Attachment 14_Employee Separation Checklist.pdf
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- Attached to
- Amendment #3 - Solicitation Notice - Operation and Management of the Mali Service Center
- Solicitation number
- 75N93025R00007
About this file
This document is an Employee Separation Checklist template for contractor staff separating from work on a National Institutes of Health (NIH) contract. The checklist provides two separate protocols - one for friendly separations and one for unfriendly separations - with specific required actions and mandatory dates to be documented for each.
The friendly separation protocol includes 11 steps focused on orderly transition, such as removing system access, collecting authentication tokens and badges, recovering keys, briefing on confidentiality requirements, returning government property, and proper PC cleanup procedures. The unfriendly separation protocol contains 12 steps with more urgent security measures, including immediate system access termination, restricted facility access, lock combination changes, escort off premises when retaliation risk exists, and immediate notification to the Project Officer and NIH security officials. Both protocols require written certification of completed actions by an authorized contractor representative.
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EMPLOYEE SEPARATION CHECKLIST
Contractor: _________________________________________________ Contract No: __________________________
Departing Staff Member’s Name: ________________________________ Separation Date: _______________________
Check and complete one of the columns below as appropriate:
I. FRIENDLY SEPARATION II. UNFRIENDLY SEPARATION
Date (Mandatory) Action
Date (Mandatory) Action
Remove all network and system access privileges.
Disable system access as quickly as possible–preferably just before the individual is notified of his or her dismissal.
Collect any authentication tokens. Terminate access to systems immediately when an employee notifies the Department of a resignation that is on unfriendly terms.
Retrieve any access cards or Departmental identification badges.
Notify support functions (e.g., help desk) that an employee is no longer authorized access.
Recover all keys. Restrict the area and function of employees during the period between termination and leaving.
Brief employee on continuing confidentiality and privacy responsibilities.
Immediately notify the Project Officer, appropriate NIH security officials, and the assigned IT Systems Manager of the time of removal.
Review any employee contracts that remain valid after separation.
Request the Project Officer to have the combinations changed on all locks to which the contractor employee has access.
Return property belonging to the United States Government.
Collect any authentication tokens.
Identify any unique problems, filing schemes, or data backups created by the employee.
Retrieve any access cards or Departmental identification badges.
Instruct employees on proper “clean up” procedures for their personal computers (PC) before leaving.
Recover all keys.
Determine the employee’s access termination date, and notify the Project Officer, appropriate NIH security officials, and the assigned IT Systems Manager within 24 hours of the time of termination.
Review the employee’s duties and responsibilities under this contract with the Project Officer and assess the level of risk to the Government.
Notify the Project Officer in writing upon completion of these actions.
Escort individual off premises in cases where the potential for retaliation is high.
Notify the Project Officer in writing upon completion of these actions.
CERTIFICATION: By signing below, I certify that the above actions were taken on the dates indicated.
Typed Name of Individual Authorized to Certify for Contractor
Title of Individual Authorized to Certify for Contractor
Signature and Date
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File details come from the government source that posted it. Updated .