Contract Att06 - CDRL D001 - CT De-install Decommission Checklist_05.28.2025.xlsx

XLSX spreadsheet 52 KB Posted

Attached to
Screening Equipment Deployment Services (SEDS) - Checkpoint (CP)
Solicitation number
70T04026R7672N005
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About this file

This file is a de-installation and decommission checklist template for Computed Tomography (CT) screening systems used by the Transportation Security Administration (TSA) at airport checkpoints. The checklist is designated as a Contract Data Requirements List (CDRL) deliverable (D001) and applies to CT systems from OEM manufacturers including Analogic, Smiths, and SureScan, across base, mid, and full configurations.

The checklist comprises multiple evaluation sections designed to document the condition and functionality of CT equipment during removal and decommissioning operations. The inventory section verifies the presence of core system components including the CT unit itself, Uninterruptible Power Supply (UPS), system keys, operation test kit, operator carts, conveyor systems (infeed, queuing, exit, and motorized variants), diverter rollers, staging areas, bin return systems, calibration pieces, and Associated Visualization System (AVS) equipment. The testing section confirms operational functionality of conveyor movement, warning systems, scanning capabilities, photo eyes, emergency stops, button controls, image transmission, and UPS operation, along with radiation survey documentation and interlock verification. The unit condition section assesses physical integrity including exterior and interior damage, panel alignment, conveyor belt and curtain condition, door and latch operations, roller table hardware security, and operator cart functionality. The visual verification section mandates photographic documentation of the unit during operation and from multiple angles, along with packaging condition photographs. The template requires sign-off from the performing subcontractor, system integrator review, and federal employee witness verification to confirm on-site completion of the decommissioning process.

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Text version

Table 1

CDRL D001

De-Install/Decommission Checklist For CTs

OEM (Analogic, Smiths, SureScan)Configuration (Base/Mid/Full)
Serial Number:TSA Bar Code Number:

Airport Code: Terminal/Checkpoint: Date: 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
InventoryCT System? (ConneCT, CTiX, DeteCT 1000)
UPS?
System Keys? How Many total?
Operation Test Kit? (Remove if directed)
Keys? (Keyboard/Matrix Server/AVS)
Operator Cart or OCP? (1 Monitors/Keyboard/MCS PC)
Secondary Operator Cart or OCP? (1 Monitors/Keyboard/MCS PC) (if applicable for dual PVS systems)
RSOW Kit included?
Matrix Server or MS Compact included? Barcode?
Input Spacing Conveyor?
Queuing Conveyor belt moves at correct speed?
Infeed Conveyor?
Power Cable included for the CT and OCP cart?
Entry Roller Table? How many and sizes?
Exit Roller Table? How many and sizes?
Motorized Entrance Roller Table? How many and sizes?
Motorized Exit Roller Table? How many and sizes?
Motorized Output conveyor?
Manual Diverter Roller (MDR)
Auto Diverter Roller (ADR)
High Threat Staging? (if applicable)
Bin return system?
Bins? (How Many?)
CTIQ and Geometer Calibration pieces included?
AVS Monitors?
AVS Computer, Keyboard, and Mouse?
AVS Keys? (Cabinet/Computer)
TestingWhat are the Software version CT and AVS?
Conveyor belt moves forward?
Conveyor belt stops?
Conveyor belt reverses?
Conveyor belt stops?
Warning lights illuminate?
Unit scans when belt moves forward?
Photo eyes? (if applicable)
E-stop performs as expected? All buttons (PVS and AVS)?
Scanned image transmitted to AVS?
UPS operation?
Date of last radiation survey? (in comments)
Interlock (if applicable)
Passed OTK test?
Unit ConditionDoes 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)

Panels are flush and fit satisfactorily?
Conveyor belts are free from tears?
Curtains are free from tears?
Check door key operation of latch cable access doors?
Check operation scanner door/ latches?
Roller tables legs/saftey roller/ attached with all hardware?
Roller tables in good condition? Mounting hardware?
Operator Cart raises and lowers (If installed)?
Visible hardware tightened and secured?

Visual Verification 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.

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

AVS/MS compact/ or Matrix Server Photos?

(Operational, front, sides, back, serial number, barcode)

Operator Cart Photos? (if installed)
Unit PackagingTake photo of the unit PACKAGED and document any

damage or concerns.

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 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 a OTK 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 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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