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Client Feedback Form

Client : Client Ref. (if applicable) :

Project : Client Representative :

SCORING GUIDELINES
Score Description
NA Activity does not apply or there is insufficient work completed or information available to assess the performance
1 - Poor accurately.
Less than acceptable performance where some key project objectives and expectations are not met.
2 - Satisfactory Performance generally meet the project objectives and expectations
3 - Good Takes a proactive approach and exceeds project objectives and expectations.
4 - Excellent Superior Performance Standard / "Best in Class".

EVALUATION ELEMENTS
Note: Criteria selected below reflect the degree of maturity at this stage of the project. The evaluation scope will be expanded accordingly as the
project progresses.

PERFORMANCE

2 - Satisfactory

4 - Excellent
CRITERIA

3 - Good
1 - Poor
HEALTH, SAFETY, ENVIRONMENTAL & SECURITY (HSES) - OCCUPATIONAL

1. Effectiveness of the HSES Planning Process

2. Effectiveness of HSES Implementation: Health implementation

Safety implementation

Environment implementation

Security implementation

3. Effectiveness in promoting occupational HSES within the project

HEALTH, SAFETY, ENVIRONMENTAL & SECURITY (HSES) - DESIGN

4. Awareness of HSES issues in the design process

5. Alignment of HSES objectives with Client's objectives and aspirations

6. Effectiveness of recording and closing out HSES issues

RESOURCE MANAGEMENT - INFRASTRUCTURE

7. Suitability of Office/Sapura 3000 (General) set up

8. Condition of Office/Sapura 3000 housekeeping and cleanliness

9. Acceptability of Office/Sapura 3000 services provided

RESOURCE MANAGEMENT - ORGANIZATION & PERSONNEL

10. Response to dealing with client's concerns/complaints

11. The degree to which the Team is aligned with the Client's goals and objectives.

12. The Assigned Team member's interpersonal skills

13. The Assigned Team member's technical skills

14. Degree to which the Project Team accepts new ideas & innovation

15. Project team's response to our requests or problems

If rating is less than 2, please check the reason(s) why below:

Do not believe it is worthwhile to inform others

Do not know who to inform to get fast and effective action.

Need to inform multiple people to get appropriate action.

Need to follow up multiple times to get action.

Response time too long.

Response does not fully resolve request or problem to our satisfaction.

Others:

SAIMS-QMI-FMT-00111
Client Feedback Form
Rev 2.0 1 of 2
SCORING GUIDELINES
Score Description
NA Activity does not apply or there is insufficient work completed or information available to assess the performance
1 - Poor accurately.
Less than acceptable performance where some key project objectives and expectations are not met.
2 - Satisfactory Performance generally meet the project objectives and expectations
3 - Good Takes a proactive approach and exceeds project objectives and expectations.
4 - Excellent Superior Performance Standard / "Best in Class".

EVALUATION ELEMENTS
Note: Criteria selected below reflect the degree of maturity at this stage of the project. The evaluation scope will be expanded accordingly as the
project progresses.

PERFORMANCE

2 - Satisfactory

4 - Excellent
CRITERIA

3 - Good
1 - Poor
MANAGEMENT SYSTEM & PROCESS MANAGEMENT

16. Effectiveness in delivering the Projects objectives

Effectiveness of the SapuraAcergy's work processes :


17. Project Management

18. HSES Management

19. Quality Management

20. Contract Administration

21. Design and Construction Engineering deliverables

22. Purchasing process and delivery timeliness

23. Material Control (Expediting and Inspection)

24. Document deliverables and control and records management

25. Construction / Fabrication Management

26. Cost Control

27. Planning and Scheduling Management

28. Finance / Invoicing Management

OVERALL DEGREE OF SATISFACTION

29. Please rate your overall degree of satisfaction with the work performed by SapuraAcergy.

30. Please rate your relationship with SapuraAcergy on this project.

REPEAT BUSINESS OPPORTUNITY


31. If you were to do a similar project or a new project in the future, what is the likelihood you would consider SapuraAcergy to help you?

Undecided Would not Probably Would Definitely

ADDITIONAL COMMENT FROM CLIENT


Additional comments concerning the overall Project and/or Project Team performance (use an additional sheet if necessary):

Name (Client Representative) Position Signature

SAIMS-QMI-FMT-00111
Client Feedback Form
Rev 2.0 2 of 2

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