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Wednesday, June 30, 2021

June 30, 2021

Work Permit Register Template

This work to permit template is uploaded by HSE Documents for its visitors in editable format for free. Permit to Work (PTW) is an integral part of managing work activities that have inherently higher risks or unique aspects that could lead to a higher level of risk than routine or daily work activities. It is supported by other management policies, procedures, and processes to regulate all work activities and manage risk. The aim of the Permit to Work (PTW) document is to provide guidance in confirming:

  • Completion of all defined work activities, notation of the hazards involved, and precautions to be taken prior to the execution of the work (e.g., use of JSEAs, Safe Work Plan (SWP) Safe System of Work (SSOW), etc.
  • Coordination of all activities to provide a safe working environment for all personnel at the project/site such as conducting Simultaneous Operations (SIMOPS) meetings. 

Work Permit Register Template 



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Work Permit Register Template.

June 30, 2021

QAQC Inspection Checklist for Capacitor Bank

To prepare checklist for the capacitor bank, use the following points:  

  • Capacitor Banks - Materials are approved
  • Equipment undamaged
  • Indicator lamps are correct & Working condition of all breakers & Switches
  • Mounting of panel, correct size of plinth has been provided with leveled at correct location
  • Ensure that panels are vertical and fixing bolts have been tightened with suitable nuts and washers
  • Ensure that all doors of the panel open and closes properly
  • Ensure that panel earthing is completed (Protective conductor connected to the panel and continuity is verified)
  • Ensure that no dust within chambers/compartments
  • Ensure all cable inlet sealed properly
  • Earth Links and Accessories
  • Panel Internal wiring and accessories

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June 30, 2021

Heavy Equipment Access Control Checklist

Type of Equipment:

  1. Grader
  2. Compactor
  3. Excavator
  4. Loader
  5. Bulldozer
  6. Fork Lift

Item:

  1. Vehicle Plates
  2. Licenses.
  3. Head & Rear Light Sources
  4. High Head Light Beam,
  5. Low Head Light Beam & Dimmed Light
  6. Deriving Panel & All gauges
  7. Turn lights
  8. Side Middle Mirrors
  9. Wind Shield Wipers
  10. Front & Rear Windshields and Window Glasses
  11. Brakes & Rear Brake Light
  12. Doors & their Locks
  13. Front & Rear Horns
  14. Equipment Prepared for hazardous Areas
  15. Main & Spare Tires
  16. Tool Box
  17. Equipment Chassis / Body
  18. Exhaust System (Noise/smoke)
  19. All Oils & Liquids Up to Level & No Leakages
  20. Fire Extinguisher
  21. Compressed Air System
  22. Any Visibility Abstraction

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June 30, 2021

Swimming Pool Monthly Operation Report Form

All public and personal/home swimming pools must be inspected regularly by the Environmental Health specialists to make that the swimming pools are following State/country’s rules. As for as the seasonal outdoor swimming pools are concerned, they shall be gone through and pass an inspection before they are allowed to open, and year-round swimming pools must pass yearly inspections to remain open, particularly in the current COVID-19 pandemic situation. Moreover, all public and personal home swimming pool waters must be sampled by the operator every quarter to know chlorine / bromine and bacteria levels. A public swimming pool must be closed if it is not operating in compliance with country, state and or local rules and regulations.

To download more swimming pools documents, you are requested to keep visiting my blog. 

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Swimming Pool Monthly Operation Report Form

Tuesday, June 29, 2021

June 29, 2021

Project EHS OHS Closeout Report Sample & Format

1. PURPOSE 

The purpose of this HSE dossier is to report the commitment of [COMPANY NAME] management on managing the implementation of their HSE policy and other HSE issue raised during the execution of the Project since the Project activities started until the end of the project include the achievement of Project HSE Objectives.

2. SCOPE

This HSE Close Out Report (Dossier) is covered the implementation of all HSE activities during, facility management, construction, engineering, procurement, fabrication and assembly, materials management, Loadout and pre-commissioning [COMPANY NAME] has accomplished all his work /activities from (October 24th, 2020).

3. HSE MANAGEMENT SYSTEM

  • HSE Management System (HSEMS) developed based on the integrated of HSE Management System:
  • OHSAS 18001:2007 (HSE Management System)
  • ISO 14001:2004 (Environmental Management System)
  • ISO 9001:2008 (Quality Management System)

And also, to meet and comply with other requirements both International and National statutory regulations, Industrial Standard Code Practices and client requirements.

The Elements of the HSE Management System consist of:

  • Leadership & commitment
  • Policy & strategic objective
  • Organization, responsibility, resources standards and documentation
  • Hazards and effect management
  • Planning and procedures
  • Implementation & performance monitoring
  • Audit & review

4. HSE POLICY 2019

This policy statement has been produced in pursuance of [COMPANY’s] statutory and contractual obligations and is designed to promote high standards of Occupational Health and Safety for the duration of the work/activities. (See attachment 1)

5. PROJECT HSE OBJECTIVE 2013

The HSE Objective of [COMPANY’s] stipulated for the year 2019 is to improve the behaviour of all employees to become habitual by providing more knowledge in understanding the safety aspect of a project as such to prevent the occurrence of incidents & accidents. This objective shall be achieved by maintaining the following targets. (Attachment 2)

5.1 ENVIRONMENTAL OBJECTIVES

Improve employees’ environmental awareness by conduct regular training, displayed labels, MSDS hazardous signs.

Minimize dust exposure during abrasive blasting and minimize oil spills

Enhance and Improve waste management by waste segregation, storage and regular transportation methodology  

6. PROJECT HSE ACHIEVEMENT 2013

6.1 SAFETY OBJECTIVES

6.1.1 General Safety Objective # 1 Human Dimension 

Total man-hours achievement of [COMPANY’s] Project since period June 2019 up to October 2020 are [0000000] which:

no fatality,

no major accident,

no major fire and

no explosion occurred

Therefore, General Safety Objective # 1 – Human Dimension is achieved.


For complete report, click on the following link: 👇

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Monday, June 28, 2021

June 28, 2021

Heavy-Duty Alert Generator Maintenance Checklist

Following are some key points that will help you to have a safe operation by using an Heavy Duty Alert Generator Checklist:

Use this Generator checklist as you work to maintain your Heavy-Duty alert generators.

A- Weekly Maintenance 

  1. Run the generator (typically no‐load, automatic transfer switch exercise cycle).
  2. Verify that the unit ran and has no alarms or warnings.
  3. Ensure adequate fuel levels.
  4. Make sure that the generator is in “Auto” mode, for automatic startup.
  5. Check that the circuit breaker is closed.
  6. Make sure there are no fluid leaks

B- Monthly Maintenance

  1. Check engine coolant level.
  2. Check engine oil level.
  3. Check the battery charger.
  4. Run the generator (with load, automatic transfer switch exercise cycle).

C- Bi‐Annual Maintenance (Schedule maintenance with a certified technician.)

  1. Inspect the enclosure.
  2. Check the battery electrolyte level and specific gravity.
  3. Check battery cables and connections.
  4. Inspect drive belts.
  5. Inspect the coolant heater.
  6. Check coolant lines and connections.
  7. Check for oil leaks and inspect lubrication system hoses and connectors.
  8. Check for fuel leaks and inspect fuel system hoses and connectors.
  9. Inspect the exhaust system, muffler and exhaust piping system properly and carefully.
  10. Check and clean air cleaner units.
  11. Inspect air induction piping and connections.
  12. Inspect the Direct current (DC) electrical system, control panel and accessories appropriately.
  13. Inspect the AC wiring and accessories.

D- Annual Maintenance (Schedule maintenance with a certified technician.)

  1. Change oil and filter.
  2. Change the fuel filter.
  3. Change the air filter.
  4. Clean the crankcase breather.
  5. Change spark plugs (if applicable).
  6. Check coolant concentration.
  7. Flush the cooling system (as needed).
  8. Perform load bank testing.
  9. Fuel testing & reconditioning (diesel‐fueled units only).
  10. Remove water from fuel tank essentially (diesel‐fueled units only).

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Heavy-Duty Alert Generator Maintenance Checklist

June 28, 2021

Emergency Portable Diesel or Petrol Generator Checklist

Following are some key points that will help you to have safe operation for using an  Emergency Portable Petrol Generator:

  1. Is the generator stored outside in a very well-ventilated cage?
  2. Are the storage area floor firm and level?
  3. Nothing is stored on or under the generator?
  4. The staff working with the generator have a Safe Work Procedure specific to the generator model?
  5. Staff have had in-service training regarding the Safe Work Procedures in using the specific generator?
  6. No flammable materials within two meters of the generator?
  7. Exhaust is aimed away from doorways, air inlets, and public areas?
  8. Fuel is kept in a steel Jerry can?
  9. Fuel is kept at least two meters away from the generator?
  10. No smoking sign is visible from all angles where the generator is kept?
  11. A fire extinguisher is easily accessible?
  12. Fire extinguisher expiry date: 
  13. First aid kit is easily accessible?
  14. Is there a suitably trained first aider available?
  15. Do the staff know the procedure in the event of a near miss/injury?
  16. The electric cord is a heavy-duty outdoor-rated extension cord sized for the total electrical load (voltage and amps) you may need?
  17. Is the cord secured out of the way to prevent accidental injury?
  18. The cord does not run through humid or wet conditions?
  19. Cords from the generator may not be under a mat /carpet due to heat buildup.
  20. Is there any visible damage to the cord: fraying/cuts / exposed wires?
  21. There is no tension on the electric cords?
  22. Is the generator grounded as per the specific model's instruction manual?
  23. All electrical connections are done by a certified electrician?
  24. The Portable petrol/generator is connected to the transfer switch that switches all conductors other than the equipment and or machinery grounding conductor.
  25. When switching off does the generator run until the fuel is spent from the carburetors?

Instructions for the Use of An Emergency Portable Petrol Generator

  • All problems highlighted will be reported with no latency to the site supervisor/engineer.
  • Any tool, instrument or machine that is damaged, broken or has parts missing will not be used until repaired, tested and checked appropriately.
  • Report all problems on the “Reporting of a Defect” form and give it to the supervisor ASAP.
  • Once finalized all supporting documentation must be filed in your OHS files for inspection by the Department of Labour (the state or country where your business exists).

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June 28, 2021

EVACUATION DRILLS PROCEDURE AND EMERGENCY EVACUATION REPORT FORM

EVACUATION DRILLS PROCEDURE AND EMERGENCY EVACUATION REPORT FORM


Table of Contents 

THE PURPOSE OF THE ANNUAL EVACUATION DRILL

TYPES OF EVACUATION DRILL

  1. Drills with Advanced Notice
  2. Drills Without Advanced Notice


GETTING STARTED


BEFORE THE DRILL (PREPARATION)

A. Agree about the details of the drill

B. Agree on the framework for observers

C. Informing staff about the evacuation concept


Responsibility for Roles:

DURING THE DRILL (OBSERVATION)

D. Noting Observations

AFTER THE DRILL (EVALUATION)

E. The working environment group(s) meet to evaluate the Emergency Evacuation drill.

FAQ

Information for Staff Before a Drill

Instructions for Evacuation and Assembly Point Managers


THE PURPOSE OF THE ANNUAL EVACUATION DRILL

The joint emergency management concept at [Organization/Company] is designed to ensure that, in cases of danger, the people who are present in private areas can be rapidly evacuated from a building and be guided to a safe area. 

The evacuation concept is based on two principles: 

1. The purpose of wearing jackets to support evacuation is to ensure an efficient evacuation procedure about 1) saving lives, 2) maintaining health and 3) protecting property. The jackets also create visible assurance among staff that an evacuation is being properly handled and the instructions allow evaluation and assembly point managers to gain an all-round view of the situation.

2. The purpose of performing annual evacuation drills is to create well-rehearsed knowledge of the procedure regarding jackets and to continually heighten the efficiency of evacuations to create a sense of security related to emergency management daily and during an evacuation process.

The annual drills for the emergency may allow trying out different evacuation scenarios that could indicate where initiatives can be adopted to improve the efficiency of evacuations.

TYPES OF EVACUATION DRILL

Employees can choose between the two following types of evacuation drill:


1. Drills with Advanced Notice

This type of emergency drills provides an opportunity to advise employees about the roles & procedures of the evacuation manager and the assembly point manager in advance and to check their knowledge and competency of the evacuation concept.  This is possible because staff are informed of the date and type of event in advance.

It is viable to make use of special real-time effects such as smoke, visual injuries or actors, etc. is not an option.

These are always recommended as an initial drill, where staff have been informed what to do in advance.

This kind of drill is preferable when new decor of the building or if the staff have been moved.


2. Drills Without Advanced Notice

This provides an opportunity to check whether the principle of using jackets is a well-rehearsed procedure in evacuations, as the date and time of the drill will not be known in advance.  Multiple special effects can be used, such as smoke, alarms, actors and visual injuries, etc.

The emergency drill will be experienced as a more authentic evacuation.


GETTING STARTED

The unit/departmental manager is accountable for making sure that the annual evacuation emergency drill is conducted. The unit/departmental manager should involve the unit’s working environment group in the course of events listed below:

  1. Before the drill
  2. During the drill
  3. After the drill

The unit manager agrees on and plans the evacuation drill in collaboration with Technical Services. The agreement is entered into by contacting Technical Services via [email@email.com] the subject field:” Conducting an evacuation drill”. The working environment groups from neighbouring units must be included in the organisation of the evacuation drill for coordination.  

Technical Services staff will help and assist all units to conduct Emergency Evacuation Drills and should be contacted well in advance in planning the annual drill.


BEFORE THE DRILL (PREPARATION)


A. Agree about the details of the drill

In consultation with Technical Services, unit staff should first reach an agreement on the following:

  • Date and time for the evacuation drill Should it be a drill with or without advanced notice?
  • What should the event scenario be? (e.g., a fire, a chemical leakage, uncontrollably violent behaviour, etc.)
  • If it is a drill without advanced notice, should special effects be used?
  • Who in the unit will gather evaluations of the evacuation drill from observers and coordinate an evaluation meeting?
  • Should Technical Services Staff (TSS) attend the evaluation meeting and, if so, should the comprehensive evaluation report be sent to them?


B. Agree on the framework for observers

Agree in advance of the emergency evacuation drill who will act as observers during the event and discuss:

  • Where observers should be positioned to make their observations.
  • It will be an advantage for one or two observers to be close to the project or worksite of the event and for one or two to be at the Assembly Point (AP). The others can take up positions in corridors or larger rooms to observe people’s behaviour and reactions.
  • Which other observations are considered to be relevant?
  • Which observers will be ranked where and when at the agreed worksites?
  • Other matters.


C. Informing staff about the evacuation concept

In the case of drills with advanced notice, it is a good idea for the working environment group to inform staff about the evacuation concept:

  • The role of evacuation manager
  • The role of assembly point manager


Responsibility for Roles:

The two roles do not comprise accountability for staff. They exclusively involve coordinating and supporting functions in connection with the individual event. The roles are assumed by voluntary staff when the event occurs. 

It is a good idea to send out the instructions regarding the evacuation concept with information for staff to ensure that everybody has had an opportunity to read them before the event.

DURING THE DRILL (OBSERVATION)

D. Noting Observations

Emergency Evacuation Observers (EEO’s) must record down their Emergency Evacuation observations during the drill. The report could be utilized to gain as a framework for taking notes during the drill.

The following Emergency Evacuation observations should be noted during the drill:

  1. Reaction time (the time from the occurrence of the event until the yellow jackets are put on)
  2. The activation of the evacuation manager
  3. The activation of the assembly point manager 
  4. The behaviour of the evacuation manager
  5. Collaboration between wearers of the yellow and orange jackets.
  6. Total time is taken for the evacuation

AFTER THE DRILL (EVALUATION)

E. The working environment group(s) meet to evaluate the Emergency Evacuation drill.

Before the meeting, each member of the working environment group(s) must write down his/ her notes in the Emergency Evacuation report. The Emergency Evacuation notes can be sent to the other working environment groups before the meeting.

The notes must be summarized at the meeting to create an overall evaluation, which can be seen in appendix 2 with the emphasis on:

  • How the evacuation went
  • Which procedural failures in the Emergency Evacuation were observed and evaluated that should be taken up locally in the units? 

For Example:

  • Did the total Emergency Evacuation take too long, for instance? 
  • Were the roles & responsibilities of Emergency Evacuation Manager (EEM) and Assembly Point Manager (APM) not performed satisfactorily? 
  • The date of next year’s Emergency evacuation drill should also be agreed on.

If Technical Services staff had agreed to take part in the drill, they can also comment on any faults based on the evaluation reports they have received.

FAQ

  • How do we communicate during a drill with advanced notice that an event has occurred- red?
  • Make the event visible. If for example, place a picture of a fire and sticking it to the coffee-maker.
  • The information for employees is simply to explain where the fire is.
  • Another scenario could be to inform staff about a person exhibiting threatening behaviour and to have an actor play this role at the office on the day in question.
  • Should we take valuables with us to the Assembly Point (AP)?
  • The principal rule is that (Organization) does not consider it is obliged to compensate staff for the loss of valuables not related to the performance of their work. It is, therefore, a good idea for them to take property with them in an emergency evacuation if it is not safely stored.
  • However, there may be exceptions, whereby an obligation to pay compensation would have to be evaluated based on the specific situation. 

Information for Staff Before a Drill 

(Managers/supervisors are recommended always to send out information the first time a unit is testing the evacuation concept).

1. Invitation 

The evacuation drill will take place:

Date:

Duration of the drill:

2. The Information

The announced emergency evacuation drill will be performed by following the jacket principle:

The emergency evacuation manager is the person wearing the yellow jacket

The assembly point manager is the person wearing the orange jacket

The instructions for performing the two roles can be found in the evacuation box and are attached to this e-mail.

The following supplementary information can be included in the health and safety groups wish:

  • The emergency evacuation instructions should be analyzed by the working environment group.
  • Information on the evacuation concept and instructions regarding jackets will be given to the working environment group.

3. Evacuation stand

You should find out where the closest evacuation box is located or situated.

4. Assembly point

You should find out where the nearest assembly point is.

5. Restricted access

Access to adjacent buildings will be restricted by observers to prevent unauthorized persons from entering the area during the drill.

6. Valuables

  • Valuables can be taken to the assembly point during an announced drill.
  • This cannot be recommended during actual, acute events.
  • Instructions for Evacuation and Assembly Point Managers 

The evacuation manager (yellow jacket) has overall responsibility for getting people to vacate the area and searching for it for anyone left behind. This information is to be conveyed to the assembly point manager.  The evacuation manager would do well to delegate tasks to maintain an overview of the area.

  1. Put on your yellow jacket for the evacuation
  2. Alert everyone in your evacuation area
  3. Make sure that a sweep of your area is carried out (see the plan overleaf)
  4. Make sure everyone leaves the area and goes to the assembly point
  5. Tell all adjacent areas to evacuate
  6. Take care of your safety
  7. Go to the assembly point and make a status report to the assembly point manager (orange jacket) regarding the sweep of your area and whether everyone has come out.
  8. Inform local management as soon as this becomes possible

The assembly point manager (orange jacket) has the overall responsibility for being the as- assembly point for all those evacuated, for passing on the result of the emergency evacuation to the police/fire service and for reporting back to evacuees.

  1. Put on your orange jacket for the evacuation
  2. Go directly to the assembly point (see the plan overleaf)
  3. Receive status reports from the evacuation manager present (yellow jackets) regarding the sweep of their areas and whether everyone has come out
  4. Coordinate with the other assembly point managers (orange jackets)
  5. Make immediate contact with the police or fire service chiefs present and give them a status report regarding the sweep of the area including whether everyone has come out
  6. Ensure that the evacuees are kept informed



Download File

Evacuation Drills Procedure 
Emergency Evacuation Report Form 

Sunday, June 27, 2021

June 27, 2021

Daily Pool and SPA Log Sheet Form

Water Swimming pools, water parks, spas are sources for year-round family fun round the to cool off during the hot summer months. Although the risks related to such water resources are low, they can also be sources of waterborne diseases:

  1. E. coli
  2. Cryptosporidium
  3. COVID-19 Virus

These organisms can easily get into swimming pools, spas, and water features through:

  1. Faecal contamination. 
  2. Close contact with people
  3. Air and water contamination

Chlorine (Cl) can be effective against these organisms, overcrowding in pools, water parks, and spas can rapidly reduce chlorine levels. 

These disease organisms such as Cryptosporidium (also known as Crypto) are resistant to chlorine so the chlorine needs time to be effective against these organisms.

The Water Swimming Pool Inspection Program must be designed conducted regularly to protect the public from the risk of disease and injury at public swimming pools, spas and the governing authority for such type of program must be the state/country's Health Department.

Download File

Daily Pool and SPA Log Sheet Form

June 27, 2021

Swimming Pool Daily Record Sheet Form

Swimming pool injuries, drownings and deaths incidents and or accidents are avoidable by practicing and adopting simple health and safety rules. Such Swimming Pools rules apply around all bodies of water such as the beach, lake, private pools and bathtubs. Being as parents, swimming pool safety responsible personal, be aware that any pools that have public access must comply with the state or country’s Pool health, safety and environmental Regulation.

How can we stay safe when swimming? 

Take the following key points:

  1. Look for and read the signs
  2. Walk, do not run
  3. Be careful and vigilant while getting in and out of the swimming pool
  4. Look before you leap or dive in
  5. Stay within your abilities
  6. Never swim alone
  7. Play carefully
  8. Do not drink alcohol
  9. Watch for hazards
  10. Watch for underwater traps

Take a first aid course that teaches:

  • Artificial respiration (Breath of Life)
  • Child Cardio-Pulmonary Resuscitation (CPR)
  • Self-rescue and skills for rescuing others
  • Wear life jackets/Personal Flotation Devices (PFDs)

How can we protect our child?

  1. Never leave your child alone
  2. Never let children play in hot tubs
  3. Use sunscreen
  4. How can I make my pool safe?
  5. Fence off your pool
  6. Cover drains and suction hazards
  7. Keep your pool clean

Download File

Swimming Pool Daily Record Sheet Form

June 27, 2021

Swimming Pool Monthly Safety Self-Inspection Checklist

Item Checked 

Pool & Enclosure

  1. Fences – Openings < 4”, Good Repair
  2. Doors & Gates – Self-Closes, Completely Latches, Good Condition
  3. Window / Sliding Glass Door – Open < 4”
  4. Deck Equipment/Machinery/Devices – Good Condition, Fasteners and Fittings not corroded Ladders – Handrail tight, Rungs tight Starting Blocks - Removed / Disabled Installed in >5’ water depth
  5. Deck – Clean, Disinfected, Good Repair, No Puddles, No Carpet/Matting/Wood
  6. Skimmers / Gutters / Tile Line – Clean, Good Repair
  7. Lighting – Maintained, Adequate
  8. Safety Equipment – Provided, Good Repair First Aid Kit Stocked, Phone Working Rescue Tubes Provided and Used
  9. Test Kit – Clean, Stocked w/ Fresh Reagents, Stored in Cool, Dry Location

Recirculation Equipment

  1. Pumps / Filter / Disinfectant Feeders Maintained Good Repair
  2. Gauges – Working Accurate Readings within Parameters
  3. Piping – Good Repair Marked No Leaks


Download File

Thursday, June 24, 2021

June 24, 2021

CUSTOMER SATISFACTION QUESTIONNAIRE

CUSTOMER SATISFACTION QUESTIONNAIRE



Following is a general format for the Customer Satisfaction Questionnaire. you can use this format as per your company's scope of work. for the editable word copy, click on the download link given at the end of this post:

Voluntary Declaration

Company:

 

Position:

 

Name:

 

Address:

Street:

Postcode:

City:

Country:

Telephone:

 

Fax:

 

Email:

 


1.
Are you satisfied with [Company Name] image for the following?

 

Questions

Very Satisfied

Satisfied

Neither satisfied nor dissatisfied

dissatisfied

Very

dissatisfied

No

comment

Response Time

Information Material (Brochures, manuals, catalogues etc.) Consulting and Service

The breadth of Product Range Latest Products

Overall Appraisal Comments

Comments:


2. How would you judge the quotation processing referring to the features mentioned below?

 

Questions

Very Satisfied

Satisfied

Neither satisfied nor dissatisfied

dissatisfied

Very

dissatisfied

No

comment

Quick response to Quotation and Order Confirmation

Quotation Details

Staff ‘s Availability

Lead Time

Overall Appraisal

Comments:


3.     What is your opinion of [Company Name] order processing?

 

Questions

Very Satisfied

Satisfied

Neither satisfied nor dissatisfied

dissatisfied

Very

dissatisfied

No

comment

Adherence to Delivery Dates

The flexibility of Delivery Time and Quantity

Handling of Complaint

Packaging

Overall Appraisal

Comments:


4.     What do you think about the technical consulting service at [Company Name]?

 

Questions

Very Satisfied

Satisfied

Neither satisfied nor dissatisfied

dissatisfied

Very

dissatisfied

No

comment

Staff ‘s Capacity

Variety of Solutions

Speed of Response

Technical Documentation

Overall Appraisal

Comments:


5.     Do you consider [Company Name] Product Quality satisfactory?

 

Questions

Very Satisfied

Satisfied

Neither satisfied nor dissatisfied

dissatisfied

Very

dissatisfied

No

comment

Product Quality

Design and Function

Technical Properties

Price / Performance

Economic Lifetime Safety

Overall Appraisal

Comments:


6.     What is your opinion of [Company Name] customer service?

 

Questions

Very Satisfied

Satisfied

Neither satisfied nor dissatisfied

dissatisfied

Very

dissatisfied

No

comment

Customer Support

Handling of Complaint

Easy Processing

Staff ‘s Knowledge

Overall Appraisal

Comments:


7.     What is your opinion about [Company Name] in general?

 

Questions

Very Satisfied

Satisfied

Neither satisfied nor dissatisfied

dissatisfied

Very

dissatisfied

No

comment

Satisfaction

Comments:


8.     Is it your intention that you would continue to use [Company Name] in the future?

 

Yes

No

Perhaps

Further Contact

Comments:


9.     Would you recommend [Company Name] to a colleague/company?

 

Yes

No

Perhaps

Recommendation

Comments:


10.  If possible, would you please rate [Company Name] as a supplier?

 

Yes

No

Perhaps

Supplier Rating

Comments:


11.  How would you rate [Company Name] compared with our competitors?

 

Above Average

Below Average

Equal

Image

Quotation Processing

Technical Support

Product/Service Quality

Customer Service

Comments:




Download File

Customer Satisfaction Questionnaire