0920-25-0053 Post-site Survey

Form Approved

OMB Approval No. 0920-1050

Expiration Date: 06/30/2025

Post-Site Visit Survey

1. Audit/inspection was conducted by  

   1. U.S. NAC and FSAP 

   2. U.S. NAC and IPP 

   3. U.S. NAC, FSAP and IPP

   4. U.S NAC only 

[If respondents choose option d for U.S. NAC only, then branching logic goes straight to question 3.]

If respondents choose option a, b or c, then question 2 will be next in line with instructions for questions 3-11 that should clearly indicate that responses are for evaluation of U.S. NAC auditors and processes.]

Questions 3-11 are for the evaluation of U.S. NAC auditors and U.S. NAC audit processes only. (Branching logic instructions if options a, b or c are chosen for Question 1)

2. (For joint audit): When necessary and possible, joint audits should be conducted instead of separate ones.

   1. Strongly agree

   2. Agree

   3. Neutral

   4. Disagree

   5. Strongly Disagree

3. Auditors demonstrated effective communications skills, prior to and during the audit.

   1. Strongly agree

   2. Agree

   3. Neutral

   4. Disagree

   5. Strongly Disagree

4. The audit was conducted in a courteous and professional manner by auditors.

   1. Strongly agree

   2. Agree

   3. Neutral

   4. Disagree

   5. Strongly Disagree

5. Audit team was knowledgeable on subject matter and was able to address questions or concerns satisfactorily.

   1. Strongly agree

   2. Agree

   3. Neutral

   4. Disagree

   5. Strongly Disagree

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).

 

6. The duration of the audit was reasonable.

   1. Strongly agree

   2. Agree

   3. Neutral

   4. Disagree

   5. Strongly Disagree

7. Overall, the audit was helpful for my facility and provided useful information or recommendations.

   1. Strongly agree

   2. Agree

   3. Neutral

   4. Disagree

   5. Strongly Disagree

8. Next steps for the certification process and identified non-conformances were explained clearly during the closing meeting.

   1. Strongly agree

   2. Agree

   3. Neutral

   4. Disagree

   5. Strongly Disagree

9. During the audit, auditors considered facility concerns and perspectives.

   1. Strongly agree

   2. Agree

   3. Neutral

   4. Disagree

   5. Strongly Disagree

10. If there is additional feedback that you would like to share, please enter in the comment box below (recommendations for improvement, etc.)

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