**Department of**

**Veterans Affairs**

####### MATERIEL MANAGEMENT PROGRAM

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**SELF EVALUATION GUIDE**

######## Office of Acquisition and Materiel Management

**Washington, DC 20420**

**MATERIEL MANAGEMENT PROGRAM**

# **CONTENTS**

## SECTION -- A \_\_4

## General.............................................................................................................

## SECTION -- B\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_5-6

Equipment Acquisition

1.  Classification

2.  Equipment Acquisition Plans

3.  National Acquisition Center Procurement

4.  Testing -- evaluations of equipment

## 

## SECTION -- C\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_7-10

Equipment - Maintenance of records.

1\. Accountable Officer

2.  Report of survey

3.  Physical Inventories

4\. Reconciliation

5.  5\. Loans of Equipment

    6\. Revocable License

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7.  Personal owned property placed in official use.

## SECTION -- D\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_11-13

Equipment -- Final Disposition

1.  Turn ins

2.  Excess

3.  Surplus

4.  Salvage/Scrap Sales

## 

## SECTION -- E\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_14-15

Inventory - Posted/Unposted

## 

## SECTION - F\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_16-17

1.  Reports

2.  Other

**INTRODUCTION**

This guide is to be used to evaluate the overall performance of the
Materiel Management Program. This guide should be used at least every 6
months, and the Chief, Manager, or Supervisor of the MM section, or the
Chief Logistics Officer should complete it. This guide is divided into
six sections and includes general functionalities of the typical
Materiel Management Program. If a section of parts of the guide do not
apply, a full explanation is required.

***Purpose.*** This guide contains standards for evaluating Department
of Veterans Affairs (VA) Materiel Management programs (e.g. equipment
procedures, inventory, and reports). These standards, referred to as
Self-Evaluation Guide, are to be followed by personnel conducting
performance reviews of the Materiel Management Program. The findings of
this evaluation should be shared with Associate Director and other
appropriate officials at the medical center.

***Applicability.*** This guide applies to all VA Materiel Management
Programs nationwide.

***References.*** Required regulations that should be referenced in
conjunction to this guide are: VA Catalog No. 3, Section VII, VA
Directive and Handbook 1761.2, VA Directive and Handbook 7125, VA
Directive and Handbook 7127, VA Directive and Handbook 7343, VA
Directive and Handbook 7345, VA Directive and Handbook 7346, FPMR, 41
CFR, FAR, VAAR.

**MM SELF -- EVALUATION GUIDE**

**GENERAL**

#### SECTION A

#### 

+-----------------------------------+----+----+------------------------+
|                                   | ## | #  | ###### Comments        |
|                                   | ## | ## |                        |
|                                   | ## | ## |                        |
|                                   |  Y | #  |                        |
|                                   | es | No |                        |
+-----------------------------------+----+----+------------------------+
| 1.  Does the Program have a       |    |    | \_\_\_                 |
|     current organizational chart? |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 2.  Are the Program's hours of    |    |    |                        |
|     operation listed?             |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 3.  Is there a Materiel           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Management Procedure          |    |    |                        |
|     Manual/SOP?                   |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 4.  Is there a disaster plan?     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| 5.  Does it include a call back   |    |    | \_\_\_                 |
|     cascade?                      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 6.  Are there fire and safety     |    |    |                        |
|     plans in place?               |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 7.  Is there a computer           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     contingency plan?             |    |    |                        |
|                                   |    |    | \_\_\_                 |
| 8.  Are the Position Descriptions |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     current?                      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| 9.  Is the Competency Assessment  |    |    | \_\_\_                 |
|     Checklists current?           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 10. Is there an annual training   |    |    |                        |
|     plan in the MM Section?       |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 11. Are training records          |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     maintained and available?     |    |    |                        |
|                                   |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
|                                   |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
|                                   |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
+-----------------------------------+----+----+------------------------+

**MM SELF -- EVALUATION GUIDE**

**EQUIPMENT ACQUISITIONS**

#### SECTION B

#### 

+-----------------------------------+----+----+------------------------+
|                                   | ## | #  | ###### Comments        |
|                                   | ## | ## |                        |
|                                   | ## | ## |                        |
|                                   |  Y | #  |                        |
|                                   | es | No |                        |
+-----------------------------------+----+----+------------------------+
| **1. CLASSIFICATION**             |    |    | \_\_                   |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| a\. Is property classified in     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| accordance with VA Catalog No. 3, |    |    |                        |
| Section VII and/or Integrated     |    |    | \_\_\_                 |
| Supply Management System (ISMS)   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| and is it classified correctly?   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| a.  Are all new equipment         |    |    | \_\_\_                 |
|     acquisitions reviewed to      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     insure that:                  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| > 1\. It is receipted properly?   |    |    | \_\_\_                 |
| >                                 |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > 2\. Entered into the automated  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > inventory system?               |    |    |                        |
| >                                 |    |    | \_\_\_                 |
| > 3\. Mandatory inspection        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > completed?                      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| >                                 |    |    |                        |
| > 4\. Is it tagged with an        |    |    | \_\_\_                 |
| > identification label (bar       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > codes) and/or security tags?    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| >                                 |    |    |                        |
| > c\. Are upgrades and/or         |    |    | \_\_\_                 |
| > betterments posted to the       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > applicable EIL entry in the     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > General Ledger?                 |    |    |                        |
|                                   |    |    | \_\_\_                 |
| ####                              |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| ## 2. EQUIPMENT ACQUISITION PLANS |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| > a\. Is there an Equipment       |    |    | \_\_\_                 |
| > Acquisition Plan and is there a |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > procedure in place for          |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > acquisitions? (VA Handbook      |    |    |                        |
| > 7125, Part 3, Section           |    |    | \_\_\_                 |
| > 2.401-50.)                      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| >                                 |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > b\. Is the Capital Investment   |    |    |                        |
| > Board (CIB) approval obtained   |    |    | \_\_\_                 |
| > on required acquisitions that   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > are above threshold?            |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > (Information Letter 90-00-4)    |    |    |                        |
| >                                 |    |    | \_\_                   |
| > c\. Are you using the           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > replacement criteria as defined |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > in FPMR 101-25.4?               |    |    |                        |
| >                                 |    |    | \_\_\_                 |
| > d\. Does the director or        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > equivalent approve replacement  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > of items that are not due for   |    |    |                        |
| > replacement? (VA Handbook 7125, |    |    | \_\_\_                 |
| > Part 3, Section 4.401.53)       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| e.  Are all items checked for     |    |    |                        |
|     space and utilities prior to  |    |    | \_\_\_                 |
|     procurement?                  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > f\. Are VA and Federal Agencies |    |    |                        |
| > excess checked for first source |    |    | \_\_\_                 |
| > of supply in accordance with    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > the 41 CFR; FAR, Part 8,        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > Section 8.001 and VAAR, Part    |    |    |                        |
| > 808.001?                        |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| a.  Are equipment request         |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     reviewed for Exchange/Sale    |    |    |                        |
|     program (i.e. trade-in)? (VA  |    |    | \_\_\_                 |
|     Handbook 7346.1-1.200.50)     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 3\. NATIONAL ACQUISITION CENTER   |    |    |                        |
| (NAC) PROCUREMENT                 |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > a\. Is there a requisition log  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > for all NAC acquisitions?       |    |    |                        |
|                                   |    |    | \_\_\_                 |
| b.  Does each requisition have a  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     file for documentation of     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     complete acquisition?         |    |    |                        |
|                                   |    |    |                        |
| c.  If applicable, are trade-ins  |    |    |                        |
|     offered, accepted and         |    |    |                        |
|     property physically removed   |    |    |                        |
|     and dropped from official     |    |    |                        |
|     automated records?            |    |    |                        |
|                                   |    |    |                        |
| d.  Are requisition delivery      |    |    |                        |
|     dates reviewed and status     |    |    |                        |
|     updated?                      |    |    |                        |
|                                   |    |    |                        |
| e.  Are receiving reports         |    |    |                        |
|     processed and forwarded to    |    |    |                        |
|     the NAC?                      |    |    |                        |
|                                   |    |    |                        |
| **[4. TESTING-EVALUATION OF       |    |    |                        |
| EQUIPMENT]{.mark}**               |    |    |                        |
|                                   |    |    |                        |
| []{.mark}                         |    |    |                        |
|                                   |    |    |                        |
| > [a. Are agreement forms signed  |    |    |                        |
| > by manufacturers representative |    |    |                        |
| > and VA representative for       |    |    |                        |
| > equipment for Test and          |    |    |                        |
| > Evaluation? (VHA Handbook       |    |    |                        |
| > 1761.2)]{.mark}                 |    |    |                        |
|                                   |    |    |                        |
| f.  [Is incoming inspection       |    |    |                        |
|     performed prior to Testing    |    |    |                        |
|     and Evaluation of equipment   |    |    |                        |
|     and is documentation on       |    |    |                        |
|     file?]{.mark}                 |    |    |                        |
|                                   |    |    |                        |
| []{.mark}                         |    |    |                        |
+-----------------------------------+----+----+------------------------+

**SELF -- EVALUATION GUIDE**

**EQUIPMENT - MAINTENANCE OF RECORDS**

#### SECTION C

+-----------------------------------+----+----+------------------------+
|                                   | ## | #  | ###### Comments        |
|                                   | ## | ## |                        |
|                                   | ## | ## |                        |
|                                   |  Y | #  |                        |
|                                   | es | No |                        |
+-----------------------------------+----+----+------------------------+
| 1\. **ACCOUNTABLE OFFICER**       |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > a\. Is there an Accountable     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > officer designated at your      |    |    |                        |
| > facility? (7125.4.5001, 5002)   |    |    | \_\_\_                 |
| >                                 |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > b\. Is Accountable Official     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > responsible for:                |    |    |                        |
| >                                 |    |    | \_\_\_                 |
| > 1\. The Supply Fund Stock?      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 2.  All Expendable Inventories?   |    |    |                        |
|                                   |    |    | \_\_\_                 |
| 3.  Non-Expendable Inventories?   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 4.  Completeness and accuracy of  |    |    |                        |
|     property accounts?            |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 5.  Approval of Adjustment        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Vouchers?                     |    |    |                        |
|                                   |    |    | \_\_                   |
|     a.  If other than the Chief,  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|         A&MM, is a letter of      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|         delegation on file?       |    |    |                        |
|         (7125.4.5002)             |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
+-----------------------------------+----+----+------------------------+
| 2.  **REPORT OF SURVEY (ROS)**    |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| ```{=html}                        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| <!-- -->                          |    |    |                        |
| ```                               |    |    | \_\_\_                 |
| a.  Is the VA Form 1217, Report   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     of Survey, being utilized to  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     report incidents of lost,     |    |    |                        |
|     damaged or destroyed          |    |    | \_\_\_                 |
|     property? (7125.5.1.5101a)    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| b.  Are you maintaining a Report  |    |    |                        |
|     of Survey Register for each   |    |    | \_\_\_                 |
|     fiscal year?                  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     (7125.5.3.5101-2a)            |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| c.  Are copies of VA Form 1393,   |    |    | \_\_\_                 |
|     Uniform Offense Report,       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     included with the ROS when    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     required? (7125.5.9.5101.8b)  |    |    |                        |
|                                   |    |    | \_\_\_                 |
| d.  Were board findings and       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     recommendations forwarded to  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     the appropriate official for  |    |    |                        |
|     action? (7125.5.21.5101-21a)  |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| e.  If the investigation resulted |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     in an employee being charged  |    |    |                        |
|     with pecuniary liability, has |    |    | \_\_\_                 |
|     appropriate documentation     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     been forwarded to Fiscal      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Service for preparation of a  |    |    |                        |
|     Bill for Collection?          |    |    | \_\_\_                 |
|     (7125.5.23.5101.23)           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| f.  If the investigation resulted |    |    |                        |
|     in a non-employee being       |    |    | \_\_\_                 |
|     charged with pecuniary        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     liability, has appropriate    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     documentation been forwarded  |    |    |                        |
|     to District Counsel for       |    |    | \_\_\_                 |
|     review? (7125.5.20.5101.20)   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| g.  Are completed survey action   |    |    |                        |
|     files coordinated and         |    |    | \_\_\_                 |
|     appropriate action            |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     accomplished by Accountable   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Officer? (7125.5.21.5101-21)  |    |    |                        |
|                                   |    |    | \_\_\_                 |
| 3\. **PHYSICAL INVENTORIES**      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| a.  Are physical inventories of   |    |    |                        |
|     all non-expendable equipment  |    |    | \_\_\_                 |
|     items being conducted?        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     (7127/1.4.3.5301-4)           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| b.  Is the schedule for           |    |    |                        |
|     performing non-expendable     |    |    |                        |
|     equipment inventories based   |    |    |                        |
|     on the accuracy of the        |    |    |                        |
|     previous inventory?           |    |    |                        |
|     (7127/1.5.5302.3b)            |    |    |                        |
|                                   |    |    |                        |
| c.  Do you have an EIL inventory  |    |    |                        |
|     schedule that includes, dates |    |    |                        |
|     of inventory, title of        |    |    |                        |
|     responsible official, date of |    |    |                        |
|     notification of responsible   |    |    |                        |
|     official and date of          |    |    |                        |
|     completion of all adjustments |    |    |                        |
|     made? (7127/1.5302.3.2c)      |    |    |                        |
|                                   |    |    |                        |
| d.  Are quarterly spot checks of  |    |    |                        |
|     EIL records being completed   |    |    |                        |
|     to verify inventory accuracy? |    |    |                        |
|     (7127/1.5302.3e)              |    |    |                        |
|                                   |    |    |                        |
| **4. RECONCILIATION**             |    |    |                        |
|                                   |    |    |                        |
| a.  Are the non-expendable        |    |    |                        |
|     equipment accounts being      |    |    |                        |
|     reconciled with fiscal        |    |    |                        |
|     accounts on a monthly basis?  |    |    |                        |
|     (7127/3.4.5608-1)             |    |    |                        |
|                                   |    |    |                        |
| b.  Is research being completed   |    |    |                        |
|     to identify discrepancies and |    |    |                        |
|     adjustments being made        |    |    |                        |
|     promptly?                     |    |    |                        |
|     (7127/3.4.5608-1a(1))         |    |    |                        |
|                                   |    |    |                        |
| c.  Are you meeting the year-end  |    |    |                        |
|     certification requirement to  |    |    |                        |
|     reconcile EIL records and     |    |    |                        |
|     accounts?                     |    |    |                        |
|     (7127/3.4.5608-1a(2))         |    |    |                        |
+-----------------------------------+----+----+------------------------+
| > 5\. **LOANS OF EQUIPMENT**      |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| a.  When loaning VA owned         |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     property, do you obtain       |    |    |                        |
|     approval from the Facility    |    |    | \_\_\_                 |
|     Director ? (7127.3.1.5201a)   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| b.  Are loans being documented in |    |    |                        |
|     a jacket file and reviewed    |    |    | \_\_\_                 |
|     periodically (60days) to      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     ensure property is returned   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     or loan is extended?          |    |    |                        |
|     (7127.3.1.5201a(7))           |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| c.  Is Accountable Officer or     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     designee-issuing property     |    |    |                        |
|     passes?                       |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| d.  When equipment is loaned are  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     you confining the loans to    |    |    |                        |
|     other VA's, Government        |    |    | \_\_\_                 |
|     agencies, local, state and    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     charitable institutions       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     (other than the exception of  |    |    |                        |
|     listed in the attached        |    |    | \_\_\_                 |
|     reference)? (7127.3.2.5202a)  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| ```{=html}                        |    |    |                        |
| <!-- -->                          |    |    | \_\_\_                 |
| ```                               |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| e.  Is loaned equipment to the VA |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     being identified with a tag   |    |    |                        |
|     or label? (7127.3.2.5202b)    |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| f.  Do you have a policy covering |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Personally-owned Property     |    |    |                        |
|     Placed In Official Use?       |    |    | \_\_\_                 |
|     (7125.1.3.150)                |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     1.  **REVOCABLE LICENSE**     |    |    |                        |
|                                   |    |    | \_\_\_                 |
| > a\. When issuing a revocable    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > license is the format           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > identified in 7127.9902 being   |    |    |                        |
| > utilized? (7127.3.4.5204b)      |    |    |                        |
|                                   |    |    |                        |
| a.  Are the revocable licenses    |    |    |                        |
|     being reviewed/renewed on a   |    |    |                        |
|     yearly basis?                 |    |    |                        |
|     (7127.3.2.5202b)              |    |    |                        |
|                                   |    |    |                        |
| b.  Are you requiring reviews by  |    |    |                        |
|     District Counsel before       |    |    |                        |
|     approval by facility director |    |    |                        |
|     of the revocable license?     |    |    |                        |
|     (7127/3.9901)                 |    |    |                        |
|                                   |    |    |                        |
| c.  During revocable license      |    |    |                        |
|     period are items being        |    |    |                        |
|     maintained on EIL and         |    |    |                        |
|     inventoried? (7127.3.4.5204g) |    |    |                        |
|                                   |    |    |                        |
| d.  Upon expiration of the        |    |    |                        |
|     license was the property      |    |    |                        |
|     returned to facility?         |    |    |                        |
|     (7127.3.4.5204e)              |    |    |                        |
+-----------------------------------+----+----+------------------------+
| 1.  **PERSONAL OWNED PROPERTY     |    |    |                        |
|     PLACED IN OFFICIAL USE.**     | \_ |    |                        |
|                                   | \_ |    |                        |
| a\. Is there a local policy       | \_ |    |                        |
| governing Personal Owned Property | \_ |    |                        |
| Placed in Official Use?           | \_ |    |                        |
| (7125.1.3.150)                    | \_ |    |                        |
|                                   | \_ |    |                        |
| b\. Does the policy include that  | \_ |    |                        |
| all property placed in official   | \_ |    |                        |
| use for the convenience of the    | \_ |    |                        |
| government will include           | \_ |    |                        |
| maintenance and service by the    | \_ |    |                        |
| government. (7125.1.3.150a)       | \_ |    |                        |
|                                   | \_ |    |                        |
| c\. Does the policy include that  | \_ |    |                        |
| the Accountable Officer notify    | \_ |    |                        |
| Facility Management of all such   | \_ |    |                        |
| equipment in order for this       | \_ |    |                        |
| property to obtain safety         | \_ |    |                        |
| clearance. (7125.1.3.150c)        | \_ |    |                        |
|                                   | \_ |    |                        |
|                                   | \_ |    |                        |
|                                   | \_ |    |                        |
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+-----------------------------------+----+----+------------------------+
|                                   |    |    |                        |
+-----------------------------------+----+----+------------------------+

+-----------------------------------+----+----+------------------------+
|                                   | #  | #  |                        |
|                                   | ## | ## |                        |
|                                   | ## | ## |                        |
|                                   | #  | #  |                        |
+-----------------------------------+----+----+------------------------+
|                                   | #  | #  | ######                 |
|                                   | ## | ## |                        |
|                                   | ## | ## |                        |
|                                   | #  | #  |                        |
+-----------------------------------+----+----+------------------------+

**SELF -- EVALUATION GUIDE**

**EQUIPMENT-FINAL DISPOSITION**

#### SECTION D

+-----------------------------------+----+----+------------------------+
| **1. TURN-INS:**                  | ## | #  | ###### Comments        |
|                                   | ## | ## |                        |
| a.  Is there a turn-in procedure  | ## | ## | \_\_\_                 |
|     in place at the facility for  |  Y | #  | \_\_\_\_\_\_\_\_\_\_\_ |
|     disposal of Non-Expendable    | es | No | \_\_\_\_\_\_\_\_\_\_\_ |
|     items?                        |    |    |                        |
|                                   |    |    | \_\_\_                 |
| b.  Is the turn-in procedure      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     being followed?               |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| c.  Is a turn-in register         |    |    | \_\_\_                 |
|     maintained?                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| d.  Are turn-in requests picked   |    |    |                        |
|     up and processed timely?      |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| e.  When turn-in requests are     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     picked up, is accountability  |    |    |                        |
|     transferred from the EIL      |    |    | \_\_\_                 |
|     Responsible official to       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Materiel Management?          |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| f.  Are items indicated for       |    |    | \_\_\_                 |
|     disposal being identified and |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     status updated in the         |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Automated Equipment Inventory |    |    |                        |
|     System?                       |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| g.  Is ADP equipment, hard        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     drives, being reviewed and    |    |    |                        |
|     certified that all sensitive  |    |    | \_\_\_                 |
|     data/software has been        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     removed prior to disposal? Is |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     documentation properly        |    |    |                        |
|     certified? Is documentation   |    |    | \_\_\_                 |
|     maintained on file?           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| h.  Is medical equipment          |    |    |                        |
|     decontaminated by properly    |    |    | \_\_\_                 |
|     trained personnel prior to    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     removal from the point of use |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     by warehouse staff? (i.e.     |    |    |                        |
|     blood, body fluids, etc.)     |    |    |                        |
|                                   |    |    |                        |
| i.  In accordance with VA         |    |    |                        |
|     Handbook 7343 and FPMR        |    |    |                        |
|     101-43.304 are you utilizing  |    |    |                        |
|     FEDS (Federal Disposal        |    |    |                        |
|     System) or manually preparing |    |    |                        |
|     SF120 (Excess)/SF126 (Sales)? |    |    |                        |
|                                   |    |    |                        |
| j.  As final action, are          |    |    |                        |
|     disposals of capitalized      |    |    |                        |
|     items being posted to the     |    |    |                        |
|     applicable EIL entry in the   |    |    |                        |
|     General Ledger and automated  |    |    |                        |
|     equipment inventory system?   |    |    |                        |
+-----------------------------------+----+----+------------------------+
| **2. EXCESS**                     |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| a.  Is EIL excess redistributed   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     within the facility first?    |    |    |                        |
|                                   |    |    | \_\_\_                 |
| b.  Is Station Excess advertised  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     to other VA\'s?               |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| c.  When excessing capitalized    |    |    | \_\_\_                 |
|     equipment to another          |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     facility/station, are the     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     General Ledger Transactions   |    |    |                        |
|     accomplished?                 |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| d.  Is the automated equipment    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     inventory being updated for   |    |    |                        |
|     all non-expendable, expensed  |    |    | \_\_\_                 |
|     items that are excessed to    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     another facility/station?     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| e.  When excessing Non-expendable |    |    | \_\_\_                 |
|     equipment to another          |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     facility/station, is a VA     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Form 90-134 or equivalent     |    |    |                        |
|     being completed and           |    |    | \_\_\_                 |
|     processed?                    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| f.  After VA reutilization        |    |    |                        |
|     processes, if property        |    |    | \_\_\_                 |
|     remains unclaimed, and it is  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     reportable to GSA, is it      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     being reported to GSA? (VA    |    |    |                        |
|     Handbook 7343.3.1.304-1(a))   |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| g.  After federal screen process, |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     is GSA contacting the         |    |    |                        |
|     facility to determine method  |    |    | \_\_\_                 |
|     of sale?                      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| **3. SURPLUS**                    |    |    |                        |
|                                   |    |    | \_\_\_                 |
| a.  If equipment is sold by GSA,  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     does buyer sign appropriate   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     GSA paperwork and copy of     |    |    |                        |
|     paperwork returned to GSA and |    |    | \_\_\_                 |
|     a copy of the paperwork       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     maintained in the EIL file?   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| b.  If equipment is returned to   |    |    | \_\_\_                 |
|     facility annotated for        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     abandonment or destruction,   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     is item disposed of in        |    |    |                        |
|     accordance with general       |    |    | \_\_\_                 |
|     surplus or recycle            |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     procedures? (VA Handbook      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     7345, Part 3 (1) 901)?        |    |    |                        |
|                                   |    |    |                        |
| **4. SALVAGE/SCRAP**              |    |    |                        |
|                                   |    |    |                        |
| a.  Are salvage/scrap items being |    |    |                        |
|     reviewed for possible         |    |    |                        |
|     recyclable potential?         |    |    |                        |
|                                   |    |    |                        |
| b.  Are recycle proceeds          |    |    |                        |
|     deposited into local recycle  |    |    |                        |
|     ledger accounts in accordance |    |    |                        |
|     with Office of Financial      |    |    |                        |
|     Policy Bulletin 95GA1-1?      |    |    |                        |
|                                   |    |    |                        |
| c.  Are salvage items being       |    |    |                        |
|     offered for dismantling for   |    |    |                        |
|     use as repair parts? (VA      |    |    |                        |
|     Handbook 7343 Part 4,         |    |    |                        |
|     5.307-55)                     |    |    |                        |
|                                   |    |    |                        |
| d.  Is hazardous material removed |    |    |                        |
|     from all other                |    |    |                        |
|     non-expendable, expensed and  |    |    |                        |
|     expendable items such as      |    |    |                        |
|     refrigerators, monitors,      |    |    |                        |
|     terminals, and air            |    |    |                        |
|     conditioners prior to         |    |    |                        |
|     disposal?                     |    |    |                        |
|                                   |    |    |                        |
| e.  Are ID tags, such as NX tags, |    |    |                        |
|     Barcodes, PM labels being     |    |    |                        |
|     removed from property prior   |    |    |                        |
|     to being removed from         |    |    |                        |
|     facility?                     |    |    |                        |
+-----------------------------------+----+----+------------------------+

**SELF -- EVALUATION GUIDE**

**INVENTORY - POSTED/UNPOSTED**

#### SECTION E

+-----------------------------------+----+----+------------------------+
| 1\. Are all inventories, under    | ## | #  | ###### Comments        |
| the responsibility of Material    | ## | ## |                        |
| Management, maintained using an   | ## | ## | \_\_\_                 |
| automated computerized Inventory  |  Y | #  | \_\_\_\_\_\_\_\_\_\_\_ |
| Package? (1761.2.2a (2);          | es | No | \_\_\_\_\_\_\_\_\_\_\_ |
| 1761.2.5a, b)                     |    |    |                        |
|                                   |    |    | \_\_\_                 |
| 2\. At minimum are the following  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| inventory accounts maintained in  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| the computerized automated        |    |    |                        |
| inventory system (1761.2.6b(4)(a) |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > a\. Medical/Surgical            |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| b.  Dental                        |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| c.  Laboratory                    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| d.  Imaging                       |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| e.  Environmental Management      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Service                       |    |    |                        |
|                                   |    |    | \_\_\_                 |
| f.  Engineering                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 3\. Are records reviewed to       |    |    |                        |
| determine all recurring items     |    |    | \_\_\_                 |
| that should be included in the    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| computerized inventory program?   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 1761.2.6 (5)                      |    |    |                        |
|                                   |    |    | \_\_\_                 |
| 4\. Are appropriate National and  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| Network mandated standardized     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| items included in the             |    |    |                        |
| computerized inventory program?   |    |    | \_\_\_                 |
| 1761.2.6 (8), 1761.2.6 (11)c      |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 5\. Are volume purchase discounts |    |    |                        |
| being considered and utilized?    |    |    | \_\_\_                 |
| (1761.2.2b)                       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 6.  Are fill/kill rates           |    |    |                        |
|     maintained at 95% on issued   |    |    | \_\_\_                 |
|     items? (1761.2.5.a)           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 7.  Are all items reviewed at     |    |    |                        |
|     least monthly to ensure items |    |    | \_\_\_                 |
|     are not in long supply or     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     inactive? 1761.5.b(4)f        |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| 8.  Is barcoding used for the     |    |    | \_\_\_                 |
|     management and distribution   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     of supplies? 1761.2.2(2);     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     1761.2.5a                     |    |    |                        |
|                                   |    |    | \_\_\_                 |
| 9.  Are E-Commerce or purchase    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     cards used for the ordering   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     of recurring items as much as |    |    |                        |
|     possible? 1761.2.6 1)d        |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 10. Is the Auto-Generate Order    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     option used? 1761.2.5.(4)c    |    |    |                        |
|                                   |    |    | \_\_\_                 |
| 11. Are a complete physical       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     inventory of Supply Fund and  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     all official inventories      |    |    |                        |
|     taken within every 12-month   |    |    | \_\_\_                 |
|     cycle, maintaining at least   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     90% accuracy? 7127.4.5302     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| 12. After each Posted Stock       |    |    | \_\_\_                 |
|     inventory, does a             |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     disinterested party complete  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     5% verification?              |    |    |                        |
|                                   |    |    | \_\_\_                 |
| 13. Are the Posted Stock General  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     Ledger accounts reconciled    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     monthly with Fiscal?          |    |    |                        |
|     7127.4.5608-1a(1)             |    |    | \_\_\_                 |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| 14. Are monthly spot checks       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|     completed on all other        |    |    |                        |
|     managed accounts within the   |    |    |                        |
|     computerized automated        |    |    |                        |
|     inventory system?             |    |    |                        |
|                                   |    |    |                        |
| 15. Is standardized nomenclature  |    |    |                        |
|     provided by the National      |    |    |                        |
|     Acquisition Center or by your |    |    |                        |
|     Network Logistics entered     |    |    |                        |
|     into the computerized         |    |    |                        |
|     inventory program for         |    |    |                        |
|     appropriate items?            |    |    |                        |
+-----------------------------------+----+----+------------------------+

+-----------------------------------+----+----+------------------------+
|                                   | #  | #  |                        |
|                                   | ## | ## |                        |
|                                   | ## | ## |                        |
|                                   | #  | #  |                        |
+-----------------------------------+----+----+------------------------+

**SELF -- EVALUATION GUIDE**

**REPORTS AND OTHER**

#### SECTION F

+-----------------------------------+----+----+------------------------+
| 1\. **REQUIRED REPORTS**:         | ## | #  | ###### Comments        |
|                                   | ## | ## |                        |
| > **a. Year - End Property        | ## | ## | \_\_\_                 |
| > Inventory Certification**:      |  Y | #  | \_\_\_\_\_\_\_\_\_\_\_ |
| >                                 | es | No | \_\_\_\_\_\_\_\_\_\_\_ |
| > Are you assuring, the Chief,    |    |    |                        |
| > A&MM, Chief, Fiscal Officer and |    |    | \_\_\_                 |
| > the Medical Center Director     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > sign certification?             |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > (7127.4.5608-1a(2) &            |    |    |                        |
| > IL90-00-3).                     |    |    | \_\_\_                 |
| >                                 |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > **b. Equipment Purchased,       |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > Delivered not Installed**       |    |    |                        |
| >                                 |    |    | \_\_\_                 |
| > Are you generating this report  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > twice a year at the end of the  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > 1^st^ and 3^rd^ quarters and    |    |    |                        |
| > submitting to DAS/A&MM (90M)?   |    |    | \_\_\_                 |
| > (7127/3.4.5608-1b(3))           |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| >                                 |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > c\. Property Furnished to Any   |    |    |                        |
| > Recipient Other Than a Federal  |    |    | \_\_\_                 |
| > Agency                          |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| >                                 |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > Is the report, Interagency      |    |    |                        |
| > Reports Control Number          |    |    | \_\_\_                 |
| > 0015-GSA-AN, being completed    |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > annually in accordance with VA  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > Handbook 7343.5.2.4701(a)?      |    |    |                        |
|                                   |    |    | \_\_\_                 |
| **d. The Annual Metrics Report**  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > Is the report being completed   |    |    |                        |
| > and submitted in accordance     |    |    | \_\_\_                 |
| > with VA Handbook 0100 Section   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > 11                              |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| **e. The Annual Report of         |    |    | \_\_\_                 |
| Property Disposed of pursuant to  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| Exchange/Sale Authority**         |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| > Is the report being completed   |    |    | \_\_\_                 |
| > and submitted in accordance     |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > with VA Handbook 7346.2.4.305   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    |                        |
| ###### f                          |    |    | \_\_\_                 |
| . Annual X-ray Film Usage Survey  |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
|                                   |    |    | \_\_\_\_\_\_\_\_\_\_\_ |
| > Is the report being completed   |    |    |                        |
| > and submitted annually in       |    |    |                        |
| > accordance with VA Handbook     |    |    |                        |
| > 7345 Part 4, 3.1002. -1         |    |    |                        |
|                                   |    |    |                        |
| **g. Negotiated Sales Report**    |    |    |                        |
| being submitted as                |    |    |                        |
|                                   |    |    |                        |
| outlined in VA Handbook 7345,     |    |    |                        |
| Part 5 (2) 4702?                  |    |    |                        |
|                                   |    |    |                        |
| h\. Annual Report on Resource     |    |    |                        |
| Conservation                      |    |    |                        |
|                                   |    |    |                        |
| 7.  and Recovery Act being        |    |    |                        |
|     submitted annually in         |    |    |                        |
|     accordance with Executive     |    |    |                        |
|     Order \# 13101?               |    |    |                        |
|                                   |    |    |                        |
| **2**. **OTHER:**                 |    |    |                        |
|                                   |    |    |                        |
| ###### a. Recalls/Product Alerts  |    |    |                        |
|                                   |    |    |                        |
| > Is there a log maintained for   |    |    |                        |
| > all recalls and product alerts  |    |    |                        |
| > containing action taken?        |    |    |                        |
|                                   |    |    |                        |
| ######                            |    |    |                        |
| b. Disposal of Evidence and Drugs |    |    |                        |
|                                   |    |    |                        |
| > Is evidence destroyed in        |    |    |                        |
| > accordance with local           |    |    |                        |
| > procedures with Police and      |    |    |                        |
| > Security?                       |    |    |                        |
|                                   |    |    |                        |
| **c. Disposition of Unclaimed     |    |    |                        |
| Personal Affects**                |    |    |                        |
|                                   |    |    |                        |
| > Are affects disposed of in      |    |    |                        |
| > accordance with VA Handbook     |    |    |                        |
| > 7345.1.3.105-3?                 |    |    |                        |
|                                   |    |    |                        |
| ###### d. Burial Flags            |    |    |                        |
|                                   |    |    |                        |
| > Are burial flag requests        |    |    |                        |
| > processed timely and a register |    |    |                        |
| > maintained? (VA Handbook        |    |    |                        |
| > 7127.2.13.503-7(c)              |    |    |                        |
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