Contract Att03 - AT Decommission Checklist.pdf
PDF 132 KB Posted
- Solicitation number
- 70T04020R9AP4050
About this file
This document contains a decommissioning checklist template for security screening equipment. The checklist is to be used by the system integrator and federal employees to document the condition of screening equipment being removed from airports. It includes sections to record details on equipment components and functionality, take photos of the equipment, and note any damage or missing parts. Federal employees must sign the checklist to verify the information before it is left with the decommissioned unit. The related federal contract opportunity is a solicitation from the Transportation Security Administration for Checkpoint Screening Equipment Deployment Services. Offerors are to provide services for the deployment of security screening equipment at airports, as further detailed in the attached RFP package. Questions should be submitted using the provided template.
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Text version
Section Yes NoEvaluation Criteria
Conveyor belt stops
Conveyor belt reverses
Operator/Maintenance Manual
AVS Monitors
AVS Computer, Keyboard, Mouse
AT System
Power Supply
Keys (Keyboard/Computer Door)
Operator Cart (Rapiscan only - 2 Monitors/Keyboard)
Queing Conveyor (Rapiscan only)
Infeed Conveyor
High Speed Conveyor belt moves at correct speed (Rapiscan -44cm/s; Smiths - 54cm/s)
Queing Conveyor belt moves at correct speed (Rapiscan - 16cm/s)
Infeed Conveyor belt moves at correct speed (Rapiscan - 22cm/s; Smiths - 24cm/s)
UPS
In ve n to ry
Conveyor belt moves forward
Comments/Concerns
AVS Keys (Cabinet/Computer)
System Keys
High Speed Conveyor
Entry Roller Table
Exit Roller Table
The comments/concerns section may be used to provide further detail concerning unit quality, quantity, or general notes on unit/part condition
Decommission Checklist Advanced Technology
Operation Test Kit (remove if directed by TSA)
AT S/N: TSA/FAA Bar Code Number:
Airport Code: Terminal: Date of Test: Time:
Software Version
Extension Roller Table Quantity
List any missing parts
Yes No
Take photo of the unit PACKAGED and document any damage or concerns.
Panels are flush and fit satisfactorily
Conveyor belts are free from tears
Roller tables in good condition
Conveyor belt stops
Warning lights illuminate
Unit scans when belt moves forward
U n it
P ac k ag in g
Take a photo of the unit while OPERATIONAL and document any damage or concerns.
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.
AVS Photos (Operational, front, sides, back, serial number, barcode)
E-stop performs as expected
Scanned image transmitted to AVS
Date of last radiation survey (in comments)
Passed image quality test
Roller tables legs attached with all hardware
Subcontractor Contact Information and Verification
Evaluation Criteria Comments/Concerns System Integrator Section (This section should be filled in by the System Integrator ONLY)
Has all damage been documented? If NO please specify in the
Printed Name
Sign and date this Decommission Checklist and leave a copy with the unit.
Performed By:
Operator Cart/Work Station raises and lowers
V is u al
V er if ic at io n U n it
C on d it io n
Copy of shipping Label Attached
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
T es ti n g
Operator Cart Photos (Rapiscan Only)
Take a photo of the SERIAL NUMBER and BARCODE on the unit and document any damage or concerns.
Is the labeling correct on the packaging
Email Address Phone Number
Signature DateCompany Name
Are there any components missing? If YES, please specify in the comments section.
Is a Verification Kit being returned with this unit? If YES, please note it in the COMMENTS Section.
Signature Date
Has all damage been documented? If NO, please specify in the comments section.
Systems Integrator Additional Comments
Company Name
DateSignature
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 Name
Systems Integrator Contact Information and Verification Sign and date this Decommission Checklist and leave a copy with the unit.
Reviewed By:
Printed Name Email Address Phone Number
File details come from the government source that posted it. Updated .