Att.J-11_CTR Off-Boarding Checklist.pdf
PDF 503 KB Posted
- Attached to
- Screening Information Request (SIR) FAA's AMA- 400 Technical Instructional Support Services Contract Federal contract opportunity
- Solicitation number
- 6973GH-25-R-00020
About this file
This document is an FAA Contractor Employee Off-Boarding Checklist that provides procedures for the off-boarding of contractor employees who have access to FAA facilities and/or IT systems. The checklist covers the return of government property, termination of access privileges, and other administrative actions required upon a contractor employee's separation from an FAA contract. It must be completed and returned to the Contracting Officer before the contractor employee's departure. The checklist documents the return of physical access control devices, electronic devices, identification cards, clearance of security matters, IT services, FAA property, and administrative actions. Certifications from the contractor employee, contractor program manager, and FAA sponsor are required to confirm the off-boarding process is complete.
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Text version
Contractor Employee’s Name:
FAA Contractor Employee Off-Boarding Checklist
02/2024 p. 1
FAA Contractor Employee Off-Boarding Checklist Overview: This Checklist provides procedures for the contractor employee off- boarding process. These procedures govern such processes as the surrender of Government property, termination of access to facilities and automated systems, and cancellation of credentials, etc.
These procedures centralize and standardize a process of internal controls. Contractor employees with either access to FAA Facilities and/or Information Technology (IT) Systems who are separating must use this Checklist. Contractor employees who have not been issued Personal Identity Verification (PIV) Cards do not need to use the Checklist as they do not have such access. Contractor employees who will be employed on the contract for less than six (6) months and were not issued a yellow ID card also do not need to submit one as they will not have PIV Cards and will be escorted when at a FAA Facility.
This off-boarding process must be used to clear the contractor employee’s record so that the FAA may:
a. Remove access privileges to facilities and IT systems
b. Reclaim any Government property issued to separating contractor employees
This Checklist is required for contractor employees who are off-boarding for any of the following reasons:
a. Terminating/Resigning/Death;
b. Retiring;
c. Change of employment status (e.g., transferring from a Contractor to an FAA employee);
d. Transferring from one FAA contract to another; or
e. Extended leave or absence (off-boarding for extended leave or absence is at the discretion of the Contracting
Officer (CO)).
Why is this important?
An effective and consistent off-boarding process is a critical factor in protecting the interests of the FAA, the Contractor, and the exiting contractor employee. A streamlined off-boarding process assists to safeguard FAA physical property, information technology, information assets, and continuity of an operating knowledge base.
Does the Off-Boarding Checklist need to be completed for all contractor employees?
This Checklist applies to FAA contractor employees granted access to FAA Facilities and/or IT systems. The Checklist serves as a reminder to the Contractor, the contractor employee, and the FAA to account for all FAA assets and terminate access to physical and logical systems. Contractor employees have varied access to systems, office space, FAA assets, and sensitive information depending upon the business needs of the FAA line of Business or Support Office (LOB/SO) to which they provide services. Completing and signing the Checklist documents proper off-boarding of contractor employees for the FAA as well as the Contractor and exiting contractor employee.
If a contractor employee changes duties, location, or transfers to another FAA contract, should the Checklist be completed?
Yes- FAA assets and access levels can change with job responsibilities. The Checklist must be completed whenever a contractor employee no longer works on a FAA contract for which they have been granted access to FAA assets.
02/2024 p. 2
CONTRACTOR EMPLOYEE OFF-BOARDING CHECKLIST
Unrecovered Property: If any chargeable item issued or funded by the FAA was not accounted for or returned, indicate the dollar value of the unrecovered item.
Item Amount
Item Amount
Item Amount
Contractor employee Participation: Did the contractor employee participate in the Off- Boarding Process?
Yes No
If no, Please Explain
Contractor Employee’s Name and Org Code: _____________________________________________
Contractor’s Program Manager’s Name: __________________________________________
Contracting Officer’s Name:____________________________________
Contracting Officer Representative’s Name:____________________________________
Applicable Contract: _____________________________________________
Date of Contractor Employee Separation: ___________
Assigned Off-Boarding Coordinator’s name (if applicable): _______________________
Forwarding address: _________________________________________________________
Reason for Off-Boarding:
Terminated/Resigning Transferring to another contract Retiring Extended Leave of Absence Deceased Move to another FAA LOB/SO
02/2024 p. 3
FAA CONTRACTOR EMPLOYEE OFF-BOARDING CHECKLIST
Instructions for Exiting Contractor Employees: This Checklist must be completed and returned to the CO before your departure. Every item applicable must be completed and the employee certification must be signed by the departing individual.
PHYSICAL ACCESS CONTROL DEVICES
Device Returned Received by:
Date Print Name and Org Code
Signature N/A
DOT/FAA Identification Badge
Keys: Lock Box, Desk, Office, Shed, Vehicles, etc.
Access Cards Washington/Regional Operation Command Center Access Control Devices
Parking Decal/Permit Restricted Areas: Remove access to restricted areas and all account access associated with the departing office.
Other:
Other:
I have returned all physical control devices issued or funded by the FAA.
Contractor Employee’s Signature Date
ELECTRONIC DEVICES
Device Returned Received by:
Date Print Name and Org Code
Signature N/A
Laptop Cell Phone Desk Phone: Record a new voicemail message notifying callers that you are no longer with the FAA. Provide callers with the name and phone number of another person who can assist. Reset the password and email it to your Manager or Clearance coordinator.
MIFI device Tablet Thumbdrive/External Hard
Drive/Iron Key STE/Viper/CRYPTO Card GETS Card Camera:
Recorder:
02/2024 p. 4
Other:
Other:
I have returned all electronic devices issued or funded by the FAA.
Contractor Employee’s Signature Date
IDENTIFICATION
ID Returned Received by:
Date Print Name and Org Code Signature N/A DOT/FAA Passport Airport Badge DOT/FAA Credentials Other:
Other:
I have returned all Identification Cards issued by the FAA.
Contractor Employee’s Signature Date SECURITY
Debriefing Debriefed by:
(Office of Security and Hazardous Materials Safety (ASH)) Date Print Name and Org
Code Signature N/A
Security Debriefing Secret/Top Secret (SSE will provide a Security Termination Statement to be signed at departure.)
TS/SCI & SAP debrief: (contact ASH/AEO-300 10 days before departure.)
I do not have any outstanding security matters. ____________________________________ Contractor Employee’s Signature Date
IT SERVICES
IT Services Cleared by:
Date Print Name and Org Code Signature N/A MYIT Departing User Form completed and sent to helpdesk@FAA.Gov
Emergency Operations Network (EON) account access removed.
Out of Office Email Response: Notify customers of your departure and include contact info for their new POC by setting up an out of office email no later than 3 days before your departure.
Other:
Other:
02/2024 p. 5
ENTERPRISE SERVICES/NETWORK ACCESS
Access to services that utilize PIV or other electronic authentication credentials are automatically removed on the first day following the termination date at the FAA. This deactivation takes place within 24 hours of the termination date.
If continued access to network services is required for a departed employee, the Shared services helpdesk may be utilized.
OTHER SYSTEMS
The PM is responsible to ensure that technology access to applications, systems, and services not utilizing PIV credentials are disabled. It is advised that individual access to these systems is documented via a new hire checklist or other consistent method within the LOB/SO.
I have notified the proper authorities of my departure from the FAA contract identified above and requested termination of IT Services.
Contractor Employee’s Signature Date
FAA PROPERTY
Tools and Supplies Received by:
Date Print Name and Org Code
Signature N/A
Property Inventoried and Transferred (if Property Custodian)
Tools/Power Tools: Drills, Screwdrivers, etc.
Office Supplies: Stationary, folders, etc.
Coffee Makers, Fans, etc.
Uniforms Books Other Other
I have returned all FAA funded/issued tools and supplies. ___________________________________ Contractor Employee’s Signature Date
ADMINISTRATIVE
Administrative Actions Cleared by:
Date Print Name and Org Code
Signature N/A
Remove employee from telephone list Remove employee group email list Remove employee mailbox (If applicable) Remove employee from organizational charts Other:
Other:
I have cleared admin and have no outstanding admin issues.
Contractor Employee’s Signature Date
02/2024 p. 6
Certifications:
Contractor Employee’s Certification: I certify that I have no Government property, computer software/hardware, keys, records or official documents, including classified material issued or by the Federal Aviation Administration. I understand that the FAA may request my company to withhold the depreciated value of Government property hand-receipted to me that I have not returned, lost, or damaged due to negligence or intent on my part.
Signature Print Name
Date: Telephone Number:
Contractor Program Manager’s Certification: I certify that the off-boarding process for the separating contractor employee is complete.
FAA Sponsor Certification: I certify that the off-boarding process for the separating contractor employee is complete.
| Date of Contractor Employee Separation: |
| Forwarding address: |
| Contracting Officer Representatives Name: |
| Assigned OffBoarding Coordinators name if applicable: |
| If no Please Explain: |
| ItemRow1: |
| AmountRow1: |
| ItemRow1_2: |
| AmountRow1_2: |
| ItemRow1_3: |
| AmountRow1_3: |
| Device Returned: |
| Received by: |
| DateWashingtonRegional Operation Command Center Access Control Devices: |
| Print Name and Org CodeWashingtonRegional Operation Command Center Access Control Devices: |
| DateParking DecalPermit: |
| Print Name and Org CodeParking DecalPermit: |
| NAParking DecalPermit: |
| DateRestricted Areas Remove access to restricted areas and all account access associated with the departing office: |
| Print Name and Org CodeRestricted Areas Remove access to restricted areas and all account access associated with the departing office: |
| NARestricted Areas Remove access to restricted areas and all account access associated with the departing office: |
| DateOther: |
| Print Name and Org CodeOther: |
| NAOther: |
| DateOther_2: |
| Print Name and Org CodeOther_2: |
| NAOther_2: |
| Date: |
| Device Returned_2: |
| Received by_2: |
| DateLaptop: |
| Print Name and Org CodeLaptop: |
| SignatureLaptop: |
| NALaptop: |
| DateCell Phone: |
| Print Name and Org CodeCell Phone: |
| SignatureCell Phone: |
| NACell Phone: |
| DateDesk Phone Record a new voicemail message notifying callers that you are no longer with the FAA Provide callers with the name and phone number of another person who can assist Reset the password and email it to your Manager or Clearance coordinator: |
| Print Name and Org CodeDesk Phone Record a new voicemail message notifying callers that you are no longer with the FAA Provide callers with the name and phone number of another person who can assist Reset the password and email it to your Manager or Clearance coordinator: |
| SignatureDesk Phone Record a new voicemail message notifying callers that you are no longer with the FAA Provide callers with the name and phone number of another person who can assist Reset the password and email it to your Manager or Clearance coordinator: |
| NADesk Phone Record a new voicemail message notifying callers that you are no longer with the FAA Provide callers with the name and phone number of another person who can assist Reset the password and email it to your Manager or Clearance coordinator: |
| DateMIFI device: |
| Print Name and Org CodeMIFI device: |
| SignatureMIFI device: |
| NAMIFI device: |
| DateTablet: |
| Print Name and Org CodeTablet: |
| SignatureTablet: |
| NATablet: |
| DateThumbdriveExternal Hard DriveIron Key: |
| Print Name and Org CodeThumbdriveExternal Hard DriveIron Key: |
| SignatureThumbdriveExternal Hard DriveIron Key: |
| NAThumbdriveExternal Hard DriveIron Key: |
| DateSTEViperCRYPTO Card: |
| Print Name and Org CodeSTEViperCRYPTO Card: |
| SignatureSTEViperCRYPTO Card: |
| NASTEViperCRYPTO Card: |
| DateGETS Card: |
| Print Name and Org CodeGETS Card: |
| SignatureGETS Card: |
| NAGETS Card: |
| DateCamera: |
| Print Name and Org CodeCamera: |
| SignatureCamera: |
| NACamera: |
| DateRecorder: |
| Print Name and Org CodeRecorder: |
| SignatureRecorder: |
| NARecorder: |
| Other: |
| Other_2: |
| Date_2: |
| Received by_3: |
| DateDOTFAA Passport: |
| Print Name and Org CodeDOTFAA Passport: |
| SignatureDOTFAA Passport: |
| NADOTFAA Passport: |
| DateAirport Badge: |
| Print Name and Org CodeAirport Badge: |
| SignatureAirport Badge: |
| NAAirport Badge: |
| DateDOTFAA Credentials: |
| Print Name and Org CodeDOTFAA Credentials: |
| SignatureDOTFAA Credentials: |
| NADOTFAA Credentials: |
| DateOther_3: |
| Print Name and Org CodeOther_3: |
| SignatureOther_3: |
| NAOther_3: |
| DateOther_4: |
| Print Name and Org CodeOther_4: |
| SignatureOther_4: |
| NAOther_4: |
| Date_3: |
| DateSecurity Debriefing SecretTop Secret SSE will provide a Security Termination Statement to be signed at departure: |
| Print Name and Org CodeSecurity Debriefing SecretTop Secret SSE will provide a Security Termination Statement to be signed at departure: |
| SignatureSecurity Debriefing SecretTop Secret SSE will provide a Security Termination Statement to be signed at departure: |
| NASecurity Debriefing SecretTop Secret SSE will provide a Security Termination Statement to be signed at departure: |
| DateTSSCI SAP debrief contact ASHAEO300 10 days before departure: |
| Print Name and Org CodeTSSCI SAP debrief contact ASHAEO300 10 days before departure: |
| SignatureTSSCI SAP debrief contact ASHAEO300 10 days before departure: |
| NATSSCI SAP debrief contact ASHAEO300 10 days before departure: |
| Date_4: |
| DateMYIT Departing User Form completed and sent to helpdeskFAAGov: |
| Print Name and Org CodeMYIT Departing User Form completed and sent to helpdeskFAAGov: |
| SignatureMYIT Departing User Form completed and sent to helpdeskFAAGov: |
| NAMYIT Departing User Form completed and sent to helpdeskFAAGov: |
| DateEmergency Operations Network EON account access removed: |
| Print Name and Org CodeEmergency Operations Network EON account access removed: |
| SignatureEmergency Operations Network EON account access removed: |
| NAEmergency Operations Network EON account access removed: |
| DateOut of Office Email Response Notify customers of your departure and include contact info for their new POC by setting up an out of office email no later than 3 days before your departure: |
| Print Name and Org CodeOut of Office Email Response Notify customers of your departure and include contact info for their new POC by setting up an out of office email no later than 3 days before your departure: |
| SignatureOut of Office Email Response Notify customers of your departure and include contact info for their new POC by setting up an out of office email no later than 3 days before your departure: |
| NAOut of Office Email Response Notify customers of your departure and include contact info for their new POC by setting up an out of office email no later than 3 days before your departure: |
| DateOther_5: |
| Print Name and Org CodeOther_5: |
| SignatureOther_5: |
| NAOther_5: |
| DateOther_6: |
| Print Name and Org CodeOther_6: |
| SignatureOther_6: |
| NAOther_6: |
| Received by_4: |
| Print Name and Org CodeProperty Inventoried and Transferred if Property Custodian: |
| SignatureProperty Inventoried and Transferred if Property Custodian: |
| NAProperty Inventoried and Transferred if Property Custodian: |
| Print Name and Org CodeToolsPower Tools Drills Screwdrivers etc: |
| SignatureToolsPower Tools Drills Screwdrivers etc: |
| NAToolsPower Tools Drills Screwdrivers etc: |
| DateOffice Supplies Stationary folders etc: |
| Print Name and Org CodeOffice Supplies Stationary folders etc: |
| SignatureOffice Supplies Stationary folders etc: |
| NAOffice Supplies Stationary folders etc: |
| DateCoffee Makers Fans etc: |
| Print Name and Org CodeCoffee Makers Fans etc: |
| SignatureCoffee Makers Fans etc: |
| NACoffee Makers Fans etc: |
| DateUniforms: |
| Print Name and Org CodeUniforms: |
| SignatureUniforms: |
| NAUniforms: |
| DateBooks: |
| Print Name and Org CodeBooks: |
| SignatureBooks: |
| NABooks: |
| DateOther_7: |
| Print Name and Org CodeOther_7: |
| SignatureOther_7: |
| NAOther_7: |
| DateOther_8: |
| Print Name and Org CodeOther_8: |
| SignatureOther_8: |
| NAOther_8: |
| Administrative Actions: |
| Cleared by: |
| DateRemove employee from telephone list: |
| Print Name and Org CodeRemove employee from telephone list: |
| SignatureRemove employee from telephone list: |
| NARemove employee from telephone list: |
| DateRemove employee group email list: |
| Print Name and Org CodeRemove employee group email list: |
| SignatureRemove employee group email list: |
| NARemove employee group email list: |
| DateRemove employee mailbox If applicable: |
| Print Name and Org CodeRemove employee mailbox If applicable: |
| SignatureRemove employee mailbox If applicable: |
| NARemove employee mailbox If applicable: |
| DateRemove employee from organizational charts: |
| Print Name and Org CodeRemove employee from organizational charts: |
| SignatureRemove employee from organizational charts: |
| NARemove employee from organizational charts: |
| DateOther_9: |
| Print Name and Org CodeOther_9: |
| SignatureOther_9: |
| NAOther_9: |
| DateOther_10: |
| Print Name and Org CodeOther_10: |
| SignatureOther_10: |
| NAOther_10: |
| Date_6: |
| Print Name: |
| Date_7: |
| Telephone Number: |
| Print Name_2: |
| Date_8: |
| Telephone Number_2: |
| Print Name_3: |
| Date_9: |
| Telephone Number_3: |
| Contractor Employees Name: |
| DateDOTFAA Identification Badge: |
| Print Name and Org CodeDOTFAA Identification Badge: |
| NADOTFAA Identification Badge: |
| DateKeys Lock Box Desk Office Shed Vehicles etc: |
| Print Name and Org CodeKeys Lock Box Desk Office Shed Vehicles etc: |
| NAKeys Lock Box Desk Office Shed Vehicles etc: |
| DateAccess Cards: |
| Print Name and Org CodeAccess Cards: |
| NAAccess Cards: |
| NAWashingtonRegional Operation Command Center Access Control Devices: |
| DateProperty Inventoried and Transferred if Property Custodian: |
| DateToolsPower Tools Drills Screwdrivers etc: |
| Contractor Employees Name and Org Code: |
| Contractor’s Program Manager’s Name: |
| Contracting Officer’s Name: |
| Applicable Contract No: |
| Date_5: |
| FAA Prop-Dt: |
File details come from the government source that posted it. Updated .