<p> O C I A I n t e r n a t i o n a l , I n c . O r g a n i c C r o p I m p r o v e m e n t A s s o c i a t i o n 1340 North Cotner Blvd. Lincoln NE 68505  USA Phone: (402) 477-2323  Fax: (402) 477-4325 E-mail: [email protected]  Web Site: http://www.ocia.org</p><p>Inspector Evaluation by Operators – OCIA Please complete this form after your inspection. Mail, e-mail, scan, or Fax the form to your Chapter or the Inspection Services Program at OCIA International. Please make specific comments below each item—your feedback is important! Inspector: Inspection Date: Chapter (if applicable): Evaluation Date: Operator Name: Operator No.: </p><p>Totally Needs Acceptable Good Outstanding Inspector Professionalism Unacceptable Improvement 1. On time for inspection Comments: </p><p>2. Prepared for inspection Comments: </p><p>3. Did not impose on operator Comments: </p><p>4. Courteous, Professional Conduct and Manner Comments: </p><p>5. Time management/organization Comments: </p><p>6. Impartiality, non-judgmental and preserved confidentiality of others Comments: </p><p>7. Physically inspected 1/3 of areas & one field of each crop to be certified (at least) Comments: </p><p>8. Examined records, conducted traceability and inventory balance audits Comments: </p><p>9. Examined all applicable invoices and labels for all seeds and inputs Comments: </p><p>10. Knowledgeable about operation type Comments: </p><p>11. Knowledgeable about Standards Comments: </p><p>12. Provided helpful explanations of EN-QS-F-086, Revision F Inspector Evaluation by Operators - OCIA Page 1 of 2 Effective Date: 16 July 2010 © 2010 by OCIA International, Inc. Standards Comments: </p><p>13. Communicated key findings of inspection to operator Comments: </p><p>14. Other (specify): </p><p>Totally Needs Acceptable Good Outstanding Inspection Report Unacceptable Improvement 15. Completed all appropriate forms Comments: </p><p>16. Inspected operator / operation properly identified Comments: </p><p>17. Reports clearly written, complete, accurate and understandable Comments: </p><p>18. Explanation of findings on Exit Interview form to operator Comments: </p><p>19. Operator received copies of Exit Interview and Inspection Affidavit forms Comments: </p><p>20. Other (specify): </p><p>Totally Needs Acceptable Good Outstanding Overall evaluation Unacceptable Improvement</p><p>Please provide overall comments for the inspector: </p><p>This information will be kept confidential and will be used only by the OCIA International Inspection Services Program.</p><p>EN-QS-F-086, Revision F Inspector Evaluation by Operators - OCIA Page 2 of 2 Effective Date: 16 July 2010 © 2009 by OCIA International, Inc.</p>