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8110-30 - DER PERFORMANCE EVALUATION FORM

By Holly Ray,2014-06-18 08:32
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8110-30 - DER PERFORMANCE EVALUATION FORM

    DER PERFORMANCE EVALUATION FORM

NAME:_________________________________________________ DER

    #:_________________________ (PRINT: Prefix, Last Name, First Name, Middle Name, Suffix)

    TEL. #:______________________________________ FAX

    #:______________________________________

    DESIGNATION(s):______________________________________________________________________

    __ (Structures, Systems, Propulsion, Adm., etc.)

    ? Yes ? No EXECUTIVE LEVEL DER’S ONLY: Has the DER’s title/position adversely affected the ability to

    perform delegated functions objectively and independently? (Written summary attached)

    EVALUATION: FROM ____________________________ TO

    _____________________________________

    FAA EVALUATOR

    Name:__________________________________________________________________ (PRINT)

    ACO/BRANCH____________________________________________________________ For the above named DER, rate performance in each of the following categories by placing an "X" under column SAT for Satisfactory, column NEEDS IMPR for Needs Improvement, column UNSAT for Unsatisfactory, or column N/OB for Not Observed. For any rating other than Satisfactory, the FAA evaluator is required to contact the DER directly, and to document in the "REMARKS" section how the concern has been or will be resolved. Resolution action may range from a recommendation for non-renewal to an indication that the DER has agreed to work closely with the FAA during the next evaluation period to resolve the concern. Indicate your recommendation for renewal at the bottom of the form above your signature.

     NEEDS

    SAT IMPR UNSAT N/OB

     1. ACTIVITY LEVEL ? ? ? ?

     2. DIRECT FAA CONTACT ? ? ? ?

     3. DER/FAA INTERACTION TRACKING FORM ? ? ? ?

     4. APPLICATION OF REGULATIONS, POLICY, AND GUIDANCE ? ? ? ?

     5. ADHERENCE TO DER PROCEDURES ? ? ? ?

     6. SHOWS INTEGRITY, SOUND JUDGMENT, COOPERATIVE ATTITUDE ? ? ? ?

     7. SHOWS TECHNICAL COMPETENCE IN AREA OF APPOINTMENT ? ? ? ?

     8. ATTENDANCE AT REQUIRED TRAINING ? ? ? ?

     9. ABILITY TO COMMUNICATE CLEARLY ? ? ? ? 10. QUALITY OF SUBMITTALS ? ? ? ? 11. TIMELY IDENTIFICATION OF SIGNIFICANT ISSUES ? ? ? ? 12. TIMELY SUBMITTAL OF DATA ? ? ? ? REMARKS: (Explain all Needs Impr, Unsat, N/Ob evaluations and provide resolution; Attach additional pages as required)

Recommend Renewal? ? Yes ? No ? Change authorization as noted in Remarks

    Evaluator Signature:___________________________________

    Date:__________________________

    DER Signature:_______________________________________

    Date:__________________________

     (if required)

    FAA Form 8110-30 (6/00) Supersedes Previous Edition NSN: 0052-00-919-7000

COMPLETION OF THIS FORM IS MANDATORY FOR DER RENEWAL FOR OFFICIAL USE ONLY PUBLIC AVAILABILITY TO BE DETERMINED UNDER TITLE 5, UNITED STATES CODE, SECTION 552

    PERFORMANCE ELEMENT DEFINITIONS

1. ACTIVITY LEVEL: The DER is actively utilizing the delegated authority. Typical indication would be the

    submittal of completed FAA Form 8110-3 (8110-3s) in the delegated area. If 8110-3s are not submitted, the DER

    may be actively assisting the FAA in other ways such as witnessing testing or identifying and resolving certification

    issues, although the authority itself is not utilized.

    2. DIRECT FAA CONTACT: In the delegated area, the DER has direct contact with the FAA on technical and

    project issues. The DER keeps the FAA informed of activities. Indicators would be office visits, phone calls,

    attendance at project meetings, or attendance at Designee Conferences.

    3. DER/FAA INTERACTION TRACKING FORM: The DER submitted the required key interaction form. Indicator would be a complete, accurate, and timely interaction form.

    4. APPLICATION OF REGULATIONS, POLICY , AND GUIDANCE: The DER properly applied

    airworthiness requirements and technical or administrative policy and guidance. Indicators may include a showing

    of understanding and proper application of regulations etc. during the course of certification projects, including

    meetings with the FAA, and appropriate compliance findings.

    5. ADHERENCE TO DER PROCEDURES: The DER followed the DER handbook and other national or local directives in performing DER functions. Indicators would be submittal of properly completed 8110-3s, coordinating

    with FAA on unique and novel design features, receiving permission to witness or conduct tests, verification of

    conformity prior to witnessing tests, properly utilizing authority, etc. DER procedures require coordination with FAA

    Engineering on unique or novel designs, generation of Certification Plans, appropriate and timely requests for

    conformity, generation of tests plans, verification of satisfactory conformity findings prior to witnessing certification

    tests when delegated by the FAA and approval of compliance data in a timely and correct sequential manner. The

    DER should have a good understanding of when the DER may "Approve" vs. "Recommend Approval" for a

    compliance submittal (8110-3) and a clear understanding of the discrete areas of delegation that the DER may

    address.

    6. SHOWS INTEGRITY, SOUND JUDGMENT AND COOPERATIVE ATTITUDE: The DER was honest,

    complete, and forthcoming with information in all dealings with the FAA. The DER exercised sound judgment in

    making technical and project decisions. Conduct was professional, and the DER fully cooperated with the FAA in

    resolving technical and program issues. Indicators may be direct experience with the DER, including participation

    in certification meetings, where the DER is forthcoming and cooperatively seeks resolution of issues.

    7. SHOWS TECHNICAL COMPETENCE IN AREA OF APPOINTMENT: The DER's technical work and

    interaction with the FAA, particularly on complex technical issues, shows the DER's competence in the delegated

    area. Indicators of competence would include properly developed test plans, appropriate compliance findings, and

    technically accurate and complete substantiation and test reports.

    8. ATTENDANCE AT REQUIRED TRAINING: The DER attended any training required by the Agency, including that which may be required by the administering ACO. Indicator would be attendance at required training,

    seminars, conferences, etc.

    9. ABILITY TO COMMUNICATE CLEARLY: The DER communicated effectively, both orally and in writing, such that technical and administrative issues are clearly understood. Indicators would be effective oral

    communications during certification meetings, telephone conversations, and other direct contacts with FAA

    employees. Written reports, substantiation, and communications are complete and well organized.

    10. QUALITY OF SUBMITTALS: The DER's data submittals are complete, logically arranged, legible, accurate, and clearly establish compliance with the applicable airworthiness requirements such that review by the

    FAA may be minimal. Indicators would be test plans, test reports, substantiation, drawings, etc. that meet the

    listed criteria.

    11. TIMELY IDENTIFICATION OF SIGNIFICANT ISSUES: As early as practical in the program, the DER

    identified to the FAA areas of new technology, unusual design features, or those areas requiring special guidance

    or direct FAA involvement. Indicators would include timely informal contacts to alert the FAA to areas of concern

    and participation in certification meetings to identify significant technical issues for Issue Papers.

    12. TIMELY SUBMITTAL OF DATA: DER submittal of compliance data was in a time frame consistent with program schedule and required FAA review. DER consistently avoids last minute "data dumps," thus allowing

    adequate time for FAA actions prior to critical program milestones.

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