53.301-1423 Standard Form 1423

F




INVENTORY VERIFICATION SURVEY
(See FAR 45.602-1(b)(1))

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 IS IS NOT REQUIRED (Requester, check one)

 

YES

NO

 

YES

NO

17.  DID WORK STOP PROMPTLY UPON RECEIPT OF THE TERMINATION NOTICE?



DATE OF 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?

*

 


b.  DO THE COMPLETED ITEMS INSPECTED CONFORM TO CONTRACT SPECIFICATIONS?

 

*

 

 

 

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
Previous edition not usable

STANDARD FORM 1423 (REV. 5/2004)
Prescribed by GSA-FAR (48 CFR) 53.245(c)