Contract Att02 - CDRLD001 - AIT - RS Decommission Checklist _08.18.2025.xlsx

XLSX spreadsheet 55 KB Posted

Attached to
Screening Equipment Deployment Services (SEDS) - Checkpoint (CP)
Solicitation number
70T04026R7672N005
Issued by

About this file

This is a decommission checklist template for the Rohde and Schwarz (R&S) QPS-201 Advanced Imaging Technology (AIT) unit, which is part of the TSA's Screening Equipment Deployment Services (SEDS) - Checkpoint program under solicitation 70T04026R7672N005. The checklist is designed to document the condition and operational status of AIT units being removed from service at airport checkpoints.

The checklist is organized into five primary sections with specific evaluation criteria. The Visual Verification section requires photographic documentation of the unit while operational, including front, sides, back, serial number, and barcode, along with assessment of software currency, scan count records, FDRS report exports, and verification/background test results. The Unit Condition section evaluates exterior and interior damage, hardware security, and inventory verification of associated components including operator and resolution monitors with stands, Operation Test Kits, radomes, security barriers, metal components, floor conditions, UPS units, power cords, clip-on frames, cables, and USB lock keys. The Unit Packaging section requires photographic documentation of packaged units and verification of correct shipping labels. The Subcontractor Contact Information section collects performer details and signature verification. The System Integrator Section, completed only by the System Integrator, verifies damage documentation, component completeness, and Operational Test Kit return status. The final Federal Employee Comments section requires on-site witness confirmation by a federal employee. All sections mandate sign-off with printed names, contact information, signatures, and dates to maintain accountability and traceability throughout the decommissioning process.

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Text version

Table 1 Decommission Checklist For the Rohde and Schwarz (R&S) QPS-201 Advanced Imaging Technology (AIT)

AIT S/N: TSA/FAA Bar Code Number:

Airport Code: Terminal/Checkpoint/Lane: Date of Test: Time:

The comments/concerns section may be used to provide further detail concerning unit quality, quantity, or general notes on unit/part condition
SectionEvaluation CriteriaYesNoComments/Concerns
Visual VerificationTake a photo of the unit while OPERATIONAL and

document any damage or concerns. (screen included) Take a photo of the FRONT of the unit and document any damage or concerns.

Take a photo of the SIDES of the unit and document any damage or concerns.

Take a photo of the BACK of the unit and document any damage or concerns.

Take a photo of the SERIAL NUMBER and BARCODE on the unit and document any damage or concerns.

TestingSoftware is up to date?
Record SW version and scan count?
FDRS Reports exported 30 days before decommission?
Passed verification test?
Passed background test?

Unit Condition Does the unit have any Exterior Damage?

(i.e. broken pieces, dents, paint chipping, locally added stickers) Does the unit have Interior Damage?

(i.e. broken pieces, dust, locally added stickers) Visible hardware tightened and secured?

InventoryR&S QPS-201?
Operator monitor/Primary Viewing Station w/ stand?
Resolution monitor/Secondary Viewing Station w/ stand (X2)?
Operation Test Kit (OTK)?
Inner Radomes free from scratches?
Yellow Chain/ Security Barrier present?
Metal components free from rust/scratches?
Floor and ramps in good condition?
Foot prints clearly visible?
UPS present?
AC Power Cords in good condition?
Clip-on-Frames free from scratches?
Low voltage power and data cables?
USB Lock keys?
Extcon board cover keys?

Unit Packaging Take photo of the unit PACKAGED for shipping and document any damage or concerns.

Is the shipping label correct on the packaging?

Subcontractor Contact Information and Verification
Sign and date this Decommission Checklist and leave a copy with the unit.
Performed By:
Printed NameEmail AddressPhone Number
Company NameSignatureDate
System Integrator Section (This section should be filled in by the System Integrator ONLY)
Evaluation CriteriaYesNoComments/Concerns
Has all damage been documented? If NO, please specify in the comments section.
Are there any components missing? If YES, please specify in the comments section.
Is an Operational Test Kit being returned with this unit? If YES, please note it in the comments section.

Systems Integrator Additional Comments

Systems Integrator Contact Information and Verification
Sign and date this Decommission Checklist and leave a copy with the unit prior to packaging.
Reviewed By:
Printed NameEmail AddressPhone Number
Company NameSignatureDate

Federal Employee Comments/Concerns

Federal Employee Verification
As a witness, sign and date this Decommission Checklist to confirm the document was completed on-site.
Confirmed By:
Printed NameSignatureDate

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