Appendix A_QG3.pdf

Special Notice

70T04026SN7573N001

Air Cargo Screening Qualification Test

Qualification Group Three Metal Detection Devices

Appendix A: ACSQT White Paper Requirements & Template

Manufacturer: _______________________________ Date: ______________________________

Model: _____________________________________

I. VENDOR INFORMATION

What is the vendor’s legal business name?

What is the type of business entity? U.S. Business Foreign Business Foreign Government

Does the vendor have a (SAM.gov) Unique Entity Identifier (UEI) number?

Yes No

If yes, what is the vendor’s UEI number?

What is the physical address the SAM.gov has on file for the vendor?

Is the vendor currently registered with the System for Award Management (SAM)?

Yes No

If yes, what is the vendor’s Commercial and Government Entity (CAGE) code?

What is the vendor’s web address?

What is the vendor’s Point of Contact (POC) name for this submission?

What is the POC’s phone number?

What is the POC’s email address?

Provide city & state location(s) of the candidate device final point of production.

Evaluation considerations: The TRP will evaluate the vendor’s responses to determine the vendor’s ability to meet Security Sensitive Information (SSI) vetting requirements and that the vendor is an established business.

II. DEVICE OVERVIEW AND TECHNICAL SPECIFICATION

Describe the candidate device to include a technical summary of the screening/detection technology

What are the dimensions of the largest object (width x height x length) that can be screened by the candidate device in metric and English units?

What is the dimensions of the candidate device in metric and English units?

What are the following electrical requirements for the candidate device?

Voltage Alternating Current?

Hertz

Amperage

Yes No

Can the device be programmed with different detection profiles to account for product effect? (e.g., wet, dry, etc.)

What is the metal exclusion zone for the candidate device?

Does the candidate device include a diagnostic output in addition to a red-light / green-light alarm?

If yes, describe the output.

Evaluation considerations: The TRP will evaluate the vendor’s responses to determine if the device meets the qualification group criteria and assess the candidate device general screening capabilities.

III. COMMERCIAL AVAILABILITY

Yes No

Yes No

Yes No

Is the candidate device currently available for purchase?

If available for purchase, what is the production lead time for the candidate device?

What is the current production rate of the candidate device?

What is the current commercial pricing of the candidate device?

Is the candidate device rebranded?

If rebranded, who is the original Equipment Manufacturer (OEM)?

Is the candidate device product information available online?

If yes, what is the web address?

Evaluation considerations: The TRP will evaluate the vendor’s responses to determine if the candidate device is commercially available and a representative unit can be made available for further evaluation upon acceptance into the ACSQT program.

Yes No

IV. SAFETY

Yes No

Yes No

Yes No

General Safety

Does the candidate device comply with any recognized industrial or commercial standards which ensure the device does not pose any safety hazards to an operator or to transient personnel?

If yes, can the vendor provide evidence from an independent testing organization that the candidate device is compliant with UL 61010- 1?

Personal Medical Devices

Does the device prominently display the limits of an exclusion zone surrounding the screening device for all individuals with personal medical devices?

Evaluation considerations: The TRP will evaluate the vendor’s responses to determine if the candidate device is safe and exclusion zones for medical devices are appropriately identified. Note – compliance with the listed standards is required and evidence will be requested during later stages of the qualification process.

V. ELECTROMAGNETIC COMPATIBILITY (EMC)

EM Immunity

Yes No

Yes No

Yes No

Yes No

Yes No

Does the candidate device comply with any recognized industrial or commercial standards which ensure the normal operation of the device is not susceptible to electromagnetic disturbances typical of an air cargo screening environment?

If yes, can the vendor provide evidence from an independent testing organization that the candidate device is compliant with IEC 61326-1?

EM Emissions

Does the candidate device comply with any recognized government, industrial, or commercial standards which ensure the device does not emit conduc ted or radiated electromagnetic fields at a level which may disrupt the operation of electronic equipment in the vicinity of the device?

If yes, can the vendor provide evidence from an independent testing organization that the candidate device is compliant with IEC 61326-1?

Radio Frequency Interference

Does the candidate device comply with any recognized industrial or commercial standards which ensure the device does not emit radiated RF electromagnetic fields at a level which may disrupt the operations of electronic equipment in the vicinity of the device?

If yes, can the vendor provide evidence from an independent testing organization that the candidate device is compliant with FCC Title 47, CFR Part 15?

Yes No

Evaluation considerations: The TRP will evaluate the vendor’s responses to determine if the candidate device is immune to EM disturbances and does not emit EM fields that may affect the operation of equipment in the vicinity of the device. Note – compliance with the listed standards is required and evidence will be requested during later stages of the qualification process.

VI. QUALITY MANAGEMENT

Does the vendor comply with any recognized industrial or commercial quality management standards?

Yes No

If yes, can the vendor provide third-party certification evidence of compliance with the most current version of ISO 9001.

Yes No

Does the vendor agree to provide the TSA access to technical records, personnel, and facilities pertaining to manufacturing, processing, inspection, and testing to assure continued compliance with all performance specification requirements?

Yes No

VII. CONFIGURATION MANAGEMENT

Yes No

Yes No

Yes No

Does the vendor identify, control, maintain status records, and conduct periodic audits of your product configuration baselines in accordance with ISO 10007 or an equivalent?

Does the vendor identify and cont rol each delivered system configuration using a unique vendor-assigned serial number?

Will the vendor be willing to provide a document package that fully defines the design baseline of your product upon request for TSA review as part of the qualification process?

Evaluation consideration: The TRP will evaluate the vendor’s responses to ensure the vendor utilizes a standardized configuration management process to identify and control the functional and physical characteristics of the device.

qualifications, either foreign or domestic, sponsored by a government

Evaluation considerations: The TRP will evaluate the vendor’s responses to ensure the product and services are consistent and continually improved upon.

IX. ATTACHMENTS

Yes No

Yes No

Include candidate device specification sheet.

Include block diagram of candidate device major components.

VIII. SUPPORTING INFORMATION

Yes No Does the candidate device have any current certifications or qualifications, either foreign or domestic, sponsored by a government agency?

Yes

No

No

List current certifications or qualifications for the candidate device and the sponsoring agency.

Does the device have a completed User Manual?

Does the device have a completed user training package?

Evaluation consideration: The TRP will evaluate the vendor’s responses to assess the candidate device’s level of test readiness.

Yes

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