Form 1423 Inventory Verification Survey

OMB Control Number: 9000-0075
Expiration Date: 10/31/2015

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

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The
OMB control number for this collection is 9000-0075. We estimate that it will take 15 minutes to read the instructions, gather the facts, and answer the
questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of
information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

SECTION I - GENERAL

DATE:

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
REFERENCE NUMBER

PAGES
START NO.

END NO.

5B. PLANT CLEARANCE CASE NUMBER/DOCUMENT NUMBER

AMOUNT ($)

SECTION II - TECHNICAL VERIFICATION
YES NO
* 12. ARE THE WEIGHTS OF THE ITEMS APPROXIMATELY CORRECT?
6. IS PROPERTY LISTED ON THE INVENTORY DISPOSAL SCHEDULES
ON HAND AND IN THE QUANTITIES INDICATED?

*

7. IS THE PROPERTY CORRECTLY DESCRIBED ON THE INVENTORY
DISPOSAL SCHEDULES?
8. IS THE PROPERTY SEGREGATED OR ADEQUATELY PROTECTED?
9. IS THE PROPERTY PROPERLY TAGGED?
10. ARE THE CONDITION CODES ACCURATE?

IF WEIGHTS ARE NOT SHOWN, GIVE ESTIMATE OF WEIGHT BY
BASIC MATERIAL CONTENT:

*

13. DO THE ITEMS APPEAR TO HAVE COMMERCIAL VALUE OTHER
THAN SCRAP?

*

14. DID CONTRACTOR MAKE REASONABLE EFFORTS TO RETURN
THE PROPERTY?

*

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 20. DOES THE INVENTORY INCLUDE REJECTS? IF YES, EXPLAIN
SPECIFIC LINE ITEM ENTRIES. OBTAIN FROM CONTRACTOR
17. DID WORK STOP PROMPTLY UPON RECEIPT OF THE TERM*

ESTIMATED COST OF REWORKING REJECTS ON SPECIFIC LINE
ITEM BASIS.

INATION NOTICE?

DATE OF NOTICE:
18a. DO THE QUANTITIES OF MATERIAL EXCEED THE AMOUNTS
THAT WOULD HAVE BEEN REQUIRED TO COMPLETE THE
TERMINATED PORTION OF THE CONTRACT?

*

*
*
*
*

YES NO
*

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?
19. ARE ALL ITEMS AND QUANTITIES ALLOCABLE TO THE TERMINATION PORTION OF THIS CONTRACT OR ORDER?

YES NO
*

*

*

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?

*

22. FOR WORK-IN-PROCESS, IS THE PERCENTAGE OF COMPLETION
ACCURATE?

*

23. REQUESTING OFFICE REMARKS (Where the answer to any question 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

AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition not usable

26. SIGNATURE OF VERIFIER

27. DATE

STANDARD FORM 1423 (REV. 5/2015)
Prescribed by GSA-FAR (48 CFR) 53.245(c)

STANDARD FORM 1423 (REV. 5/2015) BACK