Contract Att04 - CDRL D001 - BLS - CEIA EMA-MS Decommission Checklist_05.21.2025.xlsx
XLSX spreadsheet 44 KB Posted
- Solicitation number
- 70T04026R7672N005
About this file
This is a decommission checklist template for the CEIA EMA-MS Bottled Liquid Scanner (BLS), a checkpoint screening device used by the Transportation Security Administration. The checklist is designated as Contract Data Requirements List (CDRL) D001 and is associated with Solicitation 70T04026R7672N005 for Screening Equipment Deployment Services (SEDS) - Checkpoint (CP).
The checklist provides a comprehensive inspection and decommissioning protocol for BLS units being removed from service. It requires documentation of inventory verification (system components, power supply, test samples), operational testing (power-on capability, user login functionality, System Operational Check results), unit condition assessment (exterior and interior damage evaluation), cleaning procedures (analysis compartment cleaning with non-abrasive materials), and extensive photographic documentation (operational unit, front/sides/back views, serial number/barcode, make/model, and packaging). The checklist includes sections for subcontractor personnel to document their decommissioning work with contact information and signatures, a Systems Integrator verification section to confirm damage documentation and component completeness, and a Federal Employee witness section. The form requires specification of the BLS serial number, TSA barcode, airport code, terminal/checkpoint/lane location, and last system usage timeframe, with designated spaces for comments and concerns throughout each evaluation section.
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Text version
Table 1
CDRL D001
Decommission Checklist For the CEIA EMA-MS Bottled Liquid Scanner (BLS)
BLS S/N: TSA 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 | ||||
| Section | Evaluation Criteria | Yes | No | Comments/Concerns |
| Inventory | EMA-MS BLS System? | |||
| Power Supply? | ||||
| "Normal Object" Test Sample with Green Label? |
(NO PASS)
"Abnormal Object" Test Sample with Red Label?
(NO PASS)
| Testing | What was the time frame when the system was last used? | |||
| Please mark one (1) box. | Please check one | |||
| (1) box: | Past/Current | |||
| Day | Past 3 Days | Past Week | Past Month | More than a |
| month | Unknown | |||
| Does the system turn on? | ||||
| Does the system allow users to Log On? | ||||
| Did the system pass the System Operational Check (PASS) Successfully? | ||||
| Did the system pass the System Operational Check (NO |
PASS) Successfully?
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)
| Cleaning | Wipe the analysis compartment (AC) clean, using a slightly moist (water only), non-abrasive cloth. |
| In case of liquid spill in the AC, tilt unit forward and wipe AC with a dry non-abrasive cloth |
Visual Verification Take 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.
Take a photo of the MAKE/MODEL of the unit and document any damage or concerns.
Unit Packaging Take photo of the unit PACKAGED for shipping and document any damage or concerns.
| Is there packaging for the BLS responder? Please indicate what type of packaging in the comments (pelican case, cardboard box, etc.). |
| Is the labeling 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 Name | Email Address | Phone Number | ||||
| Company Name | Signature | Date | ||||
| System Integrator Section (This section should be filled in by the System Integrator ONLY) | ||||||
| Evaluation Criteria | Yes | No | Comments/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 a Verification 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. | ||||||
| Reviewed By: | ||||||
| Printed Name | Email Address | Phone Number | ||||
| Company Name | Signature | Date |
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 | Signature | Date |
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