Field QA and Performance Evaluation Form

To confirm that we are listening to the needs of our customers, please take a moment to complete the following evaluation form. You comments are very important and will help us continue to provide the best service possible.

General Information:
Client:		Project Date:
Field Rep:		Super/Driller:
Site Name/Address:		Crew:

Mobilization:

Time Crew scheduled on site:
Time Crew arrived on site:
Reason for delay (if any):

Equipment and Supplies:
	Yes	No	N/A
1. Rig/Tools/Equipment clean on arrival?
2. Did the crew have all the necessary equipment and supplies to properly complete the job?
3. Did any lack of equipment or supplies create delays in work progress?
4. Was the overall condition and operability of the rig, tools, and equipment satisfactory?
Comments on equipment and supplies:

Heath and Safety:
	Accpt.	Not Accpt.	N/A
4. Tailgate Safety meeting done daily
5. Crew wears/changes gloves?
6. Crew wears eye protection, hard hat, and steel toe boots
7. Crew utilizes barricades, cones, and/or caution tape to secure work area
8. Policing of site/general housekeeping of work area
Comments on "Not Acceptable" items:

Project Management and Crew Performance:
	Accpt.	Not Accpt.	N/A
9. Adherence to project specifications
10. Quality of work performed
11. Quality of work completed and timeliness
12. Communication with client regarding job progress
13. Invoicing and job documentation received in a timely manner
14. Sales staff knowledge and professionalism
15. Sales staff accuracy and responsiveness in providing proposal
16. Operations staff helpful in scheduling and coordinating project
Comments on "Not Acceptable" items:

SAEDACCO Personnel:
	Accpt.	Not Accpt.	N/A
17. Knowledge and apparent expertise
18. Teamwork
19. Cooperation with Field Rep
20. General Attitude and professionalism
21. Efficiency
22. Adherence to good safety practices
Comments on "Not Acceptable" items:

General Evaluation:

Note particular problems, difficulties, or safety concerns:
Note areas of excellence:
Suggestions or areas for improvement or general comments:

Overall Rating (1=Unacceptable, 5=Acceptable, 10=Excellent)

In appreciation for your time and comments, please provide your name, mailing address, and shirt size for a free SAEDACCO shirt.

Name/Address:
Shirt Size:
Email Address:

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