53.301-1423 Standard Form 1423
INVENTORY VERIFICATION SURVEY | DATE |
SECTION I – GENERAL | |
1. FROM: (Include ZIP Code) | 2. TO: (Include ZIP Code) | |||
3. CONTRACT NUMBER AND TYPE | 4. CONTRACTOR/SUBCONTRACTOR | |||
5A. SCHEDULES OF INVENTORY TO BE INSPECTED AND VERIFIED | 5B. PLANT CLEARANCE CASE NUMBER/DOCUMENT NUMBER | |||
REFERENCE NUMBER | PAGES | AMOUNT (S) | ||
START NO. | END NO. | |||
SECTION II – TECHNICAL VERIFICATION |
YES | NO | YES | NO | ||
6. IS PROPERTY LISTED ON THE INVENTORY DISPOSAL SCHEDULES ON HAND AND IN THE QUANTITIES INDICATED? | * | 12. ARE THE WEIGHTS OF THE ITEMS APPROXIMATELY CORRECT? | * | ||
7. IS THE PROPERTY CORRECTLY DESCRIBED ON THE INVENTORY DISPOSAL SCHEDULES? | * | IF WEIGHTS ARE NOT SHOWN, GIVE ESTIMATE OF WEIGHT BY BASIC MATERIAL CONTENT: __________________________ | |||
8. IS THE PROPERTY SEGREGATED OR ADEQUATELY PROTECTED? | * | 13. DO THE ITEMS APPEAR TO HAVE COMMERCIAL VALUE OTHER THAN SCRAP? | * | * | |
9. IS THE PROPERTY PROPERLY TAGGED? | * | 14. DID CONTRACTOR MAKE REASONABLE EFFORTS TO RETURN THE PROPERTY? | * | ||
10. ARE THE CONDITION CODES ACCURATE? | * | 15. DO ANY ITEMS REQUIRE DEMILITARIZATION OR SPECIAL PROCESSING (sensitive items)? | * | ||
11. IS THE PROPERTY CLASSIFICATION CORRECTLY IDENTIFIED? | * | 16. ARE COMMON ITEMS INCLUDED ON THE INVENTORY DISPOSAL SCHEDULE? | * | ||
SECTION III – TERMINATION INVENTORY | |||||
COMPLETION OF THIS SECTION | |||||
YES | NO | YES | NO | ||
17. DID WORK STOP PROMPTLY UPON RECEIPT OF THE TERMINATION NOTICE?
| * | 20. DOES THE INVENTORY INCLUDE REJECTS? IF YES, EXPLAIN SPECIFIC LINE ITEM ENTRIES. OBTAIN FROM CONTRACTOR ESTIMATED COST OF REWORKING REJECTS ON SPECIFIC LINE ITEM BASIS. | * | ||
* | |||||
18a. DO THE QUANTITIES OF MATERIAL EXCEED THE AMOUNTS THAT WOULD HAVE BEEN REQUIRED TO COMPLETE THE TERMINATED PORTION OF THE CONTRACT? | * | 21a. HAVE COMPLETED ARTICLES BEEN INSPECTED AS TO QUALITY AND CONFORMANCE TO SPECIFICATIONS? | * | ||
b. CAN THE ITEMS OF TERMINATION INVENTORY BE USED ON THE CONTINUING PORTION OF THE CONTRACT? | * |
| * | ||
c. DO OTHER THAN COMPLETED ITEMS CONFORM WITH TECHNICAL REQUIREMENTS OF THE CONTRACT OR ORDER? | * | ||||
19. ARE ALL ITEMS AND QUANTITIES ALLOCABLE TO THE TERMINATION PORTION OF THIS CONTRACT OR ORDER? | * | 22. FOR WORK-IN-PROCESS, IS THE PERCENTAGE OF COMPLETION ACCURATE? | * |
23. REQUESTING OFFICE REMARKS (Where the answer to any questions is placed in a block containing an asterisk (*) detailed comments of the verifier shall be included on the reverse of this form and identified by section and item number.) |
24. SIGNATURE OF REQUESTER |
INVENTORY VERIFICATION The above information is based on a physical verification of inventory listed under Item 5. |
25. NAME AND TITLE | 26. SIGNATURE OF VERIFIER | 27. DATE | |
AUTHORIZED FOR LOCAL REPRODUCTION | STANDARD FORM 1423 (REV. 5/2004) | ||