ALMANSOORI SPECIALIZED ENGINEERING

CLIENT FEEDBACK

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Job No. : 5010031844 Location : Rig # T218

Mohamed Yasir
AlMansoori Crew : Hussain Tahar Date (From/To) : 04-Nov-2020 to 06-Nov-2020
Islam Ali

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Client : KCA Deutag Client Rep. Contact No. :

Client Rep. : Client Rep. Email Add. :

We would like to take this opportunity to sincerely thank you for your business.
To ensure that we provide you, our valued customer, with the highest quality possible in personnel, equipment and
service, we would be grateful if you could take a few moment of your time to fill out this Client Feedback Form.

Did we meet your expectations?

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Categories
Very Poor Poor Satisfactory Good Excellent

Availability of Requested Equipment / Crew 1 2 3 4 5 6 7 8 9 10

Equipment Condition and Performance 1 2 3 4 5 6 7 8 9 10

Crew Professionalism and Competency 1 2 3 4 5 6 7 8 9 10

Attitude / Communication 1 2 3 4 5 6 7 8 9 10

Data Quality / Service Report 1 2 3 4 5 6 7 8 9 10

Compliance to HSEQ Requirements 1 2 3 4 5 6 7 8 9 10

Completion of Job on Time 1 2 3 4 5 6 7 8 9 10

Management Commitment / Response 1 2 3 4 5 6 7 8 9 10

Rectifying defects promptly and to your satisfaction 1 2 3 4 5 6 7 8 9 10

Overall Job Performance 1 2 3 4 5 6 7 8 9 10

Total Score: ______ / 100

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Any comments / specific areas requiring improvement:

Client Rep. Signature : Date :

Note: This form should be completed by the Client Representative and return in a sealed envelope to the Operations Supervisor. In
addition, if feedback is below ‘Good’, client is free to send this form directly to the Corporate HSEQ Department through email
address: hseq@almansoori.biz or fax +97125550437.

For AlMansoori Use

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Action Required Action By Date

F. 1315
Rev. 02
01.05.15