's certification. 9. Overall auditor management skills: preparation, 0 1 2 3 4 5 organization, and direction. 10. The auditor demonstrated sound judgement, 0 1 2 3 4 5 objectivity and fairness. 11. The auditor was able to easily adapt to different 0 1 2 3 4 5 personalities during interviews. 12. The auditor performed a thorough assessment of 0 1 2 3 4 5 the records for each of the tests for which certification has been requested. 13. The audit results were sunu-narized in an exit 0 1 2 3 4 5 interview following the inspection in a clear and impartial manner. 13 ) b. Do you prefer your auditor conduct an exit interview? YES or NO 14. Post -inspection correspondence with the auditor 0 1 2 3 4 5 has been informative and timely. 15. The auditor provides valuable technical assistance. 0 1 2 3 4 5 16. Do you feel comfortable contacting your auditor 0 1 2 3 4 5 for technical assistance? 17. What best describes your perception of the 0 Unreasonable Policing - hidifferent '17horough Enthusiastic auditor's approach to the inspection (circle one)? Your looking to only but fair and own description: find things sornewhat instructive wrong effective DEQ-CFW-00056175 NC WW/GW LC Program Performance Evaluation Page 2 ............................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................. ............................................................................................................................................ ............................................................................................................................................ .... ..... ......................................................................................................................................................... ..... .......................................................................................................................................................... .................................................................................................................................................................................................................................... .................................... .......................................... ............... ............... .............. .............. .............. ............... ............................. . ..... .......................................... . . . . . . . . . . . . ..... bar .... ..................................... ............. ............ ............... . . . . ..... ..... ....... .................................... . . . . ........... .. ............ .......... . ........... .. ... . .......... . 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Ex 611 ht r ..... ............... .................................... .......................................................................................................................................................... ............................................................................................................................................................... ..................................................................................................................................................................................................... ............................................................................................................................................................... .................................................................................................................................................................... ......................................................................................................................................................... ................................................................................................................................................................ ............................................................................................................................................................... .......................................................................................................................................................... ............................................................................................................................................................ .......................................................................................................................................................... ......................................................................................................................................................... .......................................................................................................................................................... ....................................... ........................................... .................................... .......................................... ........................................... ... . ....... .......................................... . .... ........................................... ... .. .......................................... .... ......................................... ... .......................................... .... ........................................... ................ ....... ... .......................................... .. .... .................................... ..................................... .................................... ..................................... ..................................... .................................... ..................................... .................................... ..................................... .................................... ..................................... . .... .......... .. . ...... ............ ............................ ..................................... .................................... ..................................... .................................... ..................................... ....... .................................... ..................................... .................................... ..................................... ..... . .................. .............................. ..................................... .................................... ..................................... .................................... ..................................... .................................... ..................................... .................................... ..................................... .................................... ..................................... .................................... ..................................... .................................... ......... ......................... ..................................... .................................... ..................................... .................................... ..................................... .................................... ..................................... .................................... ..................................... .................................... ..................................... 18. Do you feel comfortable contacting the Technical 0 1 2 3 4 5 Assistance/Compliance Specialist (Gary Francies) for technical assistance? 18 b. Have you had interaction with Gary in person, via phone or email with: YES or NO 19. Do you feel comfortable contacting the 0 1 2 3 4 5 Environmental Program Supervisor (Dana Satterwhite) for technical assistance'? 19 b. Have you had interaction with Dana in person, via phone or via email: YES or NO Report Evaluation NO Poor Fair Good Very Good Excellent Evaluation 20. The report was received in a timely manner. 0 1 2 3 4 5 2 1. The report format is easy to follow. 0 1 2 3 4 5 22. Inspection findings and conclusions were 0 1 2 3 4 5 presented in a logical and orderly sequence and in appropriate depth. 23. Noted findings are valid. 0 1 2 3 4 5 24. The report reflected the findings as described to 0 1 2 3 4 5 you during the exit interview. Program Evaluation NO Poor Fair Good Very Good Excellent Evaluation 25. Correcting the findings noted in the audit will 0 1 2 3 4 5 improve your laboratory's operations and data quality. 26. The NC WW/GW LC program is beneficial for 0 1 2 3 4 5 your laboratory's professional marketability. 27. There is an adequate mechar�sm for the certified 0 1 2 3 4 5 laboratory community to provide input into NC WW/GW LC policy/program development. 28. The program provides adequate outreach/training 0 1 2 3 4 5 opportunities to the certified laboratory community. 29. Overall ranking of the North Carolina WW/GW 0 1 2 3 4 5 Laboratory Certification Program. Type of Laboratory (please circle one): Field Municipal Industrial Field Commercial Commercial: in state Commercial: out-of-state Duration of last inspection (number of hours at laboratory) Have you accessed the North Carolina WW/GW Laboratory Certification Program website at www.dwqlab.org? YES or NO How would you rate the website? (0-no evaluation, I -poor, 2-fair, 3-good, 4-very good, 5-excellent) Additional comments including reasons for Poor, Fair orExcellent ratings or ways in which the program or auditor's performance may be improved (you may attach additional pages as necessary). August 2013 electronic DEQ-CFW-00056176