AppC_SamplePerformanceEvaluationForm.pdf

SPECIAL USE PERMIT INSPECTION/EVALUATION

OUTFITTER / GUIDES

DATE OF INSPECTION / EVALUATION

I. SERVICE

A. Rates, Services and accommodations provided as represented.

B. Courtesy to public.

C. Operations coordinated with other landowners.

D. Compliance with Title VI of the Civil Rights Act.

Additional comments:

II. COMPLIANCE WITH PERMIT

A. Required submittals on time and properly completed.

B. Use reports submitted accurately and on time.

C. Compliance with terms and conditions of permit.

Additional Comments:

III. COMPLIANCE WITH OPERATING PLAN.

A. Participation in operating plan preparation.

B. Adherence to operating plan, schedule, and itineraries, notification of changes.

C. Adherence to use of site.

Additional Comments:

IV. EQUIPMENT

A. Equipment provided as advertised.

B. Equipment is safe and well-maintained.

C. Boats, aircraft or vehicles licensed or certified when required.

D. Livestock treated properly and humanely.

Additional Comments:

V. SAFETY

A. Concern for health and safety of guests, employees, & public.

B. Staff current with first aid and know safety procedures.

C. Guests receive safety orientation of the operation.

Additional Comments:

VI. RESOURCE PROTECTION

A. Minimum impact techniques used.

B. Operation neat and orderly.

C. Following appropriate procedures for human waste management and garbage.

Additional Comments:

O=outstanding, A=fully acceptable, NI=needs improvement, U=unacceptable, NC=not checked, NA=not applicable

Appendix C

C-1

Other Comments:

SIGNATURES:

Permit Holder: Date:

Permit Administrator: Date:

This performance rating constitutes a decision which is subject to appeal pursuant to Secretary of Agriculture Regulation 36 CFR 251, Subpart C. Any such appeal and a statement of reasons must be submitted within 45 days of the date of this rating to the Forest Service Official next higher to the authorized officer.

Holders Comments:

The permit holder’s signature acknowledges receipt and review of the rating, not necessarily agreement.

Ratings are confidential between the Forest Service and the holder to the extent allowed by law and regulation.

Appendix C

C-2