Cardiovascular Fitness Procedures Manual

6.5.3 Site Visit Report Form

The Site Visit Report form (Exhibit 6-19) is an online method to identify, document, and

followup on issues or problems noted during observational field visits. This form is completed by

consultants and development staff following each field visit and is posted to the project intranet site.

In contrast to the Technician Competency Evaluation form, the Site Visit Report form is

used to give an overall assessment of the status of the component and team performance. The intent is to

report general problems and issues rather than problems and issues regarding the specific performance of

specific technologists. The latter is reported on the Technician Competency Evaluation form.

Exhibit 6-19. Site Visit Report form

Date(s) of Visit: Stand #

Name of Observer:

Visit # (this year to this

team)

Component: Cardiovascular Fitness # of SP exams observed:

ID number of examiners/recorders observed

1. Outstanding issues from last visit or QC meeting (if any):


2. Observations/issues:


3. Issues that need to be addressed at the next visit:


4. Comments: