Contract Att07 - ETD - 500DT De-Installation Checklist.pdf
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- Solicitation number
- 70T04020R9AP4050
About this file
This document is a de-installation checklist for removing an Ionscan 500DT explosive trace detection system. The checklist outlines procedures for inventory, unit condition checks, functionality testing, visual verification through photography, cleaning, packaging, and sign-offs by the contractor and integrating system provider. Key parties involved are the transportation security administration and airports. The detailed form ensures thorough documentation and accountability during removal and return of this sensitive screening equipment.
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Text version
Last Updated Jan. 2020
ETD S/N:
osives Trace Detection (ETD)
TSA/FAA Bar Code Number:
Airport Code: Terminal: 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
In ve nt or y
Ionscan 500DT System?
(P/N: 4816800-201-A)
Power Cord?
(P/N: 15145) 500DT Sampler Kit?
(P/N: 6820512-B) Operators Manual?
(P/N: 6817558TSA)
Maintenance Manual?
(P/N: 6821635) Standard Maintenance Kit?
(P/N: 6817660-D)
Calibration Data Package?
Metal Inlet Gasket Kit?
(P/N: 1818933-A) Condenser Tube Assembly Kit?
(P/N: 6817658-B) Printer Paper Kit?
(Impact or Thermal)?
500DT Swabs?
(P/N: 6818055-A)
Unit Hand Wand?
Unit Filter?
Date of Last Radiation Leak Test Date
Current Software Version Current Version
U ni t C on di tio n 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)
U ni t F un ct io na lit y
Does the System turn on?
Does the System become "Ready"?
Does the System allow Supervisor-level log on?
Is the System time correct?
Does the System pass the verification check?
Does the System alarm correctly?
Does the System clear alarms correctly?
Does the Printer function correctly?
De-Installation / Installation Checklist
For the Smiths Detection 500 DT
V is ua l V er ifi ca tio n 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.
C le an in g U ni t
The Contractor shall use a clean, chemical and dust free cloth to wipe down the outside of the IONSCAN 500DT to remove excess dust, dirt, and moisture that may have accumulated. Smiths Detection recommends the use of clean, dry Kimwipes® to remove excess dust, dirt and moisture.
The Contractor shall not use commercial cleaners to clean the IONSCAN 500DT as it is a highly sensitive detection system.
U ni t Pa ck ag in g Take photo of the unit PACKAGED and document any damage or concerns.
Correct package labeling?
Subcontractor Contact Information and Verification Sign and date this De-Installation / Installation 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 De-Installation / Installation Checklist and leave a copy with the unit.
Reviewed By:
Printed Name Email Address Phone Number
Company Name Signature Date
Federal Employee Comments/Concerns
Printed Name Signature Date
Federal Employee Verification As a witness, sign and date this De-Installation / Installation Checklist to confirm the document was completed on-site.
Confirmed By:
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