Contract Att09 - PSP Site Survey Template.xlsx

XLSX spreadsheet 173 KB Posted May 29, 2020

Attached to: Security Equipment Deployment Services - Checkpoint
Solicitation number: 70T04020R9AP4050
Issued by: Department of Homeland Security Transportation Security Administration

About this file

Written by GovTribe AI · Dec 30, 2023

This document contains a site survey template for capturing key details regarding passenger screening checkpoint infrastructure and equipment at an airport in preparation for an upcoming security system deployment project. The template collects information on existing electrical systems, IT connectivity, equipment inventory, and other logistical requirements. Sections address badging, permitting, insurance needs, and contact lists to help plan the logistical aspects of the deployment. Spaces are provided to note infrastructure upgrade needs and attach relevant photos of existing conditions. The thorough site survey would inform bidding on the related Transportation Security Administration contract to provide Checkpoint Screening Equipment Deployment Services.

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Cover Sheet

PSP Site Survey Report
Site Survey Checklist Cover Page
CDRL Purpose:
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Title	Name	Phone	Email
System Integrator (SI) Task Order Manager
SI Site Survey Lead
SI Electrical Engineer
TSA Federal Security Director (FSD)
TSA Assistant Federal Security Director (AFSD)
TSA Project Lead/Primary POC
TSA Project Assistant
IT POC
Airport Authority Representative
Airport Facilities
Airport Electrical
Law Enforcement

Checkpoints/Overview
Terminal/Checkpoint Name or ID	Number of Lanes	Comments
				0
Shipping Address
					0
Drawing Set Used for Validation
Title and TSA Approval Status		Date	Source
				0

Passenger Screening Program

Sign-in Sheet

PSP Site Survey Report
Site Survey Attendees Sign-in Sheet
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Name Organization Phone Number Email

Badging

PSP Site Survey Report
Badging Requirements
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

BADGING
The following documents the badging requirements.
Will local Airport Security Personnel provide escort?				0
Is contractor badging required?				0
Will the badging include escort privileges?				0
Is a badging class required?				0
What is the schedule for the badging class?				0
Badging Authority	POC	Contact Information	Hours of Operation

Time To Obtain Cost Associated Valid For Escorting Privileges

Documents Accepted	Notes:
Driver's License		0
Birth Certificate		0
Social Security Card		0
Passport		0
# of Docs Required		0

Office of Security Capabilities Passenger Screening Program Passenger Screening Program

YES

Permitting

PSP Site Survey Report
Permitting Requirements
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:		Survey Date:
PERMIT GENERAL DOCUMENTATION REQUIREMENTS
Permitting Authority and Address:				0
Describe the Process Required by Permitting Agencies:				0
Describe the Permitting Requirements:				0
Describe Permitting Lead Time:				0
# Raised/Signed & Sealed Drawings and Specifications Required:				0
# D Sized Drawings Required:				0
# of 11x17-Size Copies Req'd:				0
Address to Send Signed & Sealed Copies:				0
Cost of Obtaining Permits:				0
FOR THIS SPECIFIC PROJECT
Is permitting required?				0
PERMIT TYPE APPLICABILITY FOR THIS PROJECT				0
Type of Permit	Describe the Type of Work Effort that Requires Each Type of Permit		Airport POC and Contact Info (Phone, E-Mail)
Construction Permit					0
Building Permit				0	0
Electrical Permit				0	0
Electrical Load Study				0	0
Seismic Analysis				0	0
Structural Analysis				0	0
HVAC Analysis				0	0
Asbestos Study				0	0
Waste Removal Plan				0	0
Spill Response Plan				0	0
Other (e.g., Tenant Improvement Plan):				0	0

Passenger Screening Program

Cert of Insurance

PSP Site Survey Report
Certificate of Insurance Requirements
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Certificate of Insurance
The following documents any Certificate of Insurance requirements. Include additional attachments or documentation as necessary.
Is a Certificate of Insurance required?	Minimum Insurance Requirements
	General Liability
Additional Insured	Automobile Liability
Name	Umbrella Liability
Address	Worker's Compensation
	Bodily Injury
City, State, ZIP	Property Damage
Submit to	Notes
Name
E-Mail
Fax

Office of Security Capabilities Passenger Screening Program Passenger Screening Program

Vendors

PSP Site Survey Report
Current List of Permitted/Badged Airport Service Contractors
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Any special licensing requirements for trades (e.g., must be licensed in the state, county, city, etc.)? Any special licensing requirements for trades (e.g., must be licensed in the state, county, city, etc.)? 0

Type Contractor	Electrical/Data	Type Contractor	Electrical/Data
Name		Name
Address		Address
City		City
State		State
Zip Code		Zip Code
Point of Contact		Point of Contact
Phone Office		Phone Office
Phone Cell		Phone Cell
Fax		Fax
E-Mail Address		E-Mail Address
Badged?		Badged?

Office of Security Capabilities Passenger Screening Program Passenger Screening Program

Hours of Operation

PSP Site Survey Report
Hours of Operation/Equipment Summary
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Checkpoint Operational Hours
Weekdays	0
Weekends	0
Checkpoint must be turned over	0
Electrical room access	0
Basement access	0
Hours available for site survey	0
Hours available for site preparation	0
Notifications to be made when arriving on site	0

Elec Panel

PSP Site Survey Report
Electrical Panel(s)
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Describe required procedure to obtain access to power panel
	0
Describe required conduit route from electrical room to checkpoint; noting any restricted areas, space characteristics (public, utilities, etc.), special conditions, floor wall penetrations, or other potential cost considerations.
	0

Are panels located in locked rooms or areas? (Y/N)	0	Are panels located in locked rooms or areas? (Y/N)
Approximate average physical distance and conduit distance of panels from Checkpoint lanes (feet)	0	Approximate average physical distance and conduit distance of panels from Checkpoint lanes (feet)
Volt-amp (VA) or current rating of existing significant non-checkpoint loads on the panel (i.e., HVAC, transformers, refrigeration, motors, other industrial equipment, etc.)	0	Volt-amp (VA) or current rating of existing significant non-checkpoint loads on the panel (i.e., HVAC, transformers, refrigeration, motors, other industrial equipment, etc.)
Pictures of panels feeding Checkpoint equipment. Include panel ID/label, rating, main breaker, branch circuit breakers, schedule, etc.

Pictures of appropriate sub-panel, if needed. Panel label, rating, panel capacity, and type of panel showing

**Pictures of conduit routes, if possible.**

Office of Security Capabilities

Passenger Screening Program

Elec Existing

PSP Site Survey Report
Existing Electrical
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Answer noted questions with relevant pictures and descriptions.

Describe mounting of existing electrical devices.

Floor-mounted or power pole?

If floor, recessed (poke-thru) or surface?

If floor, conduit entry core-drilled or surface run?		0
	Other Notes:		0
	Pictures of Electrical/Data Outlets - Labeled for Each TSE & Lane

Passenger Screening Program

Elec Delta

PSP Site Survey Report
Electrical Changes
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

List tasks required to modify/upgrade infrastructure to accommodate required CAT units, starting from existing conditions.
Additional Breakers in Existing Panel (panel ID, quantity, ratings, etc.)	Additional Breakers in Existing Panel (panel ID, quantity, ratings, etc.)
	0
	0
New Receptacles (quantity, location, etc.)	New Receptacles (quantity, location, etc.)
	0
	0
New Data Outlets	New Data Outlets
	0
	0
New Conduit (quantity, distance, location, routing, etc.)	New Conduit (quantity, distance, location, routing, etc.)
	0
	0
New Panel (rating, source [480V] panel location, conduit distance from source to new panel, feed breaker required, conduit required, etc.)	New Panel (rating, source [480V] panel location, conduit distance from source to new panel, feed breaker required, conduit required, etc.)
	0
	0
Panel Expansion/Extension, Sub-Panel (size, location, etc.)	Panel Expansion/Extension, Sub-Panel (size, location, etc.)
	0
	0
Other	Other
	0
	0

Office of Security Capabilities Passenger Screening Program Passenger Screening Program

Lane Summary

	PSP Site Survey Report
Lane Summary
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:		Survey Date:

	Checkpoint Name:	Main	Standard, PreCheck, or Flex?
S/P/F	TDC Podium
Y/N	Power
Y/N	Dedicated Circuit
Y/N	# of Data Ports	Relocate Power Pole/Poke-thru
Y/N	Cable to IT Cabinet More Than 295'?
Y/N	List average data cable length and describe any deficiencies.

Pictures of Each TDC Location

PSP Site Survey Report
Information Technology Connectivity
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Make & Model of Switch(es) & Patch Panel(s) Total # of Ports # of Open Switch Ports or UnTerminated Patch Ports Location (room #) Is cable distance to TSE more than 295'? Category Cable

Is there room in existing rack for additional patch panels/switches? Is there space/power in existing room for an additional IT rack?

List any cables that exceed 295' or fail any test.

Describe required procedure to obtain access to IT rack(s).

Describe required routing for data cables and if conduit is required.

Any airport-provided IT connections? If yes, describe.

Pictures: Location/Patch Panel

Passenger Screening Program

Existing Equip Summary

PSP Site Survey Report
Existing Equipment Summary
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Existing Equipment Summary (TSA Standard Equipment Only)
TSE Type	TSE Number	TSE OEM

Passenger Screening Program

Design Issues

PSP Site Survey Report
Design Issues
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Terminal/Checkpoint Lane Drawing/Design Issue Additional Comments

Queue Area Validation

PSP Site Survey Report
Queue Area Validation
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

	Checkpoint/Terminal	Dimensions of Queue Area	Number of TDCs	Number of Stanchions	Additional Comments
							0	0
	Identify if an Employee/Known Crew Members (KCM) lane is being used?
Is the Employee/KCM lane identified with signage?						Identify if an Employee/Known Crew Members (KCM) lane is being used?
Is the Employee/KCM lane identified with signage?	0
	Identify if a PreCheck lane is being used?
Is the PreCheck lane identified with signage?						Identify if a PreCheck lane is being used?
Is the PreCheck lane identified with signage?	0
	How many lanes are established for passenger use?						How many lanes are established for passenger use?		0
	Are there any other lanes/queues established for other use? If so, please identify their usage.						Are there any other lanes/queues established for other use? If so, please identify their usage.		0
	Pictures of Queue Area Surveyed, Including Proposed CT Testing Area

Alarms

PSP Site Survey Report
Duress/Covert Alarms
System Integrator:
System Integrator POC:
Airport Name:
Airport Code:	Survey Date:

Terminal/Checkpoint/Lane Type of Equipment Push-Button Needed? Additional Comments (Wireless, Hardwired, Integrated)

Total Number of Push Buttons to be Ordered/Sent to Local TSA

Termination (location where monitored - NOT equipment end)	0
Owner	0
Maintenance/Contractor	0
Any New Circuits Required?	0
Identify Duress Alarm Type, Power, and Connectivity	0

Passenger Screening Program

Decompress Pix Instruction

PSP Site Survey Report

Instructions to Compress Pictures

* Click on Picture within the file.

* Click on Picture Tools/Format Tab at top of file.

* Click on Compress Pictures.

* De-select "Apply only to this picture".

* Click on "Email" Circle.

* Select OK.

image1.png

File details come from the government source that posted it. Updated May 29, 2020.