Attachment 5 Form FTC-ALM-44 Survey Report.pdf

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ENTERPRISE HEALTH UNIT SERVICES
Solicitation number
70LGLY26RGLB00001
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This is a survey report form (FTC-ALM-44, revised 11/22) used by the Department of Homeland Security's Federal Law Enforcement Training Centers to document equipment and property assessments. The form serves as an attachment to the Health Services Contract and is used to record the condition, quantity, and status of equipment or property subject to survey.

The form contains sections for cataloging equipment including quantity, barcode number, complete description (manufacturer, serial number, model number, and capacity), unit cost, and total cost. It requires documentation of the reason for the survey and the current condition of equipment, followed by recommendations and comments from the supervisor, property officer representative, or Contracting Officer's Representative (COR). The form includes signature lines for the supervisor/COR and local property officers, along with property change action documentation showing transfers between property steward codes and buildings. A review section allows an ALM (Asset and Logistics Management) reviewer to evaluate the survey report and provide approval or disapproval with additional recommended actions. A continuation sheet (page 2) is available for extended equipment listings. The form is designed to be cleared and reused for multiple survey cycles.

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DEPARTMENT OF HOM ELAND SECURITY

FEDERAL LAW ENFORCEMENT TRAINING CENTERS

SURVEY REPORT

Directorate/Office/Division/Branch/PO ORIGINATOR (SIGNATURE & TITLE)

QUANTITY BARCODE

DESCRIPTION

(Complete description, including manufacturer, serial no., model no., capacity) UNIT COST TOTAL COST

SURVEY REPORT AND RECOMMENDATIONS

Reason for Survey:

Condition of Equipment:

Recommendation and Comments by SUPV/PO Rep/COR:

Supervisor/COR Signature Supervisor/COR Title

PROPERTY CHANGE ACTION

From: To:

Property Steward Code/Building Property Steward Code/Building

Signature of Local Property Officer Signature of Local Property Officer

REVIEW OF SURVEY REPORT

ALM Reviewer: Title

Recommendations:

ALM Approval/Disapproval: Title:

Other Recommended Action:

APPROVED: DISAPPROVED:

FTC-ALM-44 (11/22) Page 1 of 2

Health Services Contract Part 9, Attachment 5

CONTINUATION SHEET

Directorate/Office/Division/Branch/PO ORIGINATOR (SIGNATURE)

DESCRIPTION

(Complete description, including manufacturer, serial no., model no., capacity) UNIT COST TOTAL COST QUANTITY BARCODE

FTC-ALM-44 (11/22) Page 2 of 2

Health Services Contract Part 9, Attachment 8

DEPARTMENT:
QUANTITYRow1:
FLETC ID NUMBERRow1:
UNIT COSTRow1:
TOTAL COSTRow1:
QUANTITYRow2:
FLETC ID NUMBERRow2:
UNIT COSTRow2:
TOTAL COSTRow2:
QUANTITYRow3:
FLETC ID NUMBERRow3:
UNIT COSTRow3:
TOTAL COSTRow3:
QUANTITYRow4:
FLETC ID NUMBERRow4:
UNIT COSTRow4:
TOTAL COSTRow4:
QUANTITYRow5:
FLETC ID NUMBERRow5:
UNIT COSTRow5:
TOTAL COSTRow5:
QUANTITYRow6:
FLETC ID NUMBERRow6:
UNIT COSTRow6:
TOTAL COSTRow6:
QUANTITYRow7:
FLETC ID NUMBERRow7:
UNIT COSTRow7:
TOTAL COSTRow7:
QUANTITYRow8:
FLETC ID NUMBERRow8:
UNIT COSTRow8:
TOTAL COSTRow8:
QUANTITYRow9:
FLETC ID NUMBERRow9:
UNIT COSTRow9:
TOTAL COSTRow9:
undefined:
Reason for survey:
undefined_2:
Condition of Equipment:
Recommendation and Comments by SUPVPO RepCOR:
Activity CodeBuildingSteward Code of Property:
Activity CodeBuildingSteward Code of Property_2:
Title:
Title_2:
Other Recommended Action:
DEPARTMENT_2:
QUANTITYRow1_2:
FLETC ID NUMBERRow1_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow1_2:
UNIT COSTRow1_2:
TOTAL COSTRow1_2:
QUANTITYRow2_2:
FLETC ID NUMBERRow2_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow2_2:
UNIT COSTRow2_2:
TOTAL COSTRow2_2:
QUANTITYRow3_2:
FLETC ID NUMBERRow3_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow3_2:
UNIT COSTRow3_2:
TOTAL COSTRow3_2:
QUANTITYRow4_2:
FLETC ID NUMBERRow4_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow4_2:
UNIT COSTRow4_2:
TOTAL COSTRow4_2:
QUANTITYRow5_2:
FLETC ID NUMBERRow5_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow5_2:
UNIT COSTRow5_2:
TOTAL COSTRow5_2:
QUANTITYRow6_2:
FLETC ID NUMBERRow6_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow6_2:
UNIT COSTRow6_2:
TOTAL COSTRow6_2:
QUANTITYRow7_2:
FLETC ID NUMBERRow7_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow7_2:
UNIT COSTRow7_2:
TOTAL COSTRow7_2:
QUANTITYRow8_2:
FLETC ID NUMBERRow8_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow8_2:
UNIT COSTRow8_2:
TOTAL COSTRow8_2:
QUANTITYRow9_2:
FLETC ID NUMBERRow9_2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow9_2:
UNIT COSTRow9_2:
TOTAL COSTRow9_2:
QUANTITYRow10:
FLETC ID NUMBERRow10:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow10:
UNIT COSTRow10:
TOTAL COSTRow10:
QUANTITYRow11:
FLETC ID NUMBERRow11:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow11:
UNIT COSTRow11:
TOTAL COSTRow11:
QUANTITYRow12:
FLETC ID NUMBERRow12:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow12:
UNIT COSTRow12:
TOTAL COSTRow12:
QUANTITYRow13:
FLETC ID NUMBERRow13:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow13:
UNIT COSTRow13:
TOTAL COSTRow13:
QUANTITYRow14:
FLETC ID NUMBERRow14:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow14:
UNIT COSTRow14:
TOTAL COSTRow14:
QUANTITYRow15:
FLETC ID NUMBERRow15:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow15:
UNIT COSTRow15:
TOTAL COSTRow15:
QUANTITYRow16:
FLETC ID NUMBERRow16:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow16:
UNIT COSTRow16:
TOTAL COSTRow16:
QUANTITYRow17:
FLETC ID NUMBERRow17:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow17:
UNIT COSTRow17:
TOTAL COSTRow17:
QUANTITYRow18:
FLETC ID NUMBERRow18:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow18:
UNIT COSTRow18:
TOTAL COSTRow18:
QUANTITYRow19:
FLETC ID NUMBERRow19:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow19:
UNIT COSTRow19:
TOTAL COSTRow19:
QUANTITYRow20:
FLETC ID NUMBERRow20:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow20:
UNIT COSTRow20:
TOTAL COSTRow20:
QUANTITYRow21:
FLETC ID NUMBERRow21:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow21:
UNIT COSTRow21:
TOTAL COSTRow21:
QUANTITYRow22:
FLETC ID NUMBERRow22:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow22:
UNIT COSTRow22:
TOTAL COSTRow22:
QUANTITYRow23:
FLETC ID NUMBERRow23:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow23:
UNIT COSTRow23:
TOTAL COSTRow23:
QUANTITYRow24:
FLETC ID NUMBERRow24:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow24:
UNIT COSTRow24:
TOTAL COSTRow24:
QUANTITYRow25:
FLETC ID NUMBERRow25:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow25:
UNIT COSTRow25:
TOTAL COSTRow25:
QUANTITYRow26:
FLETC ID NUMBERRow26:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow26:
UNIT COSTRow26:
TOTAL COSTRow26:
QUANTITYRow27:
FLETC ID NUMBERRow27:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow27:
UNIT COSTRow27:
TOTAL COSTRow27:
QUANTITYRow28:
FLETC ID NUMBERRow28:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow28:
UNIT COSTRow28:
TOTAL COSTRow28:
QUANTITYRow29:
FLETC ID NUMBERRow29:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow29:
UNIT COSTRow29:
TOTAL COSTRow29:
Recommendation and Comments by SUPV/PO Rep/COR1:
Recommendations1:
Recommendations2:
Button3:
Group4: Off
Supervisor:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow9:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow8:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow7:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow6:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow5:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow4:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow3:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow2:
DESCRIPTION Complete description including manufacturer serial no model no capacityRow1:

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