NF-1019 Limited Property Management System Analysis (PMSA)

NASA Property in the Custody of Contractors

NF1019 text

OMB: 2700-0017

Document [docx]
Download: docx | pdf

National Limited Property Management

Aeronautics and

Space System Analysis (PMSA)

Administration

Date

Contract Number

Contract Name

Contract Type

Contractor Company Name

Street Address

City, State, Zip Code

Phone Number

Fax Number

E-Mail Address

Accountable Company Representative

Title

Phone/Fax Number

Property Contact Check here if same

Title

Phone/Fax Number

Period of Review

THE FOLLOWING QUESTIONS PERTAIN TO THE MANAGEMENT OF GOVERNMENT PROPERTY IN YOUR POSSESSION. PLEASE COMPLETE THIS QUESTIONNAIRE AND RETURN IT WITHIN 30 DAYS OF RECEIPT.


  1. Ensure that all information listed above has been provided and is correct. Update and make changes if necessary.

  2. Please answer each question in this questionnaire by checking YES, NO or N/A. Use the Comment Section at the end of this form if necessary. If a question is not applicable, check N/A.

  3. Ensure to include a listing where applicable.

  4. Government Property Administrator (GPA) may request additional information based on responses below.


PRA Burden 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 2700-0017 and expires on 09/30/2022. We estimate that it will take xx minutes to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate to: [email protected]

1. PROPERTY MANAGEMENT

YES

NO

N/A

A. Government Property Management Plan:

1. Have the Government Property Management Plan and procedures been submitted to the delegated GPA or NASA Industrial Property Officer (IPO)?


Shape1


Shape2


Shape3

If no, please submit them to the GPA or IPO.

2. Have there been any changes to your Government Property Management System or Plan?


Shape4


Shape5


Shape6

3. How are your employees able to access the procedures?

B. Does the Government (NASA or Federal Industry Partner (e.g. DCMA, ONR, etc.,)) conduct Government Property Management System oversight of your company?


Shape7


Shape8


Shape9

If yes, provide a copy of the latest Government Property System Determination letter.

C. Do you currently possess any Government Property?


Shape10


Shape11


Shape12

If yes, please submit a listing of all Government Property accountable to the contract.









2. ACQUISITION

YES

NO

N/A

A. Have you acquired any Government property within the past 12 months (including material)?


Shape13


Shape14


Shape15

If yes, please provide a listing of all acquisitions of Government Property (Contractor Acquired Property (CAP) and Government Furnished Property (GFP)) and forward copies of all vendor invoices with supporting documentation.

B. What internal screening did your company conduct to confirm that the property being ordered is not available from existing stocks?






C. Did you obtain Contracting Officer (CO) approval prior any acquisitions in accordance to the contract?


Shape16


Shape17


Shape18


3. RECEIPT / IDENTIFICATION

YES

NO

N/A

A. Was there any Government Property (o & GFP) received within the last 12 months?


Shape19


Shape20


Shape21

If yes, how did your company perform the receipt? Provide a description for the actions that were taken from the time property arrived at your facility, until it was released from the Receiving Department.

B. Do you have a system for reporting discrepancies incident to shipment (transit-related, shortages, overages, damages) of Government Property?


Shape22


Shape23


Shape24

C. Were any discrepancies incident to shipping reported?


Shape25


Shape26


Shape27

If yes, provide documentation of the resolution of those discrepancies.

D. Was receipt of Government property documented and a record of information identify it as Government owned?


Shape28


Shape29


Shape30

E. Is Government Property clearly identified?


Shape31


Shape32


Shape33

F. How does your company identify Government Property?

G. Provide a picture of the different types of identification on items of Government Property (include one equipment item and one of material, as applicable.

4. RECORDS

YES

NO

N/A

A. Are records established and maintained for all Government property, with supporting documentation to provide audit traceability to applicable shipping, receiving, storage, and utilization documents from acquisition through disposition?


Shape34


Shape35


Shape36

B. If yes, provide documentation that supports that records be established within the timeframe described in your procedures.

C. Do you use a receipt and issue system? If yes, provide the authorization and an example of the cross-referenced documents used, if applicable.


Shape37


Shape38


Shape39

D. What system or database do you use to perform receipt and issue of Government Property?

E. Please forward a copy of your property record for the line items of Materials, Tooling’s, and Equipment associated with this contract.







5. PHYSICAL INVENTORY

YES

NO

N/A

A. Are physical inventories being conducted on all Government Property (including subcontractors’ location)?


Shape40


Shape41


Shape42

B. Date of last Government equipment inventory (mm/dd/yyyy)

Shape43 Shape44


Shape45

C. Date of last Government material inventory (mm/dd/yyyy)

Shape46 Shape47


Shape48

D. Describe how the physical inventory was conducted (wall-to-wall, cyclic, etc.).

E. Were inventory schedules and result reports, including inventory adjustments/discrepancies, sent to the delegated GPA or IPO?


Shape49


Shape50


Shape51

If not, please attach.

6. CAPITAL PHYSICAL INVENTORY

YES

NO

N/A

A. Do you have any Government property valued over the capital threshold of $500,000 in the contract?


Shape52


Shape53


Shape54

B. Was a physical inventory performed, and the results reported to the GPA?


Shape55


Shape56


Shape57

7. SUBCONTRACT CONTROL

YES

NO

N/A

A. Do you have Subcontractors that are in possession of Government Property?


Shape58


Shape59


Shape60

If yes, provide listing of subcontractors and property in their possession.

B. Do you flow down the applicable Government Property clauses on your subcontracts?


Shape61


Shape62


Shape63

If yes, provide copies of the subcontractors flow down.

C. Are you conducting periodic reviews of your subcontractors?


Shape64


Shape65


Shape66

If yes, provide supporting documentation.

8. REPORTS

YES

NO

N/A

A. Do you have a process in place to provide reports of Property Loss (Loss, Damage, Destruction, or Theft), physical Inventory, self-assessments, corrective actions and other property related reports as required by the contract?


Shape67


Shape68


Shape69

B. Have you reported any lost, damaged, or theft of property in the last 12 months??


Shape70


Shape71


Shape72

If yes, provide listing of all reports sent to the delegated GPA or IPO.

C. Do you perform self-assessments on your property management system and promptly initiate corrective action when audits disclose deficiencies?


Shape73


Shape74


Shape75

If yes, provide copy of last self-assessment.

D. Have any Cannibalization/Modification requests or Found on Station reports been submitted to the CO or delegate in the last 12 months?


Shape76


Shape77


Shape78

If yes, list type of report and date


E. Was a NASA Form (NF) 1018 submitted last Fiscal Year?


Shape79


Shape80


Shape81

F. Are NASA Contractor Held Asset Tracking System (CHATS) reports required?


Shape82


Shape83


Shape84

G. Do you have other Government property related reports in your contract?


Shape85


Shape86


Shape87

9. RELIEF OF STEWARDSHIP

YES

NO

N/A

A. Has any Government Property been dispositioned (transfer, disposed, excess, relief of stewardship evidence) since last PMSA?


Shape88


Shape89


Shape90

If yes, please provide a listing of transferred/dispositioned property.

B. Is proper documentation supporting disposal being retained to support relief of stewardship?


Shape91


Shape92


Shape93














10. UTILIZATION

YES

NO

N/A

A. Are you utilizing, consuming, moving and storing Government property as authorized by the contract?


Shape94


Shape95


Shape96

B. Is Government Property furnished on this contract being used on other Government Contracts or commercial activities?


Shape97


Shape98


Shape99

If yes, please explain in comments section or provide attachment.

C. Is screening being done to identify Government Property that is excess to contract performance resulting from engineering changes, contract modifications, contract completions, termination or inactivity?


Shape100


Shape101


Shape102

D. Is NASA Government owned material commingled with contractor owned or anyone else's material?


Shape103


Shape104


Shape105

If yes, explain how NASA Government owned material being segregated/protected?

MOVEMENT

YES

NO

N/A

A. Is the movement of Government Property documented and are records updated to reflect current location?


Shape106


Shape107


Shape108

If yes, how is Government Property tracked when it is moved/issued from a location, i.e., what authority is required, what type of documentation and how is the physical move accomplished? (Please provide an example of documentation where property was moved to a different location.)

B. Is adequate protection provided during the movement of Government Property?


Shape109


Shape110


Shape111

STORAGE

YES

NO

N/A

A. Is Government Property being stored in your facility?


Shape112


Shape113


Shape114

If yes, please describe the storage facility, level of security in place and segregation of NASA Government Property.

B. Is your storage area neat, clean and organized?


Shape115


Shape116


Shape117

CONSUMPTION

YES

NO

N/A

A. Is a system in place to document and record receipts and consumption of material?


Shape118


Shape119


Shape120

B. Are any materials subject to receipt and issue only, and not recorded in the property system?


Shape121


Shape122


Shape123

C. How does your company determine that the amount of material issued is appropriate? i.e., what authority is required, what type of documentation?

D. Does contract performance generate scrap material?


Shape124


Shape125


Shape126

11. MAINTENANCE

YES

NO

N/A

A. Does any of the Government Property in your possession require periodic maintenance (including calibration)?


Shape127


Shape128


Shape129

If yes, provide documentation of the most recent periodic maintenance scheduled and performed.

B. Indicate your method(s) used for maintenance of Government property:

Periodic Preventive Maintenance (PM) Schedule Upon Use/Inspection Calibration N/A


C. If PM is not performed as scheduled is a lockout tag affixed to the property?


Shape130


Shape131


Shape132

D. Are records maintained and up to date for all maintenance of Government property?


Shape133


Shape134


Shape135

12. PROPERTY CLOSEOUT / DISPOSITION

YES

NO

N/A

A. Do you have procedures to ensure that the final Government Property physical inventory is submitted to the NASA CO, GPA, or IPO?


Shape136


Shape137


Shape138

B. Do you have procedures to ensure the timely submittal of the final NASA Form (NF) 1018?


Shape139


Shape140


Shape141

C. Do you have procedures to ensure that the delegated GPA or IPO have a copy of the shipping documents (DD1149, etc.) transferring all Government Property off your contract and/or a Federal Industry Partner Plant Clearance Inventory Disposal Schedule?



Shape142



Shape143



Shape144

D. Are Government identification tags or markings removed or erased from property before disposal?


Shape145


Shape146


Shape147








12. PROPERTY TYPES, NUMBER OF LINE ITEMS, AND VALUE

Type

Number of Line Items

Value

Equipment



Heritage Equipment



Special Tooling (ST)



Special Test Equipment (STE)



Material



Other






Total



Comments

BASED ON THE RESULTS OF THIS ANALYSIS, THE CONTRACTOR’S PROPERTY MANAGEMENT SYSTEM IS CONSIDERED TO BE:

ADEQUATE INADEQUATE

Analyst's Name

Title and Department

Signature

Date

Submit by Email

Shape148

Shape149 Shape150

NASA FORM 1019 08/20 (1.0) Validate prior to use.

Page 7 of 4


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleLimited Property Management
Survey (PMSA)
SubjectLimited Property ManagementAnalysis (PMSA) NASA FORM 1019 Rev 08/20, Created 08/20Version 1.0
AuthorAnn Cuyler (HQ-LD040)
File Modified0000-00-00
File Created2021-12-20

© 2024 OMB.report | Privacy Policy